Rhinoplasty: Q&A
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Can Nose Fillers Be Used to Augment the Nose Bridge Before Surgical Rhinoplasty?
I plan on getting surgical rhinoplasty just to correct my slightly deviated septum. I also want to augment the nose bridge through Radiesse (don't want to use an implant or autologous materials). I know that you have to wait months after getting a nose job before getting nose fillers, but I don't want to wait that long, so would it be safe to get Radiesse injected a few weeks before surgery?
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14 Doctor Answers |
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rz12345
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It may be best to have your nasal injections after your septoplasty, not before.
It seems like you're having your deviated nasal septum corrected for nasal obstruction, and you wish to raise the height of your nasal bridge with an injectable filler treatment. Since you do not want surgical correction of your low bridge, it may be best to have your surgery first, and then proceed with the injectable filler procedure after that. My concern is the potential for introducing infection into the injected Radiesse, during your septoplasty.
Hope this helps you.
Dr. Joseph
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Rhinoplasty vs. Nonsurgical Rhinoplasty
Thanks for the question... Just to make sure I understand your question, if you are having a deviated septum corrected, that would be considered a septoplasty, unless your surgeon is also reshaping the outside of the nose (rhinoplasty). Double check with your surgeon to make sure you are on the same page. If you are truly having just a septoplasty, I see no issues with having Radiesse placed in the nose (nonsurgical rhinoplasty) before or after surgery. Again, I highly recommend that...
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Fillers to Augment Bridge Before Rhinoplasty
If you are going to have a rhinoplasy and septoplasty to correct your deviated septum your surgeon can and probably will remove cartilage from the septum which can be placed on your bridge to achieve permanent augmentation. There is no need for a temporary filler.
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Injecting fillers into nose before nasal surgery is not recommended
A rhinoplasty is not performed for a deviated septum. A septoplasty is performed for a deviated septum. This is typically billed to the patient’s medical insurance out of medical necessity due to decreased breathing capacity out of the nose. Injecting fillers into the nasal bridge is just not a good idea.
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Fillers may be used with rhinoplasty surgery to improve results
If you are having a rhinoplasty, a good idea would be to have your surgeon use your own cartilage to augment your bridge to the best of his ability, then you can always add fillers after the surgery to "tweak" the results.
I actually find non-surgical rhinoplasty with fillers to be a little more precise than with surgery, as your physician is able to "paint" the fillers exactly where desired.
Take a look at the attached video and you'll get and idea on how...
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Can Nose Fillers Be Used to Augment the Nose Bridge Before Surgical Rhinoplasty?
No, most likely not. The Radiesse or any filler placed to augment the nasal bridge would be encountered during the Rhinoplasty which dissects the nasal tissues off of the nasal skeleton. Makes more sense to wait 6 months after the Rhinoplasty and have the dorsum augmented with Radiesse at that point.
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Fillers are best for lines & folds, but not the nose.
Since you are having a rhinoplasty, your surgeon should correct the bridge of your nose with surgery, not fillers. Fillers are temporary, so your result won't last. Also, there are reports of having to "dig" old fillers out of the nose if they cause a prolonged inflammatory response or (worse yet) an infection. Moreover, the result with fillers in the nose tends to be less exact, and the correction is not as precise as with rhinoplasty (there is more guess work with...
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Nose fillers and septal work
If you want nasal augmentation , you are probably better off using something more permanent like cartilage. If you do not want that and are having a septal procedure, you should what a few months until things have healed. I would not do it before surgery.
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Results with rhinoplasty
I would not recommend Radiesse for this purpose. It may be okay to use a product like Juvederm as a temporary bridge before surgery. Typically this will last about 6 months and is can be reversed. If you have already decided to have a rhinoplasty then I would hold off on the fillers and go for the permanent result that will be achieved with a rhinoplasty.
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Filler for nasal contouring before septal surgery
I do not recommend placement of filler prior to any surgery on the nose. Surgery for the deviated septum will result in swelling and any cosmetic correction should be deferred until after your postop swelling has resolved such that the filler can be appropriately injected. If you are dissatisfied with the cosmetic appearance of the nose, my question to you is why not undergo surgical correction in conjunction with the septal repair? Filler is temporary and the cost of...
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Fillers to Augment nose
Fillers are temporary fixes at best you should consider permanent correction. The septal surgery will not impact the placement of fillers.
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If you are getting a septoplasty, why not have your surgeon use the cartilage instead of the Radiesse?
Non-surgical rhinoplasty is basically injection of fillers such as Radiesse to raise deep areas such as the radix to de-accentuate a hump. If you are having a septoplasty, your sugeon should have cartilage that can be used for a permanent implant instead of temporary filler.
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Best to wait on the dermal fillers
Surgery to correct a deviated septum is called septoplasty rather than rhinoplasty. Check with your surgeon to ensure that you are on the same page with the surgical plan.
In either case, radiesse best done after any nose surgery so you can maximize the benefit from the treatment.
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Filler injections should wait till after surgery
You would want to have fillers done on the nasal bridge after your rhinoplasty if it is determined you need fillers. You do not want to augment the bridge prior to surgery and add volume to the bridge until the healing process has occurred and so the surgeon can give you the best aesthetic result naturally with out the fillers. I typically use a digital imaging computer in the consulting phase and this allows the patient to see the proposed surgical results. The computer imaging and...
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