Is 3 Months Post Rhinoplasty Too Late for Kenalog Shots

Question

i live quite far away from my surgeon and wont be going back till 3 months have past after my rhinoplasty. i have alot of swelling in my tip which im guessing is because this is my 2nd rhinoplasty. but my tip is so big! and im seeing supratip swelling which worries me as i didnt have that before my surgery. would getting steroid injections at 3 months post revision be too late to fix this? also,my nose looked so lovely after cast removal it was just like i wanted. but now its so bulbous again.

Rod J. Rohrich, MD · Answer

Steroid injections into the nose post rhinoplasty must be done with great care and strict indications as well as proper placement of the steriod to prevent problems

	These are the 5 elements to guide you-

	1.Make sure your rhinoplasty surgeon uses a dilute steriod and a small amount

	2. Make sure he is experienced so he does not inject it into the dermis -too superficial -or the skin will atrophy  which is a big problem

	3. Best candidates are patients with thick skin, revision rhinoplasty patients with thick hard previous nasal tips

	4. Perform the steroid injections early post op , small doses, go deep and use massage

	5. If in doubt , don't do it unless your rhinoplasty surgeon has the experience or expertise to do these injections

Raffy Karamanoukian, MD, FACS · Answer

Cortisone injections into the nasal tip will accelerate the process of inflammation and edema resolution. However, they are not without risks. If you are considering this treatment, speak to your surgeon about the known risks and the decision to move forward with the injection. I would recommend a dilute solution injected deep into the tissue.

Anand D. Patel, MD · Answer

No, it is not too late. A higher strength may be beneficial, but must be injected correctly. In this later period, the Kenalog will help to slow down the collagen production pathway and allow more degradation. Please be patient, however, as this process may take weeks to months.

Otto Joseph Placik, MD · Answer

Three months is not too long for use of kenalog injections if these are required but it is best to discuss this with your surgeon.

Michael A. Persky, MD · Answer

Hi Dublin,

	Best to give your rhinoplasty surgeon a call and voice your concerns.  Your surgeon will direct you.  Good luck and be well. 

	Dr. P

Is 3 Months Post Rhinoplasty Too Late for Kenalog Shots

Answers (9)