Is filler in the tip/lower lateral cartilage area okay?
Doctor Answers (4)
Fillers for small irregularities after rhinoplasty
There are several important considerations when using soft tissue fillers in the nose to improve safety and prevent both short and long term complications. Use temporary fillers NOT permanent (Silicone, Artecol). Use gel fillers NOT particulate (Radiesse, Sculptra). The amount of filler injected at one time must not be excessive as this can cause problems with not only the appearance but also the blood supply. Hyaluronic acid fillers are ideal for injection into the nose as they are temporary (usually last for over 1 year) and gel. Additionally, if too much filler is injected or there are problems with blood flow to the nose, an enzyme (hyaluronidase) can be injected to dissolve the product and reduce the risk of skin loss and scarring. Both Juvederm and Restylene are commonly used hyaluronic acid fillers. Another consideration is that you have had previous surgery which causes the skin to be less pliable, so injecting fillers can be more challenging. In these situations with thin skin and scar tissue, using a hyaluronic acid filler that is softer is better to avoid pressure necrosis and skin loss. Additionally, small volumes should be injected and sometimes this may need to be done over several sessions instead of a large volume in one session.
You would benefit from seeing a board certified plastic surgeon that performs both revision rhinoplasty and soft tissue filler injections into the nose to see what would be an appropriate option for you.
While Not Necessarily The First Choice, Filler Can Be Used Very Effectively In The Nasal Tip
Fillers placed in the tip of the nose
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