Why are Surgeons Against Topical Steroids After Rhinoplasty?

Your posted photos are not optimal for analysis or making recommendations but I think I see a low root of the bridge, C-shaped septal deviation concave to the left, a round parentheses shaped tip and a wide alar base. Cartilage graft at the upper edge of the bridge, septum surgery, trimming and...

 The only options to manage post Rhinoplasty swelling and scar tissue formation, IMHO are kenalog injections (when and if required) and precise nasal lymphatic drainage that's performed daily by the patient beginnning at 1 month post-op. 

Since cocaine is a vasoconstrictor it can severely damage your nose, especially after rhinoplasty.  The lining of the nose is quite fragile and inhaled substances such as cocaine can permanently damage the nose including creating a septal perforation and collapse your nose.  In my practice, we r...

If what you say is accurate, and I can't tell from your photo, you have had a very unusual procedure.  Implants inserted during rhinoplast are performed from time to time but I have never used an external incision as an access point.  It may have been necessary in your case. ...

It is very difficult to answer your question without examining you.  At times a stitch is used on the bridge to hold a graft in place but there is no actual incision so there will not be a scar

The photographs are helpful, although I would like to see more views.  The ala, or outer (lateral) walls of the nostrils -- if thick -- are the least likely to be improved.  People think that just because the walls are thick, that narrowing the floor of the nostrils or the nostril...