Bossae coming back after revision rhinoplasty, are fillers the solution? (Photos)

Nasal tip bossae can be easily shaved off or morselized under local anesthesia in the office. This would avoid the need for repeated fillers. Regards

Seven weeks postoperative may be too to consider any interventions, surgical or Nonsurgical since your nasal tip is swollen and healing. If nasal tip asymmetry, or visible tip cartilage persists, microdroplet Silikon-1000 treatments may be considered for camouflage or volume replacement, depending on your examination. Hope this helps!  Dr Joseph 

My personal opinion is that this is a good case for a filler.  It will not be that easy of a procedure to harvest ear cartilage and place in the defect without another trip to the OR.  That is to say you will need IV anesthesia and for all practical purposes an office based surgery room.  In my practice I have found the off-label use Bellafill (which is a permanent filler) judiciously injected into defects like that can be preferable to another surgical procedure.  You may want to give that serious consideration.  There could be some serious downsides to opening up the nose again, such as alar retraction.  I have not had any complications from the use of Bellafill over the past few years.

Hi,Sorry to hear about your bossae. I dont think that injectible fillers are the answer for the tip. You can have a revision tip-plasty under local anasthesia with mild sedation. The sedation releive your anxiety, decrease your blood pressure and your heart rate and ultimately decrease bleeding and bruising post-op. This can be done even if you need ear cartilage grafts.Best,Dr.S.