J Cosmet Med 2019; 3(2): 71-74  https://doi.org/10.25056/JCM.2019.3.2.71
Correction of the soft tissue problem using triamcinolone injection after rhinoplasty
Sang Min Hyun, MD, PhD, Dong-Hak Jung, MD, PhD
Shimmian Rhinoplasty Clinic, Seoul, Rep. of Korea
Sang Min Hyun
E-mail: hsm0313@gmail.com
Received: December 2, 2019; Accepted: December 14, 2019; Published online: December 31, 2019.
© Korean Society of Korean Cosmetic Surgery. All rights reserved.

cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Rhinoplasty aims to improve the function and the appearance of the nose by correcting and managing the cartilage framework. Despite correcting all the cartilage or bony deformities of the nose, the result is often unsatisfactory when the problem of skin soft tissue envelope occurs.
Objective: We have introduced a triamcinolone injection method for correcting the skin soft tissue envelopes after rhinoplasty.
Methods: We retrospectively investigated 14 patients who were administered triamcinolone injection to manage skin soft tissue envelopes after rhinoplasty between September 2017 and March 2019. We began the injections at 4 weeks after the surgery and administered them 1 to 3 times at intervals of 6 weeks.
Results: Nine patients had re-growing bulbosity that enlarged the tip of the nose after surgery, 4 patients had asymmetry of the tip of the nose, and 1 had pollybeak deformity. Among these, 8 patients received one triamcinolone injection, 3 patients received it twice, and 3 patients received it up to 3 times. Twelve patients showed good results after the injection, while 2 patients had no improvement and underwent revision rhinoplasty 6 months after the first operation. None of the patients complained of other side effects.
Conclusion: Although rhinoplasty changes the function and the appearance mainly through structural deformation of the nose, there may be complaints due to unexpected deformation of the skin soft tissue envelope after surgery. Triamcinolone injection is thought to be a simple and effective way of improving the skin soft tissue envelope after surgery.
Keywords: bulbosity; pollybeak deformity; scarring; soft tissue envelope; triamcinolone
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