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?
Answer: Revision rhinoplasty
Dear rhinoplasty patient from Los Angeles,
Steroid injection will not resolve the prominence of your nasal bridge. The solution is removal, reshaping of the graft, and then placing back in. Steroids usually help scar and prolonged swelling. Talk to your surgeon, he should be able to do that for you. Good luck and good healing.
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CONTACT NOW Answer: Revision rhinoplasty
Dear rhinoplasty patient from Los Angeles,
Steroid injection will not resolve the prominence of your nasal bridge. The solution is removal, reshaping of the graft, and then placing back in. Steroids usually help scar and prolonged swelling. Talk to your surgeon, he should be able to do that for you. Good luck and good healing.
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CONTACT NOW Answer: Steroid Injections After Revision Rhinoplasty
In general, it is not a good idea to do steroid injections in revision rhinoplasty except if it is carefully placed in a patient with thick skin in the supratip area and is given early post operatively. One must make sure it is not intradermal, but in the deep subcutaneous tissue in low doses. I would not recommend injecting anywhere else, certainly not to reduce the dorsum of the nose after a revision rhinoplasty. It will only cause skin atrophy, skin discoloration and excess telangiectasia (broken blood vessels) of the skin.
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CONTACT NOW Answer: Steroid Injections After Revision Rhinoplasty
In general, it is not a good idea to do steroid injections in revision rhinoplasty except if it is carefully placed in a patient with thick skin in the supratip area and is given early post operatively. One must make sure it is not intradermal, but in the deep subcutaneous tissue in low doses. I would not recommend injecting anywhere else, certainly not to reduce the dorsum of the nose after a revision rhinoplasty. It will only cause skin atrophy, skin discoloration and excess telangiectasia (broken blood vessels) of the skin.
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June 28, 2011
Answer: Steroid and nose height after surgery
The biggest question is do you need a steroid injection to reduce callus which sometimes works or is this not scar tissue at all? If the graft was too dominant and large then no ammount of steriod will work. Sometimes, though, what you may actually be seeing is that the highest part of your nose, near you forehead, is too low giving the pseduoimpression that your bridge is too high. In this instance, the reverse is necessary, and its often that a small ammount of filler (juvederm, restylane) in this region will fix the "bump" and give you a longer and more elegant nose. Some points to consider that profile photos may help the surgeon decide upon.
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CONTACT NOW June 28, 2011
Answer: Steroid and nose height after surgery
The biggest question is do you need a steroid injection to reduce callus which sometimes works or is this not scar tissue at all? If the graft was too dominant and large then no ammount of steriod will work. Sometimes, though, what you may actually be seeing is that the highest part of your nose, near you forehead, is too low giving the pseduoimpression that your bridge is too high. In this instance, the reverse is necessary, and its often that a small ammount of filler (juvederm, restylane) in this region will fix the "bump" and give you a longer and more elegant nose. Some points to consider that profile photos may help the surgeon decide upon.
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November 15, 2017
Answer: Steroid Injections for Decreasing Nose Bridge Height? Steroid shots will help only if the height is caused by scar tissue. If the bridge feels hard like bone, then it is probably the rib graft. If this is the case, patience is your best ally as sometimes there is some resorption of the rib graft in the first year and your bridge may end up looking just fine. If not, it may be removed, re-contoured, and replaced.
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CONTACT NOW November 15, 2017
Answer: Steroid Injections for Decreasing Nose Bridge Height? Steroid shots will help only if the height is caused by scar tissue. If the bridge feels hard like bone, then it is probably the rib graft. If this is the case, patience is your best ally as sometimes there is some resorption of the rib graft in the first year and your bridge may end up looking just fine. If not, it may be removed, re-contoured, and replaced.
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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.
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CONTACT NOW 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.
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