Swelling 13 months later after kenalog injections? (Photos)

Question

I had rhinoplasty 13 months ago I have thick skin. I am so happy with the size and shape of my nose however the sides are still so swollen (my main concern!) And tip is rounded. I'm not sure if its scarring or swelling I have had about 5 kenalog injections and they seem to help but I feel like the nose swells again. Can swelling reoccur again after kenalog injections? When I squeeze my nose with my fingers the sides go in for a second and then push out again. Any help would be appreciated.

Marcelo Ghersi, MD · Answer

Unfavorable healing of those is a very real and common problem we encounter in nasal surgery. When the nose swells a significant amount and the swelling does not subside that swelling becomes fibrotic scar tissue. Kenalog injections do help with this tissue for about for the six months to twelve months. After a year, Kenalog injections do not really help a whole lot and they actually cause problems because it will thin out the skin. In my practice, after a year when a patient has a bump or contour anomaly that I cannot take care of with injections. It becomes time to consider a revision surgery to remove scar and reshape the nose.

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