Is nose filler 5 years after my closed rhinoplasty safe?

We have camouflaged many dorsal bumps in people who have had previous rhinoplasty surgery. The key is to ensure that the bump is not too large. Please consider re-asking a question with photographs. I hope this is helpful. Sincerely, Dr Joseph

Hello and thank you for your question. Honestly, surgery is the best option to address your dorsal bump and refine the size and shape of the nose, as in your situation. Filler can help partially mask the bump in some situations, but even when performed, would only be temporary in nature. Also, given you've previously had a rhinoplasty, and there is no doubt extensive scar tissue present in your nose, fillers will likely be unable to overcome the scarring, and only an open revision rhinoplasty can best address your issue. The shape of your nose is due to the underlying anatomy present- a combination of your nasal bones and cartilage makes up the structural framework of your nose. Addressing the shape of the nose (especially the nasal dorsum and nasal tip) is actually one of the most common reasons people seek out and undergo a rhinoplasty procedure. Revision surgery would provide optimal results to achieve your goals, and frankly would be the safest option, given the risk of blindness with fillers to the nose (and that's before all the scarring of surgery has altered and distorted the underlying anatomy).

In addition to addressing your aesthetic nose concerns, your septal cartilage (or an off-the-shelf alternative) would be harvested (removed) and turned into multiple cartilage grafts, which would then be secured into different areas of your nose for structural support, including in the columella (middle bottom portion of your nose between your nostrils) to really reinforce the tip and prevent long term alterations/distortions to nose shape.

The open approach is very effective in facilitating complex, precise maneuvers to refine the nasal shape and size to a particular aesthetic and look. Rhinoplasty is arguably the most difficult procedure to perform in all of plastic surgery. I would only recommend going to see a surgeon who feels very comfortable with both primary and revision rhinoplasty procedures, and who has significant training and experience in these types of surgeries. This is a surgery of millimeters, so if the surgeon you're going to only does 1-2 per month, you are not going to get the best result possible.

Of course it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from the photos and description provided.

Dr. Donald Groves, our expert facial plastic surgeon, has extensive training and experience with complex rhinoplasty surgeries, so I’d recommend for you to come see him (or another plastic surgeon who is extremely comfortable with rhinoplasties) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Emer

Hi there!
Thank you for your query. Dermal filler can be highly effective when it comes to a bump in the bridge of the nose and it is also generally a very safe procedure provided you go to a highly qualified and experienced practitioner. I carry out a lot of non surgical rhinoplasty on clients who have undergone a previous surgical procedure. Filler treatments are temporary but can last between 9-12 months and the product can be topped up as many times as required over the years.
Hope this helps!
Best Wishes
Dr Rupert

Hello,Thank you for your question. Fillers can smoothen your bump temporarily and it should be safe. Make sure to meet an experienced surgeon who is specialized on this area. Short and long term fillers are harmless as these matters are the proteins we already have in our bodies. However, the permanent fillers may cause reactions. To find out more please click on the attached link.Best Regards 

It should be safe for you to get fillers in your nose and they can do a good job of temporarily smoothing the bump you currently have.  It is important to seek a board certified plastic surgeon or otorhinolaryngologist with experience in fillers to the nasal area.  You should be able to have nasal injections for years to come without problems.

I have been performing nonsurgical nose jobs using fillers for the past twenty years. It has proven to be an excellent way to camouflage nasal bridge humps and bumps and the results typically engender little to no significant downtime and an immediate "Wow!" reaction. . As you implied in your question, however, caution must be exercised when injecting fillers into a nose that has previously undergone surgical rhinoplasty, since scarring and compromised vasculature may be present as a result of the surgery. In my NY office, I typically prefer Restylane Lyft for this purpose and in my Israel satellite facility, where a far greater number of regulatory agency approved fillers are available, I typically opt for Hyabell Deep. You would be wise to consult with a board certified aesthetic physician with experience and expertise in filler nose jobs, particularly because of your prior surgery. Make sure to ask to see his/her before and after photos. Best of luck from your next door neighbor country. 

Yes, using a non surgical method to address your issues is safe five years after your surgery.  There are known complications from this technique regardless whether you have had surgery or not and no one can guarantee that there will be no complications.  That being said its highly unlikely that will occur.  It will not move unless undue pressure is applied to the treated area shortly, within 48 hours, after the procedure.
Filler will cause some inflammation and collagen synthesis in its degradation process.  That can be a favorable issue lessening the need for more filler in the future.