Injection after Rhinoplasty caused dent. How can this be fixed?

Thinning of nasal skin can happen from steroid injections.  There is no easy answer to this problem.  A conservative use of hyaluronic acid fillers can at least temporarily help camouflage some of the irregularities.If it continues to be an issue you might have to undergo revision rhinoplasty to remove some of the bumps.RegardsDr. J

Thanks for sharing your concerns with us. 4 months is time enough to talk about final results but without photos is difficult to give you a value judgment. I recommend you to send your photos to give you better advices and recommendations. Respectfully, Dr. Emmanuel Mallol Cotes.- 

Ask your doctor about injecting saline in the area of the dent.  There was a paper about this that I recall reading.  If he looks up this paper he might want to try it.  It is supposed to reverse the effects of the steroid injection.  I used this technique once under the chin  and it worked.  I have never used it in the nose,  however.

Steroid injections can sometimes cause thinning of skin and soft tissue, especially if overdone in a localized area.  In some cases, the thinning may improve with time.  If the dent persists then filler injections or graft placement may be necessary for correction.  The first step is to discuss your options with your operating surgeon and decide on a plan of action.  If your rhinoplasty was only 4 months ago there is almost certainly normal post operative swelling which has not fully resolved.  Final result from rhinoplasty is expected to take 12 months.

Thank you for your question.  Though seeing a picture would allow for a more accurate answer, your text is excellent.  After surgery the nose has to decrease in swelling and the skin/soft tissue needs to shrink-wrap around the structure (made of cartilage and bone).  When patients have very thin skin, every little bump and depression is more visible.  An injection (presumed to be a steroid) to reduce swelling may lead to atrophy or thinning of skin and soft tissue. This may lead to a dent or depression.  Sometimes, the body will fill in this spot with collagen over time.  If there is a persistent dent, a small amount of filler may be injected to smooth the contour.  At this point, I would urge you to see the surgeon who did your operation to discuss your concerns. The good news is that your nose looked amazing at one point in the healing process, and thus, there is hope that in due time, you can have your amazing result back and you can enjoy your beautiful nose.  Good luck from Manhattan.

A steroid injection might lead to atrophy of the subcutaneous tissue. This may improve with time or may need treatment with a  filler.

Sometimes unfortunately steroid injections to decrease swelling can have this effect. Give it some time, but if is still there, then injection of a filler product is the treatment usually given. Good luck.

This is the reason I do not like to give steriod injections to reduce swelling.  It takes time for the swelling to subside.  It can take months to see the final result.  Fillers or cartilage graft to the area are possible solutions to the problem.  Best wishes!