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Deviated Nasal Implant - Can a Filler Help?

asked 1 year ago by Rocketmanel San Francisco in San Francisco, California
Latest answer by Richard W. Fleming, MD
Question viewed 577 times
Tags: male, crooked, filler, implant

About 8 yrs. ago I had a rhinoplasty in which the surgeon put in an L-shaped implant in my nose. That implant has shifted slightly to the left over these years giving my nose asymmetry at the top where the nose meets the junction of eyes. I visited a renowned surgeon in UK and he mentioned that an injectable filler may be able to solve this problem. The implant is silicone. I am wondering if this is a safe procedure and if I were to do this in the US who would be the best surgeon/doctor for it?

13 answers to Deviated Nasal Implant - Can a Filler Help?

Deviated Silicone Nasal Implant

You have several choices, each with their own problems. 1) Fillers: There is significant risk of infection when fillers are placed next to an implant. Are temporary. 2) Reposition the implant: The implant can move again; this is a risk of silicone implants. 3) Remove the implant: You will have a depression unless your own cartilage is used to... more

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Nonsurgical Nasal Injections to Improve Appearance after Rhinoplasty Implant

Hi Rocketmanel San Francisco in San Francisco, California First, be very careful with any injections into the nose. The nose is very susceptible to color changes, discoloration, swelling, blood flow, pain, numbness, and other potential complications with inappropriate injections into the nose. There isn't a filler on the market currently that is FDA approved for injection into the nose. Everything is being used off-label. Fillers should never be placed into the tip of the... more

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon

Deviated Nasal Implant - Can a Filler Help?

Worth the try but risks are always present. Best to see the surgeon to discuss the risks in detail. From MIAMI Dr. Darryl J. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Dont do it

I would urge you to avoid injections in your situation due to the implant. Injection of anything around the silicone implant may introduce bacteria and get the implant infected. If you had cartilage instead of the implant then a non surgical revision rhinoplasty with Restylane would be OK but with the implant, you may end up with problems.

Shervin Naderi, MD
Washington DC Facial Plastic Surgeon

Not a big fan of nasal fillers

I personally am not a big fan of filler in the nose. I would recommend seeing a surgeon experienced in revision rhinoplasty. More than likely, they will recommend removing the implant and replacing it with your own cartilage. Please see someone with extensive experience in revision rhinoplasty as this can be a very difficult situation to correct. Ultimately, for a lifetime correction, you will want your own cartilage to replace the silicone implant. Andrew C. Campbell, M.D. Board... more

Andrew Campbell, MD
Milwaukee Facial Plastic Surgeon

No Injections in Areas of Facial Implants, Including the Nose

Hi Rocket, By all means do not have filler injections in your nose where your silicone implant is located. The capsule around an implant is avascular and a serious infection can occur. Best to have your implant surgically removed and replaced with your own cartilage or possibly a Medpor Porex nasal implant. Good luck and be well. Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Asymmetry of Nasal Implant

You have a few options. First, you can have the implant removed. However, then you are left with the original defect. Second, you have have the implant revised, but this would require another surgery. Finally, you can use filler to disguise the asymmetry. Fillers in the nose are becoming more popular as the are immediately effective and less invasive than surgery. Good Luck.

David Shafer, MD
New York Plastic Surgeon

Filler for nose

If your implant is shifting, you may want to redo it. If you do not then a filler is a temporary solution to soften the deviation. I would go to a rhinoplasty surgeon.

Steven Wallach, MD
Manhattan Plastic Surgeon

Filler after rhinoplasty

I would use caution when injecting material in an area where there is a foreign implant. If you seed the implant with bacteria it can get infected and you will need to have the silicone graft removed. Regardless, I recommend you go to an experienced surgeon who has a lot of experience injecting and stays relatively superficial, just under the skin. From your front view, your asymmetry is not too significant so it shouldn't take a lot of filler to fix. Dr. Cat... more

Catherine Huang-Begovic, MD
Beverly Hills Facial Plastic Surgeon

Filler for deviated nose with an implant.

You can have this filled with juviderm which goes in the deep dermis and not into the implant cavity with a minimal risk of infection.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Fillers around silicone implant

I would agree with my colleague that injecting a filler where a silastic implant has been placed is really increasing the risk of implant infection/extrusion. Liquid silicone is especially technique sensitive and can migrate, so many of us do not recommend it. Liquid silicone has also never been approved for cosmetic use in the U.S. (Silikon-1000 is approved for retinal tamponade), but is legally used off-label. Artefill is FDA approved for cosmetic use (in the nasolabial folds), but... more

David C. Pearson, MD
Jacksonville Facial Plastic Surgeon

Deviated Nasal Implant

Hi, You can try to camouflage the implant deviation with an injectable filler. As long as the injector is careful, it shouldn't be a problem. Yes there is a risk of seeding the implant with bacteria and infecting the implant. That said, I have done this many times without any problems. Best, Dr.S.

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

www.facechange.org

Using Filler to Correct the Appearance of a Shifted Nasal Implant

Hello, I would not recommend injecting filler in the nose for what you are describing. I have seen many complications arise when fillers are used to aesthetically improve the nose. It is difficult to provide you with advice without performing an exam. Depending on your individual circumstances, a revision rhinoplasty may yield the best results. Thank you, and please let me know if you have any additional questions. Dr. Nassif