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Slipped Cartilage Graft and Radiesse Problem

asked 1 year ago by sb805 in Santa Barbara, CA
Latest answer by Joseph A. Eviatar, MD
Question viewed 616 times
Tags: nose, bump, cartilage, graft

After surgery on tip of nose, a cartilage graft I had prior slipped out of place from the top bridge. It created a bump after it healed. My doctor injected Radiesse to camouflage the bump. He over injected on one side of my nose but forgot to inject under the implant. Should I have more Radiesse injected in the depression or should have the implant removed and after the Radiesse is gone I can have Artefill injected where the cartilage graft was originally? Been 2 months Radiesse was injected.

8 answers to Slipped Cartilage Graft and Radiesse Problem

Radiesse injection in the nose is a long term filler

Radiesse injection in the nose is a long term filler. Radiesse may take years to go away. Often what would be easier or less permanent is a hyaluronic filler. You may want to choose a hyaluronic acid filler like Juvederm because you can dissolve it if you don’t like the results or if it moves in the wrong location. I often will use Juvederm before injecting Radiesse for this reason. I would generally stay away from injecting Artefill into the nose because it is permanent. Your nose... more

Joseph A. Eviatar, MD
Bronx Oculoplastic Surgeon

Radiesse as a nasal filler

You might be better off seeking consultation with a plastic or ENT facial plastic surgeon to have a revisional rhinoplasty, otherwise you will be chasing this problem year after year, and the slipped cartilage can continue to shift, or get infected, or extrude.

Ronald Shelton, MD
Manhattan Dermatologist

Fillers

The use of fillers to correct defects and nasal shape is very powerful. It requires expertise with fillers and their characterestics. However fillers are NOT a sustitute for surgical correction. It is unusual for an old catilage graft to move that much, but it can happen. the Radiesse that was injected into the nose is too much, you need to give it time. and work with your doctor. Radiesse can stay for years in certain locations, and correction can be very difficult. Give it... more

Samir Shureih, MD
Baltimore Plastic Surgeon

Time is Your Best Option

This sounds like a bad to worse story. There must be a few pieces missing because if the cartilage graft was from a previous surgery, there is no way for it to have slipped with a tip revision. The Radiesse is difficult if not impossible to remove at this point. More importantly, as the Radiesse will eventually (in 1-2 years) resorb on its own, another revision surgery or filler treatment will ensure that you have asymmetry in the future. If you absolutely can't... more

Joseph Campanelli, MD
Minneapolis Facial Plastic Surgeon

Non surgical nose job

This is a difficult issue. Fillers can camouflage unfavorable rhinoplasty results or even out naturally occurring nasal contour issues. The benefit is that they are non invasive, and, when applied in the right setting, they can yield dramatic improvement. The down side is that fillers are expensive and temporary. If a lump or bump occurs with Radiesse, it can sometimes be massaged and minimized. ArteFill is less forgiving. If a lump or unfavorable... more

Jason R. Hess, MD
San Diego Plastic Surgeon

Nose Graft Displacement, Radiesse, and Revision Rhinoplasty

Hi SB, Best to consult with rhinoplasty surgeons in person for best answer to your problem. Good luck and be well. Dr. P Encino, CA

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Radiesse and cartilage implant

Looking at the pictures there is definate asymmetry. There are a few options, that you should discuss with your plastic surgeon/dermatologic surgeon : including removing the graft and replacing, waiting till the radiesse wears off and then addressing with a longer acting filler, and filling to make everything symmetric.

Purvisha Patel, MD
Germantown Dermatologist

Injectable fillers not the best solution to a cartilage-based contour problem in the nose

Since injectable fillers are temporary, their use to treat a permanent nasal asymmetry due to a cartilage-based problem (graft or otherwise) may not be the best solution. While inbjectable fillers create an immediate change and are easy to do, they can have their own complications as well. Certainly injecting fillers underneath a graft area, or trying to do so, is probably not going to work nor should be attempted. If you must use injectable fillers, use them as additions on top of... more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

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