When Can I Have a Revision Rhinoplasty? (Photo)
Doctor Answers 4
Implant infection after rhinoplasty
In the interim, you may consider injection of soft tissue filler such as Juvederm or Restylane as a way temporarily improve the appearance of your nose. Soft tissue fillers can be used in certain situations to correct deformities of the nose. One of the more common uses is to fill depressions of the nose especially after surgery.
There are several important considerations when using soft tissue fillers in the nose to improve safety and prevent both short and long term complications. Use temporary fillers NOT permanent (Silicone, Artecol). Use gel fillers NOT particulate (Radiesse, Sculptra). The amount of filler injected at one time must not be excessive as this can cause problems with not only the appearance but also the blood supply. Hyaluronic acid fillers are ideal for injection into the nose as they are temporary (usually last for over 1 year) and gel. Additionally, if too much filler is injected or there are problems with blood flow to the nose, an enzyme (hyaluronidase) can be injected to dissolve the product and reduce the risk of skin loss and scarring. Both Juvederm and Restylane are commonly used hyaluronic acid fillers. Another consideration is that you have had previous surgery which causes the skin to be less pliable, so injecting fillers can be more challenging. In these situations with thin skin and scar tissue, using a hyaluronic acid filler that is softer is better to avoid pressure necrosis and skin loss. Additionally, small volumes should be injected and sometimes this may need to be done over several sessions instead of a large volume in one session.
You would benefit from seeing a board certified plastic surgeon that performs both revision rhinoplasty and soft tissue filler injections into the nose to see what would be an appropriate option for you.
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