I'd heard doctors sometimes do steroid injections for swelling post rhinoplasty. Why do they not do it regularly? Are there drawbacks or bad side effects to the injections? Are they very expensive? Incidentally, I was prescribed oral steroids for five days post rhinoplasty. Would taking them again be advisable?
February 2, 2021
Answer: Dilute steroid injections may be helpful for persistent swelling above your tip after rhinoplasty. We only use dilute triamcinolone acetonide injections in the supra-tip area, just above the tip, when there is swelling that resembles a polybeak. Nasal steroid injections can rarely lead to skin atrophy, indentations, telangectasias, or whitening of the skin. Hope this helps. Dr Joseph
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February 2, 2021
Answer: Dilute steroid injections may be helpful for persistent swelling above your tip after rhinoplasty. We only use dilute triamcinolone acetonide injections in the supra-tip area, just above the tip, when there is swelling that resembles a polybeak. Nasal steroid injections can rarely lead to skin atrophy, indentations, telangectasias, or whitening of the skin. Hope this helps. Dr Joseph
Helpful 3 people found this helpful
June 16, 2020
Answer: Steroid injections for abnormal scar tissue or prolonged swelling after rhinoplasty Steroid injections following rhinoplasty are indicated when there has been excessive scar tissue production deep to the skin - this manifests itself by the appearance of swelling. This is most commonly in the supratip (area just above the tip) or tip regions. Steroid injections typically take about 2-3 weeks to start to work. They should be used judiciously as when too much is injected or injections are performed to frequently, they can cause excessive thinning of the skin and contour irregularities, or loss of pigmentation that can take a long time to resolve. If further injections are required, they are typically done at least 6 weeks after the previous injection. It is better to be more conservative using steroid injections following rhinoplasty than be too aggressive.Some surgeons prescribe oral corticosteroids for a few days following rhinoplasty in the belief that this may help reduce the early postoperative swelling resulting from surgery, however, the clinical studies about the effects of oral corticosteroids are equivocal. Prescription of oral corticosteroids is largely done based on the surgeon's preference. Personally, I do not prescribe these to my patients. For persistent or prolonged swelling after rhinoplasty, oral corticosteroids are likely of limited benefit.
Helpful 2 people found this helpful
June 16, 2020
Answer: Steroid injections for abnormal scar tissue or prolonged swelling after rhinoplasty Steroid injections following rhinoplasty are indicated when there has been excessive scar tissue production deep to the skin - this manifests itself by the appearance of swelling. This is most commonly in the supratip (area just above the tip) or tip regions. Steroid injections typically take about 2-3 weeks to start to work. They should be used judiciously as when too much is injected or injections are performed to frequently, they can cause excessive thinning of the skin and contour irregularities, or loss of pigmentation that can take a long time to resolve. If further injections are required, they are typically done at least 6 weeks after the previous injection. It is better to be more conservative using steroid injections following rhinoplasty than be too aggressive.Some surgeons prescribe oral corticosteroids for a few days following rhinoplasty in the belief that this may help reduce the early postoperative swelling resulting from surgery, however, the clinical studies about the effects of oral corticosteroids are equivocal. Prescription of oral corticosteroids is largely done based on the surgeon's preference. Personally, I do not prescribe these to my patients. For persistent or prolonged swelling after rhinoplasty, oral corticosteroids are likely of limited benefit.
Helpful 2 people found this helpful
