I had my second Revision Rhinoplasty 11 months ago. My third surgeon used a silicone graft to recreate my tip. I loved the way my nose looked 6 months post-op, but now I have swelling and I am afraid it may be scar tissue. The tip of my nose is droopy and swollen. Will Kenalog injections work, or are there other options for this? My nose cannot handle another surgery. I am beginning to get very anxious as my nose now is NOT satisfactory. Any help would be greatly appreciated!
Kenalog for Scar Tissue After Revision Rhinoplasty?
Doctor Answers 11
Kenalog injections for swelling after rhinoplasty
Using Kenalog for scar tissue after a revision rhinoplasty
After a revision rhinoplasty, it may be possible to use a small injection of a steroid such as Kenalog to calm the inflammatory process and treat scar tissue. However, keep in mind that this is a very strong medication that can have serious side effects to the overlying skin. For this reason, Kenalog should be used in tiny amounts and only by a very experienced plastic surgeon.
Silicone in Nasal Surgery
If you are saying the swelling is worse than it was right after the surgery, I suggest you see your surgeon. It is possible the implant has moved or you're having some reaction to the silicone.
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Kenalog injections for scar tissue after revision rhinoplasty
In our practice we use Kenalog injections in the tip and supratip area of the nose routinely in an attempt to reduce swelling and edema in the tip and supratip area of the nose. Kenalog injections work by melting scar tissue and reducing lymphatic edema that gets trapped in this area of the nose. Depending upon the skin type more than one injection may be necessary. Dark and thick oily sebaceous skinned individuals tend to need more shots than light-skinned individuals. Blenderm tape is also helpful when used at night across the supratip area of the nose to prevent fluid retention from accumulating
Possible risks with kenalog injection after rhinoplasty
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.
Silicone Graft Rejection Post Revision Rhinoplasty
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
Swelling times vary GREATLY especially after revision rhinoplasty.
Swelling can vary drastically after revision rhinoplasty. I sometimes use kenalog to reduce overall tip edema or supratip swelling. Your slightly asymmetric swelling does not bother me as much as the fact that you have an alloplastic implant in your nose. I would see your surgeon because the implant may have moved, it may be developing surrounding scar tissue, it might be creating a reaction in the surrounding tissue, etc.
Revision rhinoplasty and scars
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.
Keloid scarring after third Rhinoplasty.
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.
Kenalog injections for supratip swelling
It is very common after revision rhinoplasty and even primary rhinoplasty for the tip of the nose to develop scar tissue especially in thicker skinned noses. Kenalog injections into that area can help to diminish the scar tissue and treatment may be needed for a year or more. I hope this information helps.