Kenalog injections to refine nose tip in thick skinned patient? (rhinoplasty 3 years ago)

Question

I went to a diff plastic surgeon looking to refine my nose tip. He said most of the cartilage from my tip was taken out already, it is mostly thick skin left b/c I'm thick skinned (Asian w/ oily skin, larger pores). He recommended Kenalog injections to thin the tip out. But after researching, it seems that these injections are used to decrease scar tissue/swelling within a year after rhinoplasty. So I'm wondering if Kenalog injections could be used to thin out the thick skin in the nose tip?

Charles S. Lee, MD, FACS · Answer

If too much cartilage was removed, then your tip will look amorphous and round. Kenalog can help with the internal scar, but your main issue is the need to build a strong internal support structure of cartilage to get the tip back to a nice shape. I would most likely use some kenalog in conjunction with a planned revision rhinoplasty.

Donald B. Yoo, MD, FACS · Answer

The best way to create nasal tip refinement during Asian rhinoplasty is to create greater structural support for the tip of your nose, rather than to simply attempt to thin out the skin.  Kenalog injections may help to a certain degree, but only if you have appropriate tip cartilage support and strength.

Toby Mayer, MD · Answer

Kenalog injections after 3 years? I have not used these this long after rhinoplasty since I do not think they will change anything and could make things worse.

Suzanne Kim Doud Galli, MD, PhD, FACS · Answer

There are many maneuvers which can improve the nasal tip surgically. You cannot expect miracles from a few kenalog injections. You would benefit from an in person consultation from a board certified 
facial plastic surgeon with expertise in Asian rhinoplasty.

Benjamin Chu, MD, FACS · Answer

Kenalog does reduce scar tissue and can thin normal tissue.  Its important to not use too much as you can cause normal tissue to atrophy and sink in.  Kenalog comes in 40mg/cc or 10 mg/cc.  Its safer to go slowly by using the 10 mg/cc and do multiple injections rather than a big 40mg/cc shot.  Usually I use 0.5 cc of Kenalog 10 every two months to help shrink the nasal tip.

Kenalog injections to refine nose tip in thick skinned patient? (rhinoplasty 3 years ago)

Answers (8)

Answer: Nasal tip in Asian rhinoplasty

Answer: Nasal tip in Asian rhinoplasty

Answer: Kenalog injection of the nasal tip skin

Answer: Kenalog injection of the nasal tip skin

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Everything you need to know about Asian Rhinoplasty

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Kenalog injections to refine nose tip in thick skinned patient? (rhinoplasty 3 years ago)

Answers (8)

Answer: Nasal tip in Asian rhinoplasty

Answer: Nasal tip in Asian rhinoplasty

Answer: Kenalog injection of the nasal tip skin

Answer: Kenalog injection of the nasal tip skin

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Recommended reading

Everything you need to know about Asian Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.