Will crystalline cortisone injections make a successful rhinoplasty or future revision hard to achieve?
March 3, 2024
Asked By:Sean1711 in Düsseldorf, Nordrhein-Westfalen, Deutschland
Hi, last friday I had my official consultation for my upcoming thick-skin rhinoplasty. In the treatment plan it was said that due to the thickness of my dermal layer, to achieve a visible result, crystalline cortisone needs to be injected 12 weeks before the operation and then again after. I read that after crystalline cortisone injctions, the nose becomes impossible to operate on, which my surgon refutes. But I need a second opinion. Will I be unable to revision the rhinoplasty after?
Answers (1)
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March 16, 2024
Answer: We do not use Cortisone Preoperatively in patients with thick skin.
I agree that thick nasal tip skin can retain swelling longer than thin skin, however, it may not take two years to achieve your final result. Please consider re-asking your question with photos, since photos are a reasonable measure of determining the thickness of somebody's nasal skin. I hope...
Based on your photos, you appear to have relatively thin nasal skin with a wide appearance to the lower 1/3 of your nose, and a droopy tip and pollybeak on profile. Please consider meeting with several reputable rhinoplasty specialists who offer computer Imaging so you could see what to expect...
Thick skin presents a challenge in rhinoplasty as it can limit the degree of refinement possible and can contribute to postoperative edema (swelling). However, I frequently perform rhinoplasties on patients who have thick skin and I use several techniques to manage thick skin during rhinoplasty....