Maybe sinus or breathing problems caused abonormal fullness before surgery

Otto Joseph Placik, 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!


Otto Joseph Placik, MD
7 months ago

I have read with great interest the numerous comments below. Kaite, you seem to have come upon something here that many other patients have noted.

It is not that doctors are trying to deny or be decptive about this. It is just not discussed as a possible outcome of surgery.

I have been thinking about this and may have one possible suggestion. It appears that one common thread is sinus and/or turbinate surgery. In most instances, neither are indicated with a primary rhinoplasty, but the vast majority of paitents complaining about the hollowing had their sinuses or turbinates treated at the time of rhinoplasty.

Perhaps due to prolonged swelling or inflammation from the sinusitis, patients experienced abonormal chronic swelling prior to surgery. After surgery, the swelling may have resolved leaving them with impression that their faces had become more hollow, gaunt, or sunken.

Anyway, it's just a thought.

Fillers for volume replacement include:

  • Juvederm Ultra Plus
  • Restylane
  • Perlane
  • Radiesse
  • Sculptra
  • Autologous fat
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