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Can 5FU/kenalog injection break down nasal cartilage grafts?

dbk101May 7, 2024
I had a revision rhinoplasty done 1 year and 3 months ago, involving a rib graft to create a supported tip. I also had an in-office touch-up several months ago to add septum cartilage grafts to the alar rims, to fix the slight alar retraction I had as well as a permanent suture to lift the tip. I'm interested in getting my first ever 5FU/Kenlog injection to alleviate fullness in the supra-tip. Can this solution cause the tip graft or alar rim grafts to deteriorate? Any impact to the perm suture?

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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
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Answered on May 9, 2024
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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you may benefit from a revision to help improve your nostril symmetry and tip symmetry. Extended alar contour grapfts can help improve nostril symmetry and a tip deprojection can be designed to help improve tip symmetry. With...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photograph, your tip does appear overrotated and over-projected. This is not likely to drop if a septal extension graft was used during your surgery. If you want to undergo a Revision, you could have extended spreader grafts placed to...

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