Steroid injection five years after rhinoplasty? (Photo)

Question

I'm still dissatisfied with my rhinoplasty. I've read somewhere that steroid injections can help with scar tissue. I like the profile view of my nose but the front view is still not to my liking. I often find myself using heavy contour to further refine my nose. It doesn't help at all. Would it be beneficial to consult with my surgeon about some type of steroid therapy to further refine my nose? My problem area is where I circled. Should I get a revision or bite the bullet and let it be?

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.As far as I can see from your photo you have hanging columella and dorsal hump. For get rid of these things and gain more curved, defined tip, elegant nose I recommend you revision rhinoplasty. It would be more convenient to decide with face-to-face consultation. Best Regards!

Thomas Spalla, MD · Answer

It's unlikely, this far out from surgery that steroid injections would help refine the nose significantly. That being said, there's little risk to trying this type of intervention if your surgeon feels excessive scar tissue built up in this region which is responsible for the issues.

Jonathan Kulbersh, MD · Answer

Hello, and thank you for your question. Steroid injections are typically administered to prevent the formation of scar tissue after rhinoplasty. The injections are usually done beginning at one month post-op or during the first 6 months or so. Since your surgery was 5 years ago, you may benefit more from a revision rhinoplasty.
 
Revision rhinoplasty is a more complex procedure than a primary rhinoplasty but may provide you the permanent results you desire. I recommend consulting with an experienced, board-certified facial plastic surgeon with expertise in revision rhinoplasty. They can evaluate your nose and determine the best approach to achieve the best possible outcome.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there! Steroid injections could possibly help, though I find it more useful during the active healing phase within the first 1 - 1.5 years. Taping nightly can help but more during the active healing phase. At 5 years, you're likely looking at a revision if the areas are still persistent. Revisions carry their own set of risks which are often low if performed carefully. I would revisit with your surgeon to learn more about what may be done. It really depends on how much the area bothers you and what risk you're willing to accept. Hope this is useful!

Ronald J. Edelson, MD · Answer

Your nose could be improved surgically.  Your tip needs to be thinned out and raised. I don’t think steroids would do much

Steroid injection five years after rhinoplasty? (Photo)

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Steroid injection five years after rhinoplasty? (Photo)

Answers (5)

Answer: Steroid Injections

Answer: Steroid Injections

Answer: Rhinoplasty

Answer: Rhinoplasty

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Recommended reading

Everything you need to know about Rhinoplasty

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