Monday, November 13, 2017

Steroid injection after rhinoplasty

Rhinoplasty is a unique form of cosmetic surgery in that with most plastic surgery, skin is removed or tightened. With rhinoplasty, the cartilage and bone are reshaped and the skin then needs to contract over this new bony cartilaginous framework. This can occur fairly quickly with thin skin patients. However thick skinned patients may take longer for the skin to contract. In addition, the nasal tip skin which is the thickest skin may take 1-1.5 years to completely contract. At times, scar tissue may be deposited between the skin and cartilage leading to fullness. This occurs most often in the area called the supra tip or just above the nasal tip.

Those patients who continue to have swelling in the supra tip are good candidates for steroid injection after rhinoplasty in this region. This is typically only done at the 1 month postop mark to avoid poor wound healing. The steroid will break up any deposited scar tissue fibers and prevent future deposition of scar tissue. This along with massage will help the healing process.

Dr. Funk is a rhinoplasty expert in Houston, Texas