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Corection of the Soft Tissue Pollybeak Using Triamcinolone Injection Page 01 Page 02 Page 03 Page 04 Page 05 Page 06

Matthew M. Hanosono, MD; Russell W. H. Kridel, MD; Norman J. Pastorek, MS; Mark J. Glasgold, MD; R. James Koch, MD

Objective: To describe tha technique for correction of the soft tissue pollybeak deformity using intralesional injection of triamcinolone acetonide.

Methods: We discuss our philoshophy, regimen, and techniqie for tratment of the soft tissue pollybeak using triamcinolone injection. We include results from a series of 173 patients whoe underwent rhinoplasty performed by one of us (N.J.P.).

Results: Triamcinolone waas injected at 1 week after surgery in127 patients (73%). A second injection was performed in 92 (72%) of the 127 patients at 4 weeks after surgery. One hundred eight (85%) of the 127 patients at 4 weeks after surgery in 127 patients (73%) . A second injection was performed in 92 (72%) of the 127 patients at 4 weeks after surgery. One hundred eight (85%) of the 127 patients had an acceptable result, as judged by the sugeon, with good supratip definition. Nineteen (15%) of the 127 patients had a less than optimal result, with residual supratip fullness, as judged by the surgeon. There were no complications caused by triamcinolone injection.

Conclusions:Because revision surgery is difficult and may be associated with complications, intralesional triamcinolone injection is the first-line tratment for the soft tissue pollybeak deformities caused by subdermal scaring. Should intralesional steroid injection fail to satisfactoraly treat the deformity, revision rhinoplasty can be sequently be performed.

Arch Facial Plast Surg. 2002;4:26-30

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