Rhinoplasty After Non Surgical Nose Job?

I would heed the advice of the surgeon who is recommending that you wait at least 12 months after Radiesse injection (nonsurgical rhinoplasty) before considering rhinoplasty. Other fillers used in the nose, such as Restylane and Juvederm, can be dissolved with hyaluronidase, in which case the surgery can be undertaken more quickly. However, Radiesse can last 12-18 months and therefore, to go into surgery too quickly would be ill advised. The presence of the product would complicate the... more

You need to be certain that all of the filler injecting to your nose is gone prior to having any surgical procedure. If not, a perfect appearing result now many not look so perfect when the remainder of the filler has resorbed. I would wait at least a year....

If you had Radiesse injected into the nose, no one really knows how long it and it's effects will be there. 6 months is absolutely too short a time. One year may not even be enough. Radiesse can stimulate a collagen response that may last quite a bit in immobile structures like the nose. Be patient. Going in too soon will lead to less predictable results, increasing the chance that you will need a revision. If a hyaluronic acid like Restylane had been used then it could have been... more

You will need to wait at least a year before having surgery after you have had a non-surgical rhinoplasty. Unfortunately part of a rhinoplasty procedure is simply seeing how the nose looks during the operation. If you get a certain result while the filler is still present, it will inevitably change once the filler dissolves - which it is destined to do. Therefore, you must wait until the filler is gone before undergoing surgery. With Radiesse, this can be a year or sometimes longer. more

I like to wait one year before any surgery in your situation.  However, this is no absolute rule.  The issues are: the nose must be completely settled from the previous filler injection so the surgeon can most accurately plan to revise the nose to get the best result. This is my reasoning for the one year rule.

It is probably best to wait at least a year or two after Radiesse injected into the nose. The Radiesse needs to dissipate before undertaking a rhinoplasty procedure so to know where the true anatomy of the nose is without a temporary alteration in it prior to embarking on a rhinoplasty surgery.

Radiesse injected into the nose will take about a year to dissolve. Furthermore, once the Radiesse has dissolved, it will allow the surgeon to properly evaluate your nasal problems so that a correct surgical plan can be created. Patience is a virtue!

As I'm sure you know, Radiesse is a temporary filler that can be injected to many areas of the face provide a contour change. I feel the words "nonsurgical rhinoplasty" are misleading--more often, fillers such as these are used after rhinoplasty to provide nuance changes to the new nose form. In any case, a surgical, true rhinoplasty will likely provide you with permanent, pleasing changes and may have the additional benefit of improving your breathing as well. Rhinoplasty is one... more

Simply said- The Radiesse will continue to dissolve slowly over the course of a year. Rarely does it last longer then that. In order for a doctor to perform a perfect job - and that is what you want - the physician has to see the end result on the operating table. If further filler reduction is to occur, there is no way to correctly predict the final result - even if he was the surgeon that placed the filler from the start.

Cherry, This is an interesting scenario and an even more interesting response from your two surgeons. Radiesse used for non surgical rhinoplasty may indeed last for a year. So, it is expected that the surgeon who did not inject the Radiesse would want to wait at least a year for it to dissipate. This would allow your native anatomy to be better evaluated for someone who has never had the opportunity to evaluate your pre injected nose. The surgeon that injected the Radiesse has seen your... more

Hi Cherry, Sorry about your bad experience with the non-surgical rhinoplasty. Certainly the procedure is not for everyone, and most certainly not everyone who has a syringe of filler in their hand should be performing the treatment. Remember that you are talking about your nose, you know, the nose on the middle of your face for the rest of your life. Patience is its own reward in your case. Rhinoplasty is considered the most difficult of all facial plastic surgical procedures. You do... more

Hi Cherry10, Radiesse is particularly problematic to deal with when a surgical rhinoplasty is needed. To remove it endangers the blood supply to the overlying involved skin because Radiesse gets placed in the dermal layer of the skin. It is very hard to remove without creating some injury to the overlying skin. Your surgeon will need to be extremely careful with your nose, especially if you have thin skin. Good luck and give it time so as much of the Radiesse is gone as possible. Dr. Shah more