Persistent internal scar tissue (16 months) after rhino - minimal response to Kenalog and recurrence after excision. Options?

Question

Hi, I’m looking for professional insight and long-term experiences with persistent internal scar tissue after rhinoplasty. I trust my surgeon and I’m happy with the structural/functional result. This seems to be an unusually strong scar response, not a surgical error. 16 months ago I had a closed preservation rhinoplasty. My nose/septum were very crooked, so significant internal reconstruction was required. Almost immediately I developed firm internal scar tissue. Had some Kenalog injections with minimal effect and it was also surgically excised but regrew to similar thickness. Does anyone have good experiences with alternatives to Kenalog?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. It would be very helpful to see a picture of this area or evaluate evaluate it in person. Usually steroids can be very helpful with scar tissue, unless it is cartilage. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Eric M. Joseph, MD · Answer

Steroid injections may be helpful for helping supratip swelling resolve during the first year after rhinoplasty surgery. If what you are concerned about is hard to the touch, it may be cartilage, and not scar tissue. Scar tissue tends to be soft. Please know that repetitive steroid injections can cause skin thinning and indentations around the site, and this would not help at all if it is not scar tissue. Since you have an upcoming wedding, please consider getting a second opinion from another rhinoplasty specialist who has a large favorable gallery of before and after photos, along with favorable online consumer reviews. I hope this helps. Sincerely, Dr Joseph

Persistent internal scar tissue (16 months) after rhino - minimal response to Kenalog and recurrence after excision. Options?

Answers (2)

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