Rhinoplasty: Q&A

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Are Radiesse and Other Fillers Safer Than Synthetic Implants Being Put into the Nose?

I am Asian and have quite a flat and round nose. I have been getting fillers such as radiesse, Perlane and Juvaderm injected into the tip and bridge of my nose for the past few years but am looking to get something more permanent such a a gore-tex implant being put into my nose. How safe and how permanent is gore-tex? Would it be safer to keep getting fillers injected every few months?

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8 Doctor Answers | Asked by vool100 in Singapore

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Would not use implant for rhinoplasty

It is difficult to say whether fillers or an implant is safer; they both carry an inherent risk. Fortunately, it sounds like you have had some success with fillers in your nose. The problem is that if a complication does occur, it can be devastating. The nasal skin is very unforgiving. Implants, on the other hand, carry a risk of infection and extrusion. I prefer the use of a patient's own cartilage. Asian patients typically need more grafting material, and while ear cartilage is... more

Ryan Greene, MD, PhD

21 reviews

Fort Lauderdale Facial Plastic Surgeon

www.DrRyanGreene.com

Role of Fillers in Rhinoplasty - 5 key elements you need to know

Fillers have a defined role in Rhinoplasty - 1. They are good temporary options in the management of small contour deformities in the revision rhinoplasty patients 2. They are a great temporay option for a patient to see what dorsal augmentation will look like especially the Asian nose and it lasts for over a year in most cases. 3. I strongly prefer the HA fillers like Restylane or Juvederm as they are reversible and will not cause long term extrusion problems... more

Rod J. Rohrich, MD

10 reviews

Dallas Plastic Surgeon

Synthetic Nasal Implants

I always prefer to use the patient's own cartilage in augmentation rhinoplasty in Asians and other ethnic groups. Although you've had satisfactory results with fillers, there are obvious avantages to a permanent solution in a young person like yourself.

Richard W. Fleming, MD

10 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

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Rhinoplasty and implants

I think that if you are looking for a more permanent result than fillers in the nose, you are probably better off with cartilage grafts.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Prefrred augmentation materials, grafts or fillers for Asian nose job rhinoplasty

Your best option for a permanent solution is to use your own cartilage. Ear, nose or cartilage. These options are preferred but do require more surgery. Obviously, patients prefer a filler or implant because they are easier to perform and may eventually dissipate if the results are not desireable. However, fillers have unique complications. Implants may become infected, rotate, erode, or become exposed or extrude.

Are Radiesse and Other Fillers Safer Than Synthetic Implants Being Put into the Nose?

There are always risks with implant nasal surgery, whether silicone, gortex = allografts or cartilage, bone = autologous. You must determine which has the better risk/benefit ratio. From MIAMI Dr. Darryl J. Blinski

Best substance for augmenting the Asian nose.

I have used and prefer septal or ear cartilage for all of my Asian and revision noses. Rib cartilage can be used but is more painful and has not been needed.

Toby Mayer, MD

7 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Best Option for Augmentation of Asian Nose

Hi Sing, Your best option is to find a rhinoplasty surgeon expert in the use of rib cartilage. It will be your best and longest lasting option. In the US, Dean Toriumi (Chicago), Jay Calvert MD (Beverly Hills), and/or Jack Gunter (Dallas) are your best options. Silicone and Gore-Tex implants can be prone to infection and extrusion. Be careful with the injectables as they too can cause severe complications. Good luck and be well. Dr. P

Michael A. Persky, MD

21 reviews

Los Angeles Facial Plastic Surgeon

drpersky.com

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