6 years after rhinoplasty, can I still have steroid injections to correct hard tip and swelling?

Question

I got my nose done 6 years ago for a deviated septum and cosmetic purposes. The tip of my nose is still very hard and swells regularly. I eventually want to get a revision because it's crooked but I'm looking to see other options first to reduce scar tissue. My first doctor was opposed to steroid injections and didn't do them. I don't know if doctors will do injections this late.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question. Since you had your surgery 6 years ago, the steroid injections might not be the solution for your problems. I recommend you revision rhinoplasty because the surgical mistakes only can be solved with surgical ways. If you can provide photos from front of your face, from the side of your face and 1 meter away I would be able to make a proper evaluation. It would be more convenient to decide with face-to-face consultation. Best Regards!

Eric M. Joseph, MD · Answer

Generally, steroid injections may be considered when there is supratip swelling that may be problematic within the first 6 months after rhinoplasty surgery. The firmness of your nasal tip may be more related to cartilage grafting then to persistent nasal swelling which would be unlikely at this point. Please consider visiting several reputable rhinoplasty specialists who offer computer Imaging so you could see what might be best for you moving forward. I hope this is helpful. Sincerely, Dr Joseph

Ronald J. Edelson, MD · Answer

I’d be interested to know if your have a cartilage graft in your tip. It sounds like that could be the issue and you might want to have the graft removed

Robert Ciardullo, MD · Answer

How long after surgery can steroid injection be used? i’m not sure what is making your tips feel hard. It may be cartilage. However the theoretical  answer to your question is that steroid can be used long after surgery if it is appropriate in the particular case. Injected steroids reduces swelling and shrink scar tissue, but it also thins and atrophies normal tissue. It is therefore sometimes used to help thin thick tip skin. this can be done years after surgery if it is appropriate to the case.

James Hoyt, MD (retired) · Answer

Steroid injections are sometimes used to address swelling and firmness after rhinoplasty. However, it’s crucial to consult with a board-certified plastic surgeon or your original surgeon to discuss your specific situation. The effectiveness and safety of steroid injections can vary depending on individual factors and the nature of your previous surgery. They can advice on whether this is a suitable option for you after 6 years post-rhinoplasty.

6 years after rhinoplasty, can I still have steroid injections to correct hard tip and swelling?

Answers (5)