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Is It Necessary to Remove Perlane on Nose Before Nose Job?

asked 2 years ago by Amyy in LA
Latest answer by William Portuese, MD
Question viewed 874 times
Tags: bridge, nose

I had 0.5ml Perlane injected to my nose bridge in December. I am considering a nose job, and I've consulted with many doctors.

Some of them said I don't need to remove the 0.5ml Perlane due to the small amount. Is this true?

15 answers to Is It Necessary to Remove Perlane on Nose Before Nose Job?

Rhinoplasty after Perlane Injection

It would be best to wait until after the Perlane dissolves. However, if you decide to do the nasal surgery in the near future, review pictures taken before the filler injections and make sure your surgeon is aware of the Perlane procedure. There is a slight risk that a minor surgical revision will be necessary after the Perlane does dissolve.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Filler in nose should be dissolved before rhinoplasty

It is best to wait the Perlane to dissolve, which takes roughly a years’ time. Unfortunately the filler cannot be removed like an implant. There have been disastrous consequences from these types of injections placed in the nose, which is why it is not advisable to do so. You need to wait at least a year to know what your true nasal anatomy is prior to undergoing a rhinoplasty.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Perlane removal before nasal surgery

Any substance that alters the contour of your nose should, if possible, be gone before operating on the nose to improve the appearance. Perlane will most likely absorb and disappear within the next 6 months or so. When in doubt, it is best to wait.

Sigmund L. Sattenspiel, MD
Freehold Facial Plastic Surgeon

Surgery after Perlane

Contrary to what some physicians think, I think it is imperative to wait until your Perlane is all gone. By waiting to see what your nose actually looks like you can actually make a better decision as to what you want your nose to look like. Its a more accurate way to get the results you want.

Carlos Wolf, MD
Miami Facial Plastic Surgeon

Rhinoplasty Surgery may be safely performed after an Injectable Filler treatment to your nose.

It sounds like you did not have too much filler injected in your nose, and Perlane is not a permanent filler. I have personally performed Rhinoplasty Surgery on patients with previous Filler treatments without any issues. What are your goals with surgery? If you're looking for permanent augmentation of your nasal bridge, then you may consider a Non-Surgical Rhinoplasty from a physician experienced in the proper application of Silikon-1000. This is a permanent filler that works... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Dissolve the filler before the rhinoplasty

0.5 cc of any dermal filler is actually a fairly decent amount when used on the bridge of the nose. In fact, it would be uncommon to use much more than that to fill in a low radix or a small contour irregularity. When I use dermal fillers in the nasal dorsum, 0.3 cc to 0.8 cc is typical. I'm surprised that my colleagues would think your volume is so small. But to answer the question, yes, it should be completely gone before a surgical rhinoplasty. The best way would be to inject a small... more

David C. Pearson, MD
Jacksonville Facial Plastic Surgeon

Removing Perlane on nose before Nose job

As you can see the consensus from all the expert posters is why wait? That very small amount of Perlane injected will not effect the rhinoplasty surgery. Again 'why wait'?

Darryl J. Blinski, MD
Miami Plastic Surgeon

Remove Perlane before a rhinoplasty (nose job)

The injection you had of Perlane in the nasal bridge was probably used to hide a bump of the bony nasal profile by filling in the depression between the hump/bump and the area between the eyebrows. This makes a straighter line and the bump no longer seems as obvious. The plastic surgeon will be operating to probably file down the bump in the nose and will use their feel to check the results. Ultimately you may have a great result, but when the bony profile is made flat with the surgery,... more

Ronald Shelton, MD
Manhattan Dermatologist

Injectable fillers prior to rhinoplasty

Even small amounts of fillers can have a significant effect on your rhinoplasty as the surgical judgement and techniques used should be planned out based upon your appearance prior to the rhinoplasty and your desired final outcome. That being said, it is very easy to dissolve out the perlane if you want to proceed with the rhinoplasty. Small amounts of hyaluronidase will dissolve it out giving your physician a more accurate assessment of your nose. I hope this information helps. Also, .5cc... more

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon

Rhinoplasty after fillers.

The amount is so small it should not affect the final outcome. If you inform the surgeon he will take this into consideration in doing the nose.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Rhinoplasty and Fillers

I would suggest waiting until the filler wears off. During surgery, I occasionally will find remnants of filler injected by other physicians, which is generally not a problem, but it's preferable to start the procedure without foreign material in it which could raise the risk of infection or other complications. You can also have hyaluronidase injected, as mentioned by Dr. Bogdan, which will quickly remove the Perlane in there. Good luck.

Nina S. Naidu, MD
New York Plastic Surgeon

Rhinoplasty requires careful analysis that could be interrupted by the perlane

Rhinoplasty requires careful analysis during the preoperative stages. You need to know exactly what you want to correct and hence having the unaltered preoperative state is essential with Rhinoplasty. If the Perlane that you have in the nose and bridge makes a big difference it would be prudent to dissolve the perlane with hyaluronidase. This will allow you the ability to see the native anatomy better and hence your surgeon can come up with an accurate plan. If it does not make a big... more

Philip Young, MD
Bellevue Facial Plastic Surgeon

Necessary to remove Perlane on nose before Nose job

0.5 cc is a VERY small volume (0.000017 fluid ounces, 0.0000005 liter, 0.00000044 quart even 0.0000338 table spoon - you get it - very small). If you wanted to be absolutely sure it had no effect on your ultimate look, you may wish to wait. Personally, with such a small volume (less than the swelling that is seen in the tissues during the nose surgery) I do not think it is necessary and I think your nose surgeon should be able to do a good job with the filler in. Good Luck. Dr. P. Aldea more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Rhinoplasty after filler injection

Dear Amyy, If the amount injected was significant enough to have a noticeable difference (comparing before and after the injection), then you should either wait till the filler is gone or use Hyaluronidase before undergoing surgery. (I'd suggest that you wait till it is all gone so you can be sure some wasn't missed with the Hyaluronidase.) If you do the surgery now, then your surgeon will not really know what they are changing. We look at the external appearance of the nose during... more

Michael A. Bogdan, MD
Dallas Plastic Surgeon

Perlane in Nose prior to Rhinoplasty

It is best to wait until the Perlane dissolves before undergoing a nasal surgery. If the Perlane is still in place your surgeon will not know the actual level of the soft tissue and will have to guess about the profile height. It should take 6-9 months for the perlane to disappear.