Can filler be used in bridge on top of ear cartilage? If so, what type of filler would be best?

Question

I had rhinoplasty 3 months ago and had ear cartilage added to the bridge but it still hasn't given me enough definition and projection. Can I get fillers just to the bridge on top of the cartilage or would that be a bad idea (would it harm or disrupt the underlying cartilage?). Are there any potential risks? Also, what kind of filler would you recommend?

Eric M. Joseph, MD · Answer

We have had excellent success in raising people's nasal bridges who have had surgery with either cartilage, or a dorsal implant, to achieve additional dorsal nasal height, utilizing microdroplet Silikon-1000 for permanent results. It also works well to camouflage cartilaginous irregularities that may or may not be visible. I hope this helps, and I appreciate your question. Sincerely, Dr Joseph

Jason Emer, MD · Answer

I recommend waiting until you've completely healed from your procedure. It can take 3-6 months for swelling to subside. I also recommend getting a formal evaluation with a cosmetic dermatologist to go over your desired results. Facial fillers (Voluma, Restylane, Juvederm) can be used to improve the symmetry of the nose. However, surgery would be needed for the nostrils/shape. See an expert. Best, Dr. Emer

David C. Mabrie, MD · Answer

Hi girlmeetsnose and thank you for your question!Yes, dermal filler can be added on top of ear cartilage and fillers are a great way to add definition to the nasal bridge and tip. I prefer to use Restylane for the nose as it is reversible and lasts up to 1 year. Restylane is a hyaluronic acid dermal filler and is a smooth, clear gel that has a consistency of jelly and goes in very evenly.

There are some risks to know about when it comes to non-surgical rhinoplasties, especially for someone who has had a previous surgical rhinoplasty. 1. Risk of infection2. Risk of vascular injury (more common for the nasal tip than bridge)

Also, two caveats you should know about:

1. Find someone who specializes in non-surgical rhinoplasty, as this is an advanced injection technique that requires
 specialized skill and finesse.

2. Patience is required. It may take 2 or 3 injections to get your optimal result.

Best of luck!

William Portuese, MD · Answer

Since it has only been three months since your rhinoplasty procedure, it's best to wait at least a year to allow full healing before placement of fillers in the nose. In addition, placement of fillers in the nose is only temporary, is not FDA approved for that application, and can have serious complications such as skin necrosis. Best to reevaluate  the nose at one year for additional cartilage grafting to build up the bridge on a more permanent basis

Can filler be used in bridge on top of ear cartilage? If so, what type of filler would be best?

Answers (4)

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