How often do bulbous tip-fix patients with medium/thick skin need steroid injections?

Question

How often (always, 75,50, or 25%) of the time does a patient who goes through bulbous tip fix during rhinoplasty need steroid injections after op to help with swelling. How many of these are needed and over what duration. Please share common schedules for such injections. Considering OOT surgeons and want to know what the post op may look like

Ronald J. Edelson, MD · Answer

Some surgeons do steroid injections commonly and I’m sure some never do it. It depends on the situation and the particular surgeon. It’s not right or wrong

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
 As far as I can understand your question your surgeon can not decided which amount injection you might need your surgeon needs to see your skin type face to face.It would be more convenient to decide with face-to-face consultation. Best regards!

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Afternoon! For thick nasal skin and a bulbous tip that I'm trying to downsize, I think steroids are very helpful post-op. I utilize them in these instances almost 100% of the time. This would include taping nightly and compressions as needed. A low salt diet and avoiding heat will help as well. I usually inject every 3-4 weeks until I'm comfortable with how the swelling is reducing on its own. Many times, this is done for months after surgery. Hope this helps!

Robert Ciardullo, MD · Answer

Steroid injections after rhinoplasty for thick bulbous tips: patients with bulbous tips and thick skin are the most likely to require steroid injections in the postoperative period. I can’t put an exact number on it but I would estimate that approximately 3/4 of such patients would benefit from some amount of steroid injection. Surgeons very dramatically about the schedule, when they begin injecting, The dose given with each injection and how many injections. I personally believe in waiting 3 to 4 months before beginning steroid injections to allow for a sufficient amount of healing. It also takes a few months for scar tissue to build up to peak, and this is one of the things that is treated with the steroid injection. I have also found that injecting steroid prior to two months risks the injection diffusing beyond the immediate area of the intended injection. I wait two months between injections since the final affect of the injection may not be present until this time. How many injections a patient may get depends on how thick their skin is, how much scar tissue has built up, and how much the surgeon injects with each treatment. Since injecting too much may cause a dent, I dilute my steroid to a rather weak dose, and prefer to give a series of 2, 3,or four injections spaced two months apart, than one or two larger dose treatments to avoid overcorrection. Surgeons will vary dramatically on all these choices.

How often do bulbous tip-fix patients with medium/thick skin need steroid injections?

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