Should I be placed on steroids after rhinoplasty to decrease swelling?

I give one steroid dose to rhinoplasty patients during surgery through the IV. This medication helps minimize nausea and swelling after surgery. A recent study published in the medical journal, Plastic and Reconstructive Surgery, showed that steroid medication given after surgery may prolong bruising. Therefore, I do not routinely give steroid medication after surgery for swelling. Rather, I recommend ice and head of bed elevation after surgery to minimize swelling.