Could steroid injections be used to decrease swelling years post-rhinoplasty? (Photo)

Question

I had a rhinoplasty 5 years ago and my nose looks ok when I am not smiling, however when I smile with my teeth showing, my nose looks twice as wide. I have thick skin, but my doctor said that the swelling would go down after 2-3 years and did not use steroid injections. It's been around 5 years and I really dislike how round my nose looks when I smile. Would I be able to have injections in my nasal tip or is it too late? is there any nonsurgical way to fix my nose or should i get a revision

Lexie Wang, MD · Answer

Hi! Everyone's noses unfortunately widen at the base when they are smiling due to how the smile muscles attach to the face. If this is something that really bothers you, steroid injections would not help this far out, although you are welcome to try. It is possible that you may have some scar tissue in the tip but if you only see this with smiling, you likely would need to address something along the alar base. Good luck!

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