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Revision Rhinoplasty - filler in dorsum at the site of open roof deformity

Febro 23Nov 16, 2023
Hello I have long lasting filler in my dorsum bridge at the site of open roof deformity This filler is not hyaluronic acid it’s calcium hydroxyapatite which cannot be disssolved So can i do revision rhinoplasty ? And remove the filler during open technique surgey ? How to know if the filler is injected deep in the bone or in dermis ? Because recently i knew that if the filler is injected deep in the bone so it’s easily removed? Is there a solution? Thank you in advance ❤️

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Dr. Randal Haworth, MD, FACS
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Answered on Nov 17, 2023
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Dr. Dean Toriumi, MD
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Answered on Nov 28, 2023
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William Portuese, MD

At this point, it's still too early to tell whether or not you're gonna need a revision rhinoplasty. Best to wait at least one year and then make that determination. From the limited photos presented, you appear to have a hanging columella. This can be improved with a columella plasty at one...

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Dean Toriumi, MD

Hi Melbourne87, Thanks for your question. I personally avoid fillers in the nose because of their risks and lack of long-lasting improvement. Based on your pictures, I believe that you would benefit from a revision rhinoplasty. The benefit of this over filler would be the fact that a revision...

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Man Koon Suh, MD

It appears that you indeed have an open roof deformity and supratip cartilage bulging. The open roof deformity, characterized by a bony gap and flat dorsum, can be effectively addressed through osteotomy. Additionally, the supratip bulging deformity observed from a side view can be corrected to...

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