Revision Rhinoplasty Q&A
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Revision Rhinoplasty After Radiesse Nosejob
asked 1 year ago by alex1234 in Los Angeles, CA
Latest answer by David Mabrie, MD
Question viewed 366 times
Tags: nose tip, dissolve, timing
Hello everyone, I had a surgical rhinoplasty in May 2008 and was unhappy with the results. I went to a plastic surgeon last October who told me that with radiesse, the tip could be made to look smaller. I trusted him and he ended up making my tip even larger.
I am now waiting for the radiesse to dissipate so that I can have a revision rhinoplasty (for the last time). How long will I have to wait? Also, is it unwise for me to have a second surgical rhinoplasty given my past experiences?
16 answers to Revision Rhinoplasty After Radiesse Nosejob
+1
Radiesse post-rhinoplasty
Radiesse lasts 1-2 years so I would wait that amount of time before considering another rhinoplasty. Again, fillers are used to fill or restore/add volume, not to make areas smaller.
+1
Don't wait for Revision Rhinoplasty
Yes, the Radiesse is a volume filler and as such is unlikely to make the tip, or the nose appear smaller. You don't need to wait, for the Radiesse to disappear as it's in the nasal tissues close to the tip cartilages that will be surgically altered during the Revision Rhinoplasty.
+1
Radiesse may be reduced with wydase.
It is true that Radiesse can not be completely reversed with Wydase the way Hyaluronic Acid fillers like Restylane, Juvederm, and Perlane can, however it is possible that the bulk may be reduced. Placing Wydase may help the carrier paste dissolve faster. You may see a 20 - 30 % decrease in the Radiesse bulk using Wydase which may help some.
You will still be a candidate for surgical rhinoplasty and possibly even for a non-surgical rhinoplasty with a surgeon with a lot of...
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+1
Ideally until all Radiesse is gone
It's best to wait until all the filler is gone from your tip - this can easily take up to a year. small amounts of residual filler can be seen and removed during open rhinoplasty
+1
Revision rhinoplasty after non-surgical nose job.
It is probably best to wait at least a year after the Radiesse injections in the nose to undergo a revision rhinoplasty.
+1
Rhinoplasty Revision After Radiesse
Radiesse will last perhaps 2 years or so. During that time, it will gradually resorb and you may see an improvement in your tip. However, if you have concerns that need addressing sooner, you can have as much as possible removed at the time of a revision rhinoplasty. Revision rhinoplasty is not uncommon, nor is it necessarily unsafe. An experienced plastic surgeon can give you a recommendation after an evaluation.
Randy J. Buckspan, MD
Austin Plastic Surgeon
Austin Plastic Surgeon
+1
Revision Rhinoplasty afteer Radiesse Injections in Nasal Tip
Radiesse injections will last 12-18 months. It is dangerous to do a revision before the Radiesse has dissolved because it can compromise circulation within the tip during and after surgery with serious complications such as skin loss. You can have another revision as long as long as it is done by an experienced revision rhinoplasty surgeon.
+1
Revision rhinoplasty after having Radiesse injection
Revision rhinoplasty surgery can be done even though you've had radiesse placed in your nasal tip. You should wait for the filler to resorb, however. As others have mentioned this can take about 1-2 years. I don't recommend the placement of radiesse in the nasal tip due to its characteristics and the anatomy of the tip.
+1
Best Timing for Rhinoplasty Revision After Radiesse Injection in Tip
Hi Alex,
You should wait until your nasal tip looks like it did before you had Radiesse injected. It may take 1 to 2 years. Take photos of your nose every 1 to 2 months to document the change. Once it is smaller and no longer is changing, that is when I would recommend surgery. There will be a minority of surgeons willing to operate on you immediately, but I would question their motive (i.e. "a bird ($) in the hand is worth two in the bush(you may...
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+1
Radiesse Rhinoplasty Revision
Radiesse seems to last a variable amount of time, depending on the placement and the person. Usually it will be gone in about a year. Having a revision is not a bad idea, if you are dissatisfied with the result. Rhinoplasty revision is a very common surgery, because of the nature of the procedure, occasional lack of predictable outcome and expectations of the patients. Make sure the surgeon you choose is experienced in revision rhinoplasty, since it can be a very...
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Leif Liu Rogers, MD
Beverly Hills Plastic Surgeon
Beverly Hills Plastic Surgeon
+1
Revision rhinoplasty after Radiesse and rhinoplasty.
It is best to wait 6-12 months to see if the tip is getting smaller which will make the revision more reliable. It does not make a difference that you have had the Radiesse and you still can obtain a good result if you go to an experienced revision rhinoplasty surgeon.
+1
Revision Rhinoplasty After Radiesse Nosejob
Never figured out how injections can refine tip! Although, it can do so for the dorsum etc. I would wait 2 years before having the revision rhinoplasty. You will have to make sure the surgeon have experience in revision surgery. Look at the before and after results of revision works that are similar to your problem. Could have moderate scarring which needs to be removed and strict follow up after surgery for possible steroid injections to reduce scar formation.
+1
Surgical Rhinoplasty after "Radiesse" Rhinoplasty
As others have stated, fillers will fill in an undesired shape or add to projection. While the aesthetic correction of the material usually lasts 12 months or less in the nose, traces of the material are likely to be present for considerably longer. In addition, you previously had surgery as well meaning that swelling in the tip after this second intervention may take longer to resolve. The best approach is to wait 1-2 years AND until no further change is being seen in the...
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Lawrence Bass, MD
Manhattan Plastic Surgeon
Manhattan Plastic Surgeon
+1
Fillers and Revision Rhinoplasty
Fillers including Radiesse are frequently used in the nose to help camouflage depressions or contour irregularities. Radiesse and other HA fillers such as Restylane are great for this purpose, but aren't used to make any part of the nose "smaller." Fillers do just that - fill. By their nature the area will get larger rather than smaller helping to restore balance.
Radiesse does not routinely last more that 9-12 months in reality, and often less in a nose that...
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+1
Revision rhinoplasty after non-surgical rhinoplasty
I, too, don't like Radiesse for the nasal tip. If used, it's better over the bony part of the bridge of the nose. Fillers, if used in the nose, are best used to build up (enlarge) areas of the nose or to conceal minor dents and contour deformities. Because of Radiesse's long-lasting effects in the nose, I would recommend to my patients to wait at least two years from the injection before having any surgical correction.
Good luck,
--DCP
David C. Pearson, MD
Jacksonville Facial Plastic Surgeon
Jacksonville Facial Plastic Surgeon
+1
Revision rhinoplasty, non surgical nose job, radiesse filler rhinoplasty
Hi,
Radiesse does not belong in the tip of the nose. Less active fillers like Restylane may be used occasionally. Overall adding a filler will increase size and volume unless it it placed in a way to add projection and the "illusion" of reduced size.
You should ideally wait 1-2 years for the radiesse to dissolve. Revision rhinoplasty is fine if needed. Some patients need it even after 4 bad previous nose jobs and others who seek...
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