Would a steroid shot help for pollybeak from a revision rhinoplasty?

Hi CSmitty-

Steroid injections to the supra-tip area can help decrease soft tissue inflammation during the healing process up to several months after the surgery. Unless you have very thick skin which can be associated with longer than usual post-operative tip swelling, steroid injections may not be of benefit. Your rhinoplasty surgeon should be able to make this determination.

Sincerely,

Tom Kaniff

This is a safe option and effective - if the pollybeak is soft tissue and scar related and there is good tip support.  Otherwise a revision rhinoplasty with structural grafting would be needed

It is unlikely that after several years steroid injections will help a pollybeak.  Steriods are useful in the immediate post-operative period to reduce swelling and perhaps scar tissue formation, but likely don't have any lasting effect with the progression of time. 

I agree with the others, such that you have nothing to lose by trying.  Two years after a revision surgery the nasal structure is probably fairly established, but your only other alternative is a second revision surgery to remove what would then be clearly established as dorsal cartilaginous septum.  You would know within a month, so you are hardly delaying further treatment if you just give it a try.

I read your concern. If your bridge is too high such that you have a "polly beak", Revision Rhinoplasty may be necessary to improve the appearance of your nose. Posting a profile photo would help us advise you.

Steroid injections are useful in reducing post-op swelling usually within the first year after your rhinoplasty Surgery.

Regards from NJ.

Having an injection of either a steroid or 5-FU to combat excessive scar tissue is a possibility, although it may not help very much if there's a large residual cartilage component.

Examining your nose in person would allow for a better assessment of your chances of improvement with an injection. Residual cartilage would have to be surgically removed to improve that aspect.