Rhinoplasty: Q&A

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Artefill / Nasal Tip Surgery

Hey. Can nasal tip projection surgery be performed even if there's a small amount of Artefill already in there? If not, I'd want the Artefill removed. I understand this would be a tricky operation, with incision scars resulting. Would there be a possibility of significantly reducing these scars over time (healing, laser, grafts, camouflage make-up etc)? Thanks for any help/opinions. P.S - I know the Artefill was a terrible idea in the first place, so no need to remind me.

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12 Doctor Answers | Asked by jamie101 in USA

Doctor Answers (12)
Community Comments (0)

Artefill and Rhinoplasty

Most likely, the Artefill needs to be left alone, unless it was injected into a plane that is easily accessible at the time of the rhinoplasty. An experienced rhinoplasty surgeon can likely provide you with the look you seek with a variety of techniques at his/her disposal.

Rhinoplasty with artefill in the nose

While I am not a fan of ArteFill, it should pose no problem to having your nose done. Many people tolerate the ArteFill without any problem. It can be removed to some degree during the rhinoplasty if that is your wish. The incisions should be the standard rhinoplasty incisions. I would avoid any incisions on the outside of the nasal skin just to remove the filler. The oily nature of the nasal skin sets it up for uneven scaring in the tip area. Incisions in this area often require... more

Arteifill Removal with Nasal Tip Surgery

Yes the Artefill can be removed, if necessary, at the time of tip surgery. I would use the open rhinoplasty technique.

Richard W. Fleming, MD

9 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Question Cannot Be Properly Answered Without Consultation

Before a wise decision is made, you need to have the benefit of a proper and detailed consultation. That means the doctor knowing the complete history, particularly how long ago the Artefill was placed. He or she needs to examine the interior, and to feel the tip to see if it is soft or firm and whether or not the skin can tolerate yet another operation. It may be that another filler could be used but before that decision is made, you need to have answers to questions. Particularly,... more

Robert Kotler, MD

26 reviews

Beverly Hills Facial Plastic Surgeon

www.robertkotlermd.com

Artefill and rhinoplasty

You haven't mentioned why the Artefill is a problem for your nose. If it's simply that it didn't achieve the desired tip projection, then there isn't necessarily a reason to remove it. More importantly, removing it may not be a good idea since it could lead to some significant irregularities to the skin. Remember that even during primary rhinoplasty (with no Artefill present), we have to take into account skin thickness and we routinely compensate for it. And in revision... more

Advanced revision rhinoplasty for an open procedure

It is possible that the Artefill can be partially removed using an open rhinoplasty incision at the same time as your rhinoplasty. I would use a columellar incision to perform this.

Artefill removal in the tip.

Yes, the Artefill in the tip can be removed and replaced with cartilage. This can be done in one operation so you are not left with a deformity in the interim.

Toby Mayer, MD

7 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Artefill / Nasal Tip Surgery

Very hard to advise without more medical info and photos. My guess is to in person research because this could be a very tricky removal. From MIAMI Dr. Darryl J. Blinski, 305 598 0091

A significant amount of the Artefill could be removed during rhinoplasty

If rhinoplasty is indicated, some or most of the Artifell could be removed at the same time. It is very common for us to remove fillers or implants during rhinoplasty and use cartilage graft to reshape the nose.

Raising a Nose Tip previously filled with Artefill

Regarding: "Artefill / Nasal Tip Surgery Hey. Can nasal tip projection surgery be performed even if there's a small amount of Artefill already in there? If not, I'd want the Artefill removed. I understand this would be a tricky operation, with incision scars resulting. Would there be a possibility of significantly reducing these scars over time (healing, laser, grafts, camouflage make-up etc)? Thanks for any help/opinions. P.S - I know the Artefill was a terrible idea in... more

Artefill and Tip Rhinoplasty

Yes, it is possible to correct a tip containing Artefill, but is does require significant finesse and does have increased risks for problems. Try to find a surgeon with significant experience in revision rhinoplasty, as having the Artefill present is like having a marked amount of scar present. Also, know what you wish to accomplish and discuss this at length with whomever you choose.