Are there any negative effects of multiple (greater than 7) postop steroid injections? (Photo)

Question

I am 1.5 year out of male rhinoplasty and still have significant tip swelling. My doctor assures me that this sometimes occurs, and is offering steroid injections every 2 months of which I have already had 7. I am recommended for more. Are there any adverse effects to consider given the amount of steroid injections I require...and is there a maximum number that can be given or a time frame after which none would be recommended?

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have relatively thin nasal skin, and I do not believe that you have a significant amount of swelling 1.5 years after your surgery. Are the steroid injections doing anything beneficial? I suspect not. I can see that you have a wide nasal tip appearance with flaring nostrils and a hanging columella. If these issues are bothering you, sometimes it's helpful to get a second opinion from another reputable rhinoplasty specialist. Phone. Since you only, Dr Joseph

Gerald Minniti, MD, FACS · Answer

Your nose does not exhibit swelling, the only reason to inject steroids. Your nose does appear to have columellar droop and alar retraction, and may be the cause of your dissatisfaction. If those are things you would like to address, then you would need a revision rhinoplasty.

Ronald J. Edelson, MD · Answer

To me the most noticeable problem is that you have a hanging columella ( the part between the nostrils)  this is easily correctable with a minor procedure. I would not recommend any more steroids

Lexie Wang, MD · Answer

From your photos, I don't think that you have significant tip swelling still ongoing... especially given how much definition you can see in your side picture. The primary issue I see is that you have pretty thick skin and that will limit how small you can get your nose. Nonetheless, if you still want to do injections, the main things to watch out for are any side effects of skin thinning- your skin might get paler, have telangiectasias (small fine blood vessels), and may even get so thin that you can actually see the cartilage underneath.

Are there any negative effects of multiple (greater than 7) postop steroid injections? (Photo)

Answers (4)

Answer: Steroids

Answer: Steroids

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Everything you need to know about Rhinoplasty

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Are there any negative effects of multiple (greater than 7) postop steroid injections? (Photo)

Answers (4)

Answer: Steroids

Answer: Steroids

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Everything you need to know about Rhinoplasty

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