Too late for Steroid injections years after rhinoplasty? (Photo)

There are a number of factors which could contribute to your rounded nasal tip. It could be the thick original nasal tip skin, poorly positioned cartilage in your nose, scar tissue contraction due to poor structural support under your skin, etc. I do not believe, without knowing your surgical background and having the prior surgeons operative note and your before and after pictures from all views, it would be wise to simply recommend steroid injections, as I also don’t feel they would be effective at this stage. My best advice would be to have an in person consultation with a rhinoplasty specialist for a detailed examination, examination of the prior surgeons operative notes and your before and after pictures from your first surgery. Best wishes.

Hi @jd432! I'm sorry you are not happy with your prior surgeon. That being said, I don't believe you will benefit from a steroid injection. You would get the most benefit from a revision rhinoplasty. A non-surgical approach would be hyaluronic acid dermal fillers to help with the bulbous appearance. This is a temporary fix and can last up to a year.

Hi there! It's possible that steroids can still work. I would start with something like Kenalog and increase the amount and frequency over time. If no improvement is seen, a revision procedure would likely be needed to see if cartilage grafting is not appropriate or scar tissue is present. There are options, but starting conservatively would be best. Hope this helps.

Thank you for your question. You may be a candidate for a non-surgical rhinoplasty procedure that uses hyaluronic acid dermal fillers to correct bumps and asymmetries. An injectable formula like Restylane® or Juvederm® may address the bulbous appearance you describe without the need for revision surgery. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon you trust who can assess your situation and help develop the best treatment plan for your needs.

Thank you for your question. Firstly, I am sorry that you have had a bad experience during your rhinoplasty journey. I see an asymmetric, bulbous tip with a poorly healed columellar scar. If you don't trust your original surgeon, I would search for a Board-Certified Plastic Surgeon or Facial Plastic Surgeon highly experienced in rhinoplasty. Although steroids can help with postoperative swelling, I feel that the actual underlying structure of your nose needs to be symmetrized. In short, a steroid shot won't do the trick...