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

Question

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?

Elias G. Gikas, MD · Answer

Fillers  around the tip of the nose can be risky because of the blood supply to that area after rhinoplasty surgery that may be compromised. Also fillers are a temporary solution. A small  cartilage graft from the ear may be an easier and more permanent  solution. It can be done with local anesthesia in an office setting.

R. Laurence Berkowitz, MD · Answer

Without the benefit of reading the operative note and seeing pre-operative photos it is speculative to say either cartilage was removed in that location or tension sutures to reshape the tip are responsible for this effect.  Depending on the cause either  cartilage grafting or suture modification may be the answer.  Wee your surgeon and you will probably able to derive a satisfactory solution.  If you are dissatisfied with your physician's response then seek a second opinion.

Michael T. Somenek, MD · Answer

Caution should be used with dermal fillers in the nose. Serious complications can arise, especially in the nasal tip region, that can compromise the blood supply and cause tissue loss and a much greater deformity than you started with. Small irregularities can appear after rhinoplasty due to a variety of factors. These include: irregularity of the underlying cartilage, scar contracture, prolonged edema of the nasal skin envelope. In any case, at one year you have given the nose time to adequately heal and would not be unreasonable to consider a minor revision procedure to correct this abnormality.

Richard W. Fleming, MD (retired) · Answer

Fillers can be used in the nose but I strongly recommend that they not be placed in the tip because severe complications including tissue loss can occur in this location. A small revision procedure can be done to improve the contour.

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

Answers (4)

Answer: Filler for "Hole" Post Rhinoplasty

Answer: Filler for "Hole" Post Rhinoplasty

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Everything you need to know about Rhinoplasty

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

Answers (4)

Answer: Filler for "Hole" Post Rhinoplasty

Answer: Filler for "Hole" Post Rhinoplasty

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.