POST RHINOPLASTY: Persistent unilateral swelling/scar tissue OR problem with stitches?

Dear 22222If you are one year from your surgery, chances are that your asymmetry is structural and not due to inflammation. It would be unusual to have improvement from an anti-inflammatory injection. If your surgeon feels you should try injection first, it would be reasonable since it is a low risk procedure when done properly. I suspect if you decide its necessary to fix the asymmetry, your primary remedy would be surgical.

I don't appreciate significant asymmetry in your photo, but the photography is limited.  Kenalog will not help at this stage.   Return to your surgeon, or seek another opinion of a Rhinoplasty Expert.  All the Best.

Kenalog injections are unlikely to help you at this point. You might want to consider a revision rhinoplasty.

22222,Rhinoplasty is a technically challenging procedure in part because the mirror image of one side of the nose is right next to it -- any small asymmetries are going to be noticeable, even to the untrained eye.It is, of course, difficult to determine (based on photos) alone the cause of your particular asymmetry. It may be persistent swelling and thick nasal skin and if so it may respond to steroid injections. It may also be an asymmetry of the underlying cartilage.Additionally, and importantly, you note some congestion. A nasal airway that breathes worse after rhinoplasty is a "no-no". The patient is not required to compromise function for form. It sounds like you have a lot to discuss with your surgeon. Have a frank conversation with him/her outlining these concerns. Get a sense of what he or she is willing to do for you. And don't hesitate to get a second opinion from a Board-Certified Facial Plastic or General Plastic Surgeon who has experience with rhinoplasty, if necessary.