Hard Scar Tissue in Tip After Rhinoplasty

Post rhinoplasty I have hard scar tissue on the tip of my nose. 3 Kenalog injections didn't work. Would 5-FU injections help?

Doctor Answers 7

Hard scar tissue after rhinoplasty

There are several different concentrations of cortisone preparations that can be injected into the scar tissue in the nose. It is not advisable to use 5-FU, as it is not FDA approved to be 5-FU injected into the nose.  

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Rhinoplasty healing

The tip area is usually hard during the healing phase until at least one year after surgery. If it has been longer, then it could be cartilage in the area. Caution with too much cortisone in nose-may cause indentations.

Edward J. Domanskis, MD
Newport Beach Plastic Surgeon
4.4 out of 5 stars 27 reviews

Scar Tissue in Tip

You don't mention when you had the surgery, but assuming it has been at least 9-12 months ask your surgeon about alternative approaches including a possible  revision. Consider a second opinion.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Hard scar on nasal tip

Diffiuclt to say without a better history.  How old is the scar?  I would avoid too many kenalog injections into the nasal tip.  It may cause significant atrophy.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

Tip hardness.

No it would help. You need to see a revision rhinoplasty surgeon who is experienced to get the best result.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

More info needed

You obviously had a rhinoplasty. how long ago, open or closed, cartilage grafts or not, septal work, and how soon after the surgery did the injections start?  I can't say I have ever used 5-FU injections on the nasal tip so I have no experience in that.  I would be interested if any other plastic surgeons have used this for nasal scar tissue.

Steven Schuster, MD, FACS
Boca Raton Plastic Surgeon
4.0 out of 5 stars 6 reviews

Be careful with steroid

It might help, but after 3 injections with steroid, you need to be very careful.  These are powerful medications and can do more harm than good when used in excess. I would stick with your same surgeon and give it a while before making another intervention (at least a year). The nose takes a long time to heal and for scars to soften after rhinoplasty. You need to be patient.  Chances are, it will soften up some given more time.

Elan B. Singer, MD
Manhattan Plastic Surgeon
4.8 out of 5 stars 24 reviews

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