Because revision surgery is difficult and may result in complications, subcutaneous intralesional triamcinolone injection is the first-line tratment for the soft tissue polybeak deformity. The technique is straightforward, and good results may be achieved. Subcutaneous injections into scar tissue may be accompanied by infrequent adverse effects, most commonly subcutaneous atrophy; therefore, injections should be administered only in the subcutaneous level of supratip, where the overlaying skin is thick. Should intralesional steroid injection fail to satisfactory treat the deformity, revision rhinoplasty can still be performed at 6 moths after the initial surgery.
Accepted for publication August 23,2000.
This study was presented in part at the spring meeting of the American Academy of Facial Plastic and Reconstructive Surgery (Combined Otolaryngological Spring Meetings), Orlando, Fla, May 13, 2000.
Corresponding authors and reprints: Russell W. H. Kridel, MD, Facial Plastic Surgery Associates, 6655 Travis St, Suite 900, Houston, TX 77030-1336 (e-mail: rkridel@todaysface.com).
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