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Within several months we began instituting steroid (kenalog) injections to help further thin out her skin and encourage more definition to be seen along the bridge and tip. Contrary to popular belief among rhinoplasty patients and surgeons, steroids can be used months to years out to help further shape a nose. However, the origin of your pollybeak deformity after rhinoplasty is not clear at just two months after surgery. It may very well be swelling and the injections of low dose steroids is reasonable at this point. It takes three weeks to see any result from a steroid injection and their effects are cumulative. It is not a fast fix. Steroids have proven to be of some benefit in rhinoplasty edema and ecchymosis when administered at a high and repeated dose. Revision rhinoplasty, on the other hand, requires the surgical removal of built up scar tissue. If cortisone injections don't work and there is excess scarring, the surgeon may recommend a revision rhinoplasty. Paul pin consults each patient to determine which approach is better for removing any scar tissue. For this reason, prevention is done by avoiding steroid infiltration in the turbinates and aspiration prior to injection and injecting a small quantity when treating the dorsum. Epiphora is an extremely rare complication after rhinoplasty. Steroid injections can be a key part of a treatment plan for many autoimmune and joint conditions. Steroids can be injected into joints, muscles, tendons, the spine, or bursae. They can also be. The methods used by the authors to treat the pollybeak deformity are described, along with the local steroid injection protocol used to guard against the recurrence of pollybeak deformity. Thieme medical publishers 333 seventh avenue, new york, ny 10001, usa. Injection rhinoplasty is a term that was introduced years ago into the plastic surgery world to imply reshaping of the nose by injecting one of many different biocompatible materials. This primarily implied use of injectable fillers to reshape the nose – such as restylane, juvederm, perlane, radiesse, and artefill. Find me- instagram: @skye. Wheatley mu instagram: @skyemareemakeup facebook: skye wheatley twitter: @skyebbau14 snapchat: skyeskye010101. Steroid injections should be considered an important tool in the armamentarium of any rhinoplasty expert or revision rhinoplasty specialist. When we use the term steroids in the world of rhinoplasty and nose surgery we are referring to a very specific type of steroid. Decreasing postoperative swelling after rhinoplasty is one of the most important aspects to achieving an excellent outcome since chronic swelling can lead to permanent expansion of the soft-tissue-skin envelope. Postoperative steroid administration has been shown in most clinical studies to decrease post-rhinoplasty edema and ecchymosis

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