Steroid injections or Accutane for swelling? (Photos)

Question

I had a septorhinoplasty in the UK in July 2022 and my nasal bridge looks bigger than before. For context, I have thick oily acne-prone skin and I was told by my surgeon that it could take potentially 2 years to fully heal. I will be going on accutane soon for my acne and I have heard that it can potentially reduce appearance of the size of the nose due to the effects it has on sebaceous glands however I was considering steroid injections? Can anyone please advise?

Eric M. Joseph, MD · Answer

Based on your photos, I can see that you have oily and porous skin involving your nasal tip, however, most people do not have the same quality of their skin involving the upper bridge. Additionally, you do not appear to have very thick skin. If you had a dorsal hump removed, and if you are seeing widening on your front view, you may be completely healed right now, over 1 year after your surgery. We have seen Accutane cause somebody's nasal tip to narrow a bit, however, we have not seen anybody achieve narrowing in their nasal bridge area with Accutane. Additionally, steroid injections are not a good idea in the upper 1/3 of the nose since they could cause atrophy and indentations of the overlying skin. Since I suspect you may be going down the wrong path, please consider Consulting with another reputable rhinoplasty specialist to see what might be best for you moving forward. I hope this helps. Sincerely, Dr Joseph

Steroid injections or Accutane for swelling? (Photos)

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Steroid injections or Accutane for swelling? (Photos)

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Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.