Will Kenalog injections work to treat scar tissue after revision rhinoplasty?

If residual swelling or scar tissue is the cause of your tip being round and droopy, Kenalog injections should help. Kenalog is a steroid which can speed up the resolution of edema, or swelling, in the nose. However, it should be used judiciously and only in the right patients, as overuse can result in thinning of the skin of the nose and in extreme cases, problems with the blood supply to the nasal skin. The swelling could also be related to inflammation around the silicone graft in your nose. Careful physical examination would provide more clues regarding the cause of your issues and whether or not you would require another revision.  Best wishes,  Dr. Mehta

Be cautious about kenalog injections in the tip of your nose with a silicone implant.  It works great to soften and thin scar tissue, but it will also thin the skin envelope.  Thin skin and synthetic implant is a poor combination, and will increase your risk of the implant extruding.  Share your concerns with your surgeon, as he/she will be your best resource.   

Dear revision rhinoplasty patient from San Diego,
If I understand you correctly, after your second rhinoplasty with silicone graft everything was going great until recently that you have noticed swelling. This could be a sign of infection associated with nasal graft. Kenalog injection would be contraindicated in that case. Please visit your plastic surgeon for evaluation. Good luck
 

The utility of kenalog injection to the nasal tip is overcome by the detriment of graft resorption and atrophy of hte native structure of the nose.  In my practice, I would advise against kenalog injection to the nose in your case. 

Wounds heal by scarring. When there is too much, it's a problem. If the problem is really a ball of scar under the skin and not a structural issue or the implant, then steroid injections over a period of time like a year could help.