Can this be corrected with silicone micro droplet injection? (Photo)

Question

I had alar notching and asymmetry from a closed rhinoplasty in 2014. Recently, Oct 2023 I had an alar rim graft placed to help but the nostril is still high and asymmetrical. Surgeon said it won’t get much better. After healing for another 8-10 months, could this silicone injection correct the remaining asymmetry? I sincerely and strongly prefer not to have any more surgery… thank you for your time…

Eric M. Joseph, MD · Answer

Sometimes results are variable especially if there is an alar rim graft taking up space. If the area of your retracted nostril is soft to the touch, depending on your examination, microdroplet Silikon-1000 may be considered for improving upon your nostril margin symmetry. There would be no risk of necrosis embolism vascular occlusion or infection. I hope this helps! Sincerely, Dr Joseph

Nelson Lee Novick, MD · Answer

I have been cautioning my regular followers for many years now that permanent filler use can translate into prolonged or permanent filler complications, not just immediately following treatment, but as many as five, ten or twenty+ years later. So, "buyer beware" when considering permanent fillers for this or any other purpose. What might be considered would be the appropriate use of a low viscosity, malleable, cohesive HA filler to correct the asymmetry. In my own practice, I would consider performing a trial injection beforehand of plain saline in order to get a 'real world" idea of what and how much an actual filler treatment might accomplish. You would be wise to consult with a board certified cosmetic dermatologist and best of luck.

Can this be corrected with silicone micro droplet injection? (Photo)

Answers (2)

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