Sometimes, local and intranasal injection of corticosteroid (triamcinolone) in the nose may be necessary to prevent formation of fibrosis or to remove it. This injection, is usually done at the supra-tip of the nose, and may be repeated one or many times, every 2-3 to months.
As mentioned before in post-operative swelling, swelling can be divided into three types: skin inflammation, pseudo swelling and fibrosis. Fibrosis, is the only type of swelling that is disturbing and may never be resolved.
Since formation of the fibrosis in a thin-skin nose (with a thin skin and good flexibility) is very rare, usually these noses do not need such injections, while, in thick-skin noses necessity of these injections is more common. Local injection of triamcinolone may be necessary at the end of the operation or at any visits post surgery. Of course, need of this injection reduces when time pass.
Keep in mind that, improper injection can lead to thinning of the skin and protrusion of bone and cartilage edges under the skin, and wrinkling the nose. Injection of this drug is very precise and the decision for injection is very sensitive. It can not be injected for any type of skin and swelling. Deciding about this injection is left to the surgeon. Avoid unnecessary persistence to do so.