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Would Restylane on Nasolabial Fold Affect Rhinoplasty?

asked 2 years ago by hellokitty777 in new york, ny
Latest answer by Rod J. Rohrich, MD
Question viewed 631 times
Tags: nasolabial folds, nose, alar, reduce

I'm considering getting Restylane in nasolabial folds, but am also interested in Rhinoplasty in 2 months.

The Rhinoplasty would include alar base reduction. I'm just wondering if I should hold off on the filler, as I am concerned that the 'plane' for the new nostril positioning would be altered. Do you have any experience with Rhinoplasty and nasolabial fillers? thank you.

19 answers to Would Restylane on Nasolabial Fold Affect Rhinoplasty?

+1

Rhinoplasty & Restylane in Nasolabial Folds

Rhinoplasty is not affected by injections around the perioral nasolabial fold area or even in the periapical base area. It does not have an affect on rhinoplasty.
Rod J. Rohrich, MD

Dallas Plastic Surgeon
+1

Restylane for nasolabial folds should not affect rhinoplasty

Restylane for the nasolabial folds can be done even if considering rhinoplasty a few months after. The rhinoplasty will address cartilaginous skin and bone of the nose, while Restylane is filler placed in the nasolabial folds for augmentation of these independently.
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Restylane on nasolabial fold

Injecting Restylane into the nasolabial folds before or after should have no effect on rhinoplasty. I have never injected Restylane into the nasolabial folds during a rhinoplasty. There may be no adverse effects in doing so; however, Restylane may produce a subcutaneous inflammatory response that may be undesirable in the region of the nose when rhinoplasty is performed.
Sigmund L. Sattenspiel, MD

Freehold Facial Plastic Surgeon
+1

Filler after rhinoplasty

There's no hard and fast answer here, but from my perspective: 1) Don't do the filler during surgery. That adds unnecessary time under anesthesia. 2) Since the rhinoplasty is the more complicated and permanent procedure, I'd usually recommend doing it first. After the majority of the swelling has resolved (say, 6 weeks post-op), then the nasolabial folds could be filled in. 3) For the nasolabial folds, I tend to prefer Radiesse (longer lasting) and sometimes Artefill (a permanent filler)... more
David C. Pearson, MD

Jacksonville Facial Plastic Surgeon
+1

Restylane injections and Rhinoplasty surgery

Properly placed Restylane injections will not change the alar base. I prefer not to do both at the same time. Filler injections are a relatively easy procedure and therefore can be done before or after the rhinoplasty. Consider Radiesse injections in the nasolabial grooves, which I prefer.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Get the Restylane after Rhinoplasty

Hi, I would wait to get the restylane till after the rhinoplasty. Besides distortion of the nostril, you will have inflammation around your nose, which may decrease the longevity of the Restylane. Best of Luck! Dr.S.l
Oleh Slupchynskyj, MD

New York Facial Plastic Surgeon

www.facechange.org

+1

Restylane and Rhinoplasty are safe to combine

I can't see why these 2 procedures couldn't be combined. Even with an alar base reduction, the aesthetics of the nasolabial fold are (mostly) distinct from the nose. However, if you were my patient, I would probably separate the Rhinoplasty and the Restylane. The swelling from one might affect the fine performance of the other. The injection of Restylane, in particular, is so routine in my office, that I would feel very comfortable completing your rhinoplasty, and then doing the... more
Michael C. Pickart, MD

Ventura Plastic Surgeon
+1

Facial fillers with a rhinoplasty is ok

Hi Hellokitty777 - You should be fine getting the fillers with a rhinoplasty. I frequently combine the two, and to help minimize pain the fillers can be placed while you're asleep for the rhinoplasty if you'd like. If not, you can separate them by 2 months as you indicated and the alar base reduction should not interfere with the fillers to the nasolabial folds. Good luck!
Jeffrey E. Schreiber, MD

Baltimore Plastic Surgeon
+1

No

I don't see that this shoud present a problem in the planning or performance of the nasal surgery.  The aesthetics of the nasolabial fold wont interfere.
Scott E. Kasden, MD

Dallas Plastic Surgeon
+1

Rhinoplasty recommended to be done before nasolabial fold injections

While it is probably OK to do both at the same time, I would probably recommend that the rhinoplasty be performed first to avoid any interaction from the injections of the folds.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Hold off Restylane until Rhinoplasty results have settled

I agree. I would hold off on Restylane since it is in close proximity to your alar base.  Once the rhinoplasty settles (at least 3 months) then go ahead with the Restylane.  Good luck!
Elan B. Singer, MD

Manhattan Plastic Surgeon
+1

Do rhinoplasty before Restylane.

Hi. 1)  Restylane injections in the upper nasolabial folds will definitely alter the anatomy and structure of the base of your nose. 2)  So I recommend having your rhinoplasty with alar base reduction first.  Three months later, you can correct the folds with Restylane or Juvederm.
George J. Beraka, MD

Manhattan Plastic Surgeon
+1

Restylane in Nasolabial Folds 2 Months Before Rhinoplasty with Planned Alarplasty

Hello Kitty, Since you are having your rhinoplasty relatively soon, I would advise you to wait on the Restylane in your nasolabial fold (unless you stay away from the upper part of the fold that meets the nose). If you feel that you must have filler to look great for the holidays, may sure that you discuss it with your rhinoplasty surgeon. Most likely your surgeon injects fillers as well. Good luck and be well. Dr. P
Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon
+1

There should be no problem with alar base reduction and Restylane

Alar base reduction should not affect the efficacy of the Restylane injection. When the alar base incision is done, the scar should be well placed in the natural crease line above the nasolabial crease area. The two procedures should be preferably be performed by the same surgeon, so that he/ she knows where the Restylane was injected when they do the rhinoplasty.
Wilfred Brown, MD

Fairfield Plastic Surgeon
+1

Filler injection into nasolabial fold after Rhinoplasty is okay

As answered by my colleagues already I agree that the filler injection into the NL fold should not affect the rhinoplasty. But I think it is also wise to mention this to your plastic surgeon and just confirm he/she is aware of this and agrees.
Robert B. Pollack, MD

La Jolla Plastic Surgeon
+1

Will Restylane to the nasolabial folds affect a planned rhinoplasty?

 Restylane given to the nasolabial folds should not affect your rhinoplasty procedure in the next two months. This is true even if you are getting alar base reduction during your rhinoplasty. Good luck.
Sirish Maddali, MD

Portland Plastic Surgeon
+1

Nasolabial Restylane and Nostril Shaping (Alarplasty)

A Weir excision or Alaplasty is done in the side wall of the nostril to reduce bowing or alar flaring. the incision is hidden just above the junction of the nostril and the cheek. Restylane/Perlane and other fillers are usually placed along the nose to mouth (Nasolabial) fold. This should not affect your rhinoplasty or alarplasty in any way. Good Luck. Dr. P. Aldea
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Alar base reduction rhinoplasty and fillers in the nasolabial fold

The alar base reduction is performed in a well defined crease and I would highly doubt that fillers would interfer with the  procedure but I would ask your surgeon.
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Alarplasty requires very carefully planned incisions

Alarplasty is an excellent adjunct to rhinoplasty for the right patient. The incision needs to be carefully placed so it is either completely hidden or barely visible except to the trained eye looking with a magnifying glass. I published an article in the spring on alarplasty in the Archives of Facial Plastic Surgery discussing the indications and techniques. I would suggest you hold off on the filler in the nasolabial fold until after surgery since the filler may distort where the nostril... more
Steven J. Pearlman, MD

New York Facial Plastic Surgeon

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