Rhinoplasty: Q&A
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Can Fillers or a Revision Reshape my Nose Bridge?
A month ago, I had a Rhinoplasty. The doctor unfortunately lowered the bridge too low, and my nostrils look uneven and smaller then usual. I specifically asked him not to change my side view, but to only make my nose a bit narrower from the bottom. Should that really affect the shape of my nostrils? Also, should I consider fillers to reshape the bridge? Or should I have a revision done? Most importantly, if I give a doctor my old pics, can he/she bring back my nose shape the way it was?
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10 Doctor Answers |
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anon
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Not a good idea, if someone is contemplating revisional surgery
It is better to wait approximately one year and then consider undergoing a revision nasal surgery using the patient’s own cartilage to re-build up the bridge back to its normal anatomical state. Injections into the nose are not a good idea, especially if someone is contemplating undergoing revisional surgery.
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Fillers give a temporary benefit
Reshaping of the nostrils can only be accomplished by resecting a portion of the nostrils (wedge resection), narrowing the base of the collumela between the nostrils,or adding a cartilage graft to the alar rim. The choice depends on what the initial problem is.
Using a dermal filler in the nasal dorsum will give you an idea of how an augmentation of the dorsum would look , but fillers are only temporary. You will probably need some sort of revision. Discuss the problems that you see with...
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It's a little early right now for Rhinoplasty revision
It's still early so you might want to wait a few months. I know this is hard, but a lot of times what you are looking at is swelling that is affecting the way it looks. Swelling can make a big difference.
Fillers for the bridge is a temporary solution that can cause problems. Radiesse is often the most considered for that region of the bridge but there are reports of complications with it there as well. Dr Toriumi, I believe has an article on that.
A rhinoplasty revision might be the best...
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Get other opionions about your secondary rhiinoplasty
Clearly this rquires a consultation and physical exam to determine the extent of surgery required.
Fillers may provide you with some improvement but it would only temporary and may interfere with subsequent corrective procedures.
Seek second opinions from other physicians as to your options.
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Give Rhinoplasty more time
It will take many months for swelling from a rhinoplasty to resolve to guage your result. I tell my patients up to 1 year. It is virtually impossible to change one aspect of the nose without affecting another part. For example, narrowing the tip slightly will almost always slightly change the shape of your nostrils.
Unfortunately if you notice that the bridge or dorsum is already too low, this is unlikely to change. You are correct that a filler could be placed or you could have a revision...
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Good suggestions
These are all good suggestions. The nose can really hold onto swelling for many months after a rhinoplasty procedure. This can make the nostril misshapen or even give the appearance of a low dorsum if the tip is a bit swollen.
It is too soon to consider filler injections to the nose. I also don't recommend this as a treatment option even if the dorsum was taken down too much. There are better ways to permanently correct this problem. Keep in touch with your surgeon. Follow up...
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Fillers are a temporary fix in Rhinoplasty
I don't have a problem using small amounts of fillers, especially Resytlane and Juvederm to temporarily correct small defects. You can have them removed with a small injection of hyaluronidase if and when you are ready for your revision. In the end, however a revision will probably be necessary if the bridge is significantly lowered.
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Rhinoplasty Revision ; Too Much Profile Removed
Hi Anon,
I am sorry that you did not get what you desired from your initial rhinoplasty one month ago.
You have about 5 more months until a revision rhinoplasty should be considered. In the meantime you speak with your rhinoplasty surgeon and even interview other rhinoplasty specialists.
I would not recommend having any fillers placed at this time. Fillers would make it very difficult to evaluate your nose for the revision surgery. If you decide that you are unable to have revision...
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Unfortunately, it is too early after Rhinoplasty to tell
You will have to wait until the swelling in your nose is gone before you make any decisions about what needs to be restored. I wouldn't recommend any injections of any kind until the nose has finished healing.
It is important to work with your surgeon during the healing process to make sure you and he/she are doing all that you can to improve the situation and avoid making things worse. After about one year, you can look into your revisional needs more effectively.
Use of injectible...
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Difficult situation here.
I would recommend constant contact with your doctor. Swelling will take upto two years to subside. Fillers will only be temporary, but at least may make you feel better. It will be very difficult to make things the way they were.
sek
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