Will using Fat Injections for a "nonsurgical" nose job prevent me from getting a "real" Rhinoplasty in the future?My surgeons suggests using fat injections to reshape my nose, but I'm a little worried that this may prevent me from getting a surgical rhinoplasty in the future. Is there any validity in this concern? thanks!
Answer: Injectable Fillers Lead to Scar Tissue If you are considering having a Rhinoplasty in the future, I would hold off on fillers and/or fat injections in the nose. Fat has the blessing and the curse of lasting (the portion that stays and the portion that is absorbed is unpredictable) in the area injected. Radiesse is the most frequently used filler in the nose. It is a semi-permanent filler, lasting about a year. Its longevity is first related to volume effect from calcium hydroxylapatite and then later related to collagen deposition (scar tissue). In my experience, this factor adds a layer of avoidable complexity to a Rhinoplasty.
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CONTACT NOW Answer: Injectable Fillers Lead to Scar Tissue If you are considering having a Rhinoplasty in the future, I would hold off on fillers and/or fat injections in the nose. Fat has the blessing and the curse of lasting (the portion that stays and the portion that is absorbed is unpredictable) in the area injected. Radiesse is the most frequently used filler in the nose. It is a semi-permanent filler, lasting about a year. Its longevity is first related to volume effect from calcium hydroxylapatite and then later related to collagen deposition (scar tissue). In my experience, this factor adds a layer of avoidable complexity to a Rhinoplasty.
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CONTACT NOW November 16, 2009
Answer: Injectable fillers not recommended for non-surgical nose job It is not a good idea to have fat injections or any other injectables placed in the nose. There have been many disastrous complications from these nonsurgical nose job procedures. If the time comes when you want a rhinoplasty, make sure your surgeon has performed thousands of nose jobs.
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Answer: Injectable fillers not recommended for non-surgical nose job It is not a good idea to have fat injections or any other injectables placed in the nose. There have been many disastrous complications from these nonsurgical nose job procedures. If the time comes when you want a rhinoplasty, make sure your surgeon has performed thousands of nose jobs.
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October 5, 2009
Answer: I would not use fat in the nose. I started doing fat grafting 30 years ago when other surgeons said it didn't work. It does work! It does last! However, I never use it in the nose. If you want to try a filler use Radiesse which is reversible in time and then you can get your nose done properly.
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CONTACT NOW October 5, 2009
Answer: I would not use fat in the nose. I started doing fat grafting 30 years ago when other surgeons said it didn't work. It does work! It does last! However, I never use it in the nose. If you want to try a filler use Radiesse which is reversible in time and then you can get your nose done properly.
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October 5, 2009
Answer: Non-Surgical Rhinoplasty with Fat Injections, Will it Hinder Future Surgical Rhinoplasty? Hello, Both the good and bad news about using fat injections in the nose is that when the fat grafts take, they are permanent. Permanent fat in the nose may make your future rhinoplasty more difficult. If you are not yet ready for rhinoplasty, I would recommend sticking with more temporary fillers in the nose if you must, such as Restylane, Juvederm, or Radiesse. Good luck and be well. Dr. P
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CONTACT NOW October 5, 2009
Answer: Non-Surgical Rhinoplasty with Fat Injections, Will it Hinder Future Surgical Rhinoplasty? Hello, Both the good and bad news about using fat injections in the nose is that when the fat grafts take, they are permanent. Permanent fat in the nose may make your future rhinoplasty more difficult. If you are not yet ready for rhinoplasty, I would recommend sticking with more temporary fillers in the nose if you must, such as Restylane, Juvederm, or Radiesse. Good luck and be well. Dr. P
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October 5, 2009
Answer: Non-surgical rhinoplasty can be done...with some caveats. First, it is *not* true that one must wait a year after using a hyaluronic acid gel filler (Restylane, Juvederm) before undergoing surgical rhinoplasty. But it is absolutely true that the filler must be completely gone. Fortunately, these fillers can be dissolved away quite well ahead of time with hyaluronidase. The point is that the surgeon needs to see the nose without residual filler present in order to formulate a proper surgical plan. Certain fillers such as Radiesse cannot be forced to dissolve and must simply dissolve on its own, but this can take upwards of 1.5 to 2 years. Serial photos should be obtained to verify its dissolution. Artefill, a permanent filler, is another issue entirely. I do use it in select cases of non-surgical rhinoplasty, but usually this is for patients who've had a previous surgical rhinoplasty and are either not candidates for revision, don't want a surgical revision, or for whom surgical intervention would be overkill (fixing a minor dent, for example). Since it is permanent, surgery after its implantation needs to be done with special considerations, but fortunately, its shape is generally stable (at least to the degree that surgery is stable) and can be compensated for in the surgical plan. All the best, --DCP
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CONTACT NOW October 5, 2009
Answer: Non-surgical rhinoplasty can be done...with some caveats. First, it is *not* true that one must wait a year after using a hyaluronic acid gel filler (Restylane, Juvederm) before undergoing surgical rhinoplasty. But it is absolutely true that the filler must be completely gone. Fortunately, these fillers can be dissolved away quite well ahead of time with hyaluronidase. The point is that the surgeon needs to see the nose without residual filler present in order to formulate a proper surgical plan. Certain fillers such as Radiesse cannot be forced to dissolve and must simply dissolve on its own, but this can take upwards of 1.5 to 2 years. Serial photos should be obtained to verify its dissolution. Artefill, a permanent filler, is another issue entirely. I do use it in select cases of non-surgical rhinoplasty, but usually this is for patients who've had a previous surgical rhinoplasty and are either not candidates for revision, don't want a surgical revision, or for whom surgical intervention would be overkill (fixing a minor dent, for example). Since it is permanent, surgery after its implantation needs to be done with special considerations, but fortunately, its shape is generally stable (at least to the degree that surgery is stable) and can be compensated for in the surgical plan. All the best, --DCP
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