How Long Should I Wait to Get Steroid Injection to Dissolve Scar Tissue After Rhinoplasty?

You should definitely consider a kenalog injection.  First, it can be done safely as early as a month post op.  Second, it works.  Not only does it soften some of the early firmness associated with surgery, but it also prevents the deposition of scar tissue.  Third, it does not induce soft tissue atrophy if used in the correct plane and the correct concentrations.  You will see that most of the physicians who suggest kenalog all mention small amounts, spaced at least 4-6 weeks apart.  Done properly, you will not see soft tissue atrophy.

There are a number of studies that support the use of kenalog, so you don't have to just take our collective word on this.  Some, like an article a few years ago by Pastorek, suggest it's use in almost every rhinoplasty.  So I can assure you that it is safe, effective, and standard of care.  And from what you describe about your experience, it sounds like just the ticket.

Hi Grimesland,

Steroid injection with a low dose of Kenalog-10 may be a perfect treatment for the swelling in the area just above the tip (the supratip region).  Sometimes, scarring can occur here and injections of steroid can help reduce this swelling.  However, swelling after rhinoplasty is VERY common and is usually not cause for alarm.  Discuss this with your facial plastic surgeon and determine if she would consider a steroid injection.  

Hi Grimesland,

3 months after rhinoplasty is not too soon to have a small dose of Kenalog-10 (steroid) injected into swollen areas of the nose.  In fact, many rhinoplasty surgeons have injected open rhinoplasty noses as soon as one to two weeks after surgery.  Enjoy your new nose. 

Dr. P