Can steroids before a rhinoplasty help with thinning out the skin?

Question

Had a consultation yesterday for my revision rhinoplasty as I’ve been left with dents and bumps all over my nose. The surgeon was on the same page as me with majority of the stuff but stated that I’d need steroid injections before and after surgery to get a more refined tip due to my thick skin and said without this the results would be amorphous. Is this a normal practice? I’ve heard about the use of lasers for nasal skin thinning prior to surgery but never steroids to thin the skin?

Waseem Saeed, BSc, MBChB, FRCS(Plast) · Answer

Dear Glorious153891,I do not use steroids prior to surgery. Thick skin does make the achievement of a defined tip more difficult. In my opinion and practice, this requires adequate structural support for the tip at surgery and active post-operative management of swelling.All the best, Waseem Saeed

Eric M. Joseph, MD · Answer

Believe it or not, steroid injections can lead to indentations in the nasal skin. Even if you have thick nasal skin, I'm not sure that steroid injections preoperatively would be a good idea. Hope this helps. Sincerely Doctor Joseph

Can steroids before a rhinoplasty help with thinning out the skin?

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