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Michael A. Persky, MD answers: Sculptra to restore volume after nose surgery?

Hi, I just had a rhinoplasty and a turbinectomy last year. Ever since the turbinectomy my face has been looking very thin. I am 35 years old and am naturally skinny, but my face didn't look so gaunt before. My nose is smaller and my turbinates are no longer there, but for some reason my nose really stands out, I think due to lack of facial fat. I am 5'5 100 pounds and small boned, my size genetic. Have I just lost facial fat due to my age, and can I get it back by eating more? Should I try Sculptra? I have already tried juvederm in my lip area and botox in my forehead to make me look a bit younger, but it really didn't help any. I look at least 45! Help!


Michael A. Persky, MD
14 months ago
By Michael A. Persky, MD - Los Angeles Facial Plastic Surgeon

Hi Katie,

I have never seen turbinectomy or rhinoplasty result in loss of volume from the face.  A syringe or two of Restylane, Juviderm, or Radiesse should be more than enough to restore youthful volume to your pretty face.  If you wanted a more permanent fix, fat transfer would be the choice, but you need to be very careful in choosing your physician. I would recommend William Little in the D.C. area. Some physicians are getting good results with Sculptra, but others are seeing complications.  I am not using it.  Leslie Bauman, MD at University of Miami is whom I would recommend if you choose Sculptra.  Be well.

Dr. P

 

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