I am an Asian female, and I had an open revision rhinoplasty using rib graft, done over 6 months ago. I think the level of the bridge is too high. I want to have the bridge lower. Will steroid injections decrease the height of the bridge?
December 9, 2010
Answer: Steroid injections do not decrease nasal rib graft height.
If excessive scar tissue formed on top of your rib graft, judicious steroid injection into this subcutaneous scar tissue COULD help to minimally reduce the unsightly protrusion . . .BUT it is much more likely that the graft is excessively large for your desired nasal appearance, and simply needs removal, reduction, and replacement.
I share my colleagues' concerns that steroid injection in the vicinity of a graft is not recommended. Third time revision can be scary for the patient, and experience in revision rhinoplasty is crucial to avoid damaging the circulation to the skin, which could result in healing problems or even skin loss and severe scarring. This could be significantly more detrimental to your appearance than a too-high bridge.
Helpful
December 9, 2010
Answer: Steroid injections do not decrease nasal rib graft height.
If excessive scar tissue formed on top of your rib graft, judicious steroid injection into this subcutaneous scar tissue COULD help to minimally reduce the unsightly protrusion . . .BUT it is much more likely that the graft is excessively large for your desired nasal appearance, and simply needs removal, reduction, and replacement.
I share my colleagues' concerns that steroid injection in the vicinity of a graft is not recommended. Third time revision can be scary for the patient, and experience in revision rhinoplasty is crucial to avoid damaging the circulation to the skin, which could result in healing problems or even skin loss and severe scarring. This could be significantly more detrimental to your appearance than a too-high bridge.
Helpful
August 8, 2010
Answer: Steroid Injection is not Recommended
Hi Tiana,
You should consider going back to your surgeon. He can remove the graft and reduce its size and place it back on your nasal bridge. This should be fairly easy and should not cost you much.
Please do not use steroid or Kenolog injection as they can thin your skin and make the problem worse.
Good Luck,
Dr. Sajjadian
Helpful 1 person found this helpful
August 8, 2010
Answer: Steroid Injection is not Recommended
Hi Tiana,
You should consider going back to your surgeon. He can remove the graft and reduce its size and place it back on your nasal bridge. This should be fairly easy and should not cost you much.
Please do not use steroid or Kenolog injection as they can thin your skin and make the problem worse.
Good Luck,
Dr. Sajjadian
Helpful 1 person found this helpful