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Can filler fill this "hole" I got after Rhinoplasty? (photo)

David1981Nov 18, 2014
Hi, i did a rhinoplasty for 1 year ago and i'm not satisfied with the results. I have like an "hole" on the nose tip and was woundering if its possible to correct that area with a dermal filler without worrying about collapse/infection. The hole looks bigger in real life. My question is: 1. Is dermal filler safe to inject at that area? 2. How did this "hole" happen? 3. Will filler bring symmetry or will my nose get more flat?

Answers (4)

From board-certified doctors and trusted medical professionals
Dr. Elias G. Gikas, MD
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Dr. Elias G. Gikas, MD
Board Certified Plastic Surgeon
4.8 | 76 Reviews
Answered on Nov 21, 2014
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Dr. R. Laurence Berkowitz, MD
Dr. R. Laurence Berkowitz, MD
Board Certified Plastic Surgeon
Answered on Nov 24, 2014
Answer
Dr. Michael T. Somenek, MD
Dr. Michael T. Somenek, MD
Board Certified Facial Plastic Surgeon
Answered on Nov 21, 2014
Answer
Dr. Richard W. Fleming, MD (retired)
Dr. Richard W. Fleming, MD (retired)
Board Certified Facial Plastic Surgeon
Answered on Nov 20, 2014
Answer

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Michael Zacharia, MBBS, FRACS, FAAFPS

An alar base reduction would address the nasal flare but you also have a hanging columella (the bottom middle of your nose that joins the space to your top lip).  Rhinoplasty means surgery of the nose and this is what is required in your case, but only the tip.  Many people have nasal...

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Michael Zacharia, MBBS, FRACS, FAAFPS

Of course this can be addressed with a Rhinoplasty and it appears to me that almost your whole nose could do with some narrowing.  Your alar base is very wide and very low compared to the tip of your nose.  The tip of your nose certainly needs some work as it is very over rotated...

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Kenneth Hughes, MD

   There is a lot of variability there and certain other nasal and facial relationships may make nostril show more unacceptable from a cosmetic point of view.Kenneth Hughes, MDLos Angeles, CA

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Elias G. Gikas, MD

Based on the pictures you provided it does not appear that you need weir excisions.  These are done to reduce the width of the base of the nose (narrowing the nostrils) or in flaring wide nostrils.You should discuss it with your surgeon if it is a concern and if there would be benefits in...

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Colin Pero, MD, FACS

The techniques used to create the shape of his nose proved to be risky as well.  It is widely believed they led to eventual extrusion (cartilage poking through the skin) which is an extremely difficult to correct.  I would not advise you to pursue this but to discuss what features you...

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Edward J. Gross, MD

I have used the solid silicone nasal implants from Implantech for 20 years with a an infection and extrusion rate ~ 5%. The majority of the implants used in our practice are Voloshin and Flowers style. The implants are now more soft and pliable and cause no tissue reaction. See durometer. I h...

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