What are the risks and how effective are steroid injections for scar tissue on the nose?

Question

Are there any complications that can result? Is this effective for scar tissue? Is scar tissue unavoidable? appreciate any feedback

Eric M. Joseph, MD · Answer

If somebody has excessive swelling above the nasal tip, this may be reduced with a dilute steroid injection. If steroids are used in other areas of the nose where the skin may be thin, indentations in the skin may ensue. I hope this helps. Sincerely, Dr Joseph

Oakley Smith, MD, FRCSC · Answer

Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination. Scaring is vary from individual to another, minimal complication rate for steroid inj. if it's used for correct patient.

Zoran Potparic, MD · Answer

Steroid injections for treatment of the scars is a very established procedure which works well in most instances. However, particular location of scar, individual response, skin color, etc. are few of the issues to be considered before application. It is best to discuss this issue with your surgeon before treatment. Good luck.

William Portuese, MD · Answer

Steroid injections are only placed for patients who have a polybeak deformity with excessive swelling when patients have thick skin in the nasal tip. They're usually placed in the first year after the surgery.

Selcuk Yazan, MD · Answer

Hello,
Surgeons who see scars regularly or have worked with them in the past, such as those with burn care experience are best for administering steroid injections. 
This is a step by step process which should be spaced out in small doses with a minimum 3-4 steps. 
As for the tip of the nose, the amount administered can be precisely even per side but it’s unpredictable how each side will respond. Work in small amounts with a trusted professional for the best outcome. 
For other scars, there are ways to prevent these but the main contributors are your genetics, the stitches, tension and the surgical techniques used. 
There are 4 types of scars-Normotrophic healing -Hypertrophic scars which are slightly raised up and thin-Keloid scars which have passed the limits of incision (identified as being high and wide)-Or, Depressed scars, which are concave 
Even with treatment, it may depress a scar at the incision site, but not entirely rid of it, depending on the aforementioned factors. Effectiveness of the treatment can also be to accept the scar/scar tissue psychologically which I believe aids in all healing. 
The most important takeaway and advice is: all scars need time. Do not rush to treat anything and let the body do its job.

Mats Hagstrom, MD (license on probation) · Answer

Anti-inflammatory steroid injections are effective and reducing inflammation.
Steroids can also reduce and reverse scar tissue to some degree.
Steroid injections to comment with certain risks, including fat, atrophy, and thinning of the skin.
Steroid injections have inherent limitations and it’s important to not have injections unless they indicatedHaving been told you have scar tissue does not mean the steroid injections are going to be helpful.
Best,
Mats Hagstrom MD

What are the risks and how effective are steroid injections for scar tissue on the nose?

Answers (6)

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