Non Surgical Nose Job: Q&A
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Will Injectables Make a Secondary Rhinoplasty More Difficult?
I had a silicone implant to augment my flat asian nose. But the implant looks very unnatural and I want it removed. I haven't decided what's the best look for my nose, however. I'm thinking about having the implant removed and try an injectable such as Juvederm or Radiesse, before having a secondary Rhinoplasty to permanently change my nose shape again.
Will Juvederm or Radiesse injections make the second nose surgery more difficult?
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12 Doctor Answers |
Asked by
nose_obsession
in new york
+2
Rhinoplasty is a complex procedure
Reshaping of the nose is a complex procedure. Previous nasal procedures (surgical or non-surgical) may increase the scarring of the tissues making the procedure more difficult. The skin soft tissue envelope of the nose is very delicate. . If this is damaged it is difficult to improve and may limit the quality of the results any procedure can provide. Implants may become infected and extrude. The best advice is to have the fewest nasal procedures to achieve...
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Fillers and secondary rhinoplasty
You are asking a complicated question becuase filling the nose or touching up irregularities is one thing, but camouflaging or augmenting the nose with fillers and then considering a rhinoplasty revison is another. If you are considering a revison rhinoplasty I would not put any filler in.
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Tissue filler after rhinoplasty?
You can have your nasal implant removed and then proceed to a temporary tissue filler. You can also then have another nasal implant placed. What you shouldn't do is have these procedures one after the other. In stead, to be safe, there must be time to allow your nose to recover from each procedure. Surgeons will be uncomfortable in proceeding earlier than several months and more likely a year between them. Plus your skin coverage must be health or the next step shouldn't occur...
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Cosmetic injectable to the nose will make rhinoplasty more difficult to perform
The silicone implant can definitely be removed and resized to a smaller, more aesthetically pleasing implant. It is not a good idea to have Juvederm or Radiesse injections into the nose, which will make any further rhinoplasty much more difficult to perform. There are many different sizes and shapes of the silicone implants to make the Asian nose look very refined and pleasing.
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Rhinoplasty Revisions with filler injections
In general, I would advise against filler injections in your case. If you decide to use a filler, hyaluronic acid is the safest, but the amount of correction is limited. It is important that your surgeon is comfortable with morphing, which I believe is an essential tool in revision rhinoplasty. That being said, I recommend removing the silicone implant and replacing it with a diced cartilage graft. This is a new technique that allows for better shaping of the nasal dorsum....
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Fillers, Juvederm can reduce need for revision rhinoplasty
Nose_obsession,
Fillers such as Juvederm and longer acting Radiesse have been helpful in softening small imperfections in the nose, both in the tip and the bridge of the nose after rhinoplasty. They can help with the decision as to whether a revision is worth the effort as patients can see the anticipated result. The result of course is temporary as it lasts only as long as the fill material. The fill should not affect revision rhinoplasty, especially if you wait until all the material has...
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Any change in the tissue will make the surgery more difficult.
Any modification to the tissue on the nose will make surgery more difficult. In rhinoplasty, most of the surgery is changing the underlying structure and re-draping of the overlying skin. If you have changed the character of the skin, then it makes the surgery more difficult and may effect the results. Good luck.
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FIllers on nose not a good choice
The fillers that you mention will be gone in 12-18 months and will not affect a rhinoplasty later. However, I think you will be wasting money in that Asian noses usually require a great deal more augmentation than can be achieved with fillers. Cartilage and soft tissue grafts will give you the result you want without wasting the money on fillers.
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Radiesse on nose can make Rhinoplasty difficult
Dear Nose Obsession,
This is a great question that we get in our practice a fair bit and that we have looked into. In fact, we in association with our colleagues reviewed the largest series of injectible rhinoplasties done by anyone to date. I don’t want to make this a long diatribe about the merits of injectible rhinoplasty and if the aesthetics make a lot of sense, except to say that you should recognize that most people getting rhinoplasty want their nose at least slightly smaller...
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Consider more permanent nasal implant
Hi!
I am not certain the filler option will provide the best look for dorsal under projection. Indeed, all are temporary in a relative sense, and further procedures may be necessary.
Consider perhaps placement of a graft, bone, cartilage as a more permanent solution. This can be undertaken using your own tissue, without adding significant downtime or scarring to the process.
Either way, in consideration of the fillers, they should not ultimately alter the nasal anatomy and preclude...
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Non-surgical Rhinoplasty with Radiesse not advisable
Radiesse can make subsequent nasal surgery very difficult. If you decide to go the injectable route, I would recommend Restylane. Juvederm is very good as well, but Restylane might provide slightly more support and structure for the desired nasal shape. Both of these are hyaluronic acid, and will dissolve over time without scarring.
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Be careful with fillers in the nose
Rhinoplasty after filler injections such as Radiesse can result in increased difficulty with a Rhinoplasty procedure. In addition, I have seen several cases of complications with Radiesse in the nose (from other offices), and for this reason do not recommend it.
Restylane may be a safer product for the nose since it can be dissolved with hyaluronidase. However, you must keep in mind that the FDA indication for these products is for injection into the nasolabial folds only, so use in the...
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