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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You may also be interested in reading a related question, Is it possible to re-sculpt nose to any shape?

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10 answers to “Can fillers or a revision reshape my...”

A: Not a good idea, if someone is contemplating revisional surgery

William Portuese, MD

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... more

A: Fillers give a temporary benefit

Joseph Perlman, MD

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... more

A: It's a little early right now for Rhinoplasty revision

Philip Young, MD

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... more

A: Get other opionions about your secondary rhiinoplasty

Otto Joseph Placik, MD

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.

A: Give Rhinoplasty more time

Samson Lee, MD

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... more

A: Good suggestions

Henry Daniel Sandel IV, MD

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... more

A: Fillers are a temporary fix in Rhinoplasty

Corey S. Maas, MD

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... more

A: Rhinoplasty Revision ; Too Much Profile Removed

Michael A. Persky, MD

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... more

A: Unfortunately, it is too early after Rhinoplasty to tell

Manish H. Shah, MD

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... more

A: Difficult situation here.

Scott E. Kasden, MD

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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