I would echo the sentiment of the other physicians that...

D.J. Verret, 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!


D.J. Verret, MD
14 months ago

I would echo the sentiment of the other physicians that your best option is a personal consultation with a qualified facial plastic surgeon or plastic surgeon in your area. In a more generic sense, you pose several interesting questions:

1) What are options for cheek fillers?

There are several options for cheek fillers. Temporary fillers such as Restylane and Juvederm can be used as a cheek filler. Radiesse can also be used but should be used with care as there can be lumpiness which is very difficult to remove. Sculptra is another good option. It is a poly-L-lactic acid which must be injected over several treatments and the results actually 'grow' over time. All of these treatments though will eventually fade. For a more permanent solution, consider fat augmentation or cheek implants. Both are fairly easy surgical procedures that can produce lasting and excellent results. Again though - to determine if any of these are right for you, consultation with a qualified surgeon would be necessary.

2) Will I notice a change in my face after rhinoplasty surgery?

While rhinoplasty surgery will generally not change the structure of your cheek, it will alter the relationship between your face and your nose. There are very well established spatial relationships in the face. Altering the shape of the nose can cause the appearance of a change in the cheeks even though no actual anatomic change has occurred.

Good luck in your search.

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