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Kenalog injections may be considered the first year after rhinoplasty surgery when somebody has swelling in the supratip area. Since you are so far after surgery, I doubt that steroid injections would be helpful at this point. If you like, please consider me asking your question with photographs. Thank you. Sincerely, Dr Joseph
Synthetic corticosteroids injected directly into tissue can have a myriad of effects. But your guess about why your nasal contours are not satisfactory, namely scar tissue, are likely to be wrong. Go get a second opinion.
It would be best to confirm diagnosis of deep, post-rhinoplasty scar; in person evaluation with a board certified plastic surgeon, expert in rhinoplasty, should be your next step. If scar is confirmed, Kenalog injection would be the most logical first step.
If you have very thick skin, then steroid shots could be of some benefit, even 10 years later to help with a poly beak deformity. Best to follow up with your operative surgeon.
Thank you for your question. Kenalog is usually effective in the first few months. I doubt they would be effective 10 years out.