Can I have a non surgical nose job 9 months after rhinoplasty?

Question

Hello! I had rhinoplasty 9 months ago and am unhappy with the result. The tip is too rounded and a little too much has been taken away from the bridge. I'm considering non-surgical nose job to build the bridge up a little and also help add angles/sharpen the tip. Is this ok to have done now? If I don't like the result, can I have the filler dissolved? Thank you!

Eric M. Joseph, MD · Answer

In our practice, we have performed permanent non-surgical nose job treatments as early as one month after surgery. If your main concern is raising an over-resected nasal bridge appearance, I don't believe it's too soon right now. In our practice, we prefer using microdroplet Silikon-1000, which is completely permanent, and never associated with necrosis, embolus, stroke, blindness, or biofilm. I hope this helps. Sincerely, Dr Joseph

Jeffrey Watson, MD · Answer

Technically yes, you could have this done now. Traditionally we say 1 year for the swelling to be gone so you'd want to wait until then. If your surgeon thinks the swelling is gone by now on his/her exam in person then you're safe to go ahead. 
I hope that helps!
Jeffrey Watson, MDRhinoplasty SpecialistGraduate, Harvard Medical School

Harry Glassman, MD · Answer

Generally the swelling subsides by six months post rhinoplasty and you are safe to pursue fillers to correct or change any areas of concern. If the filler used is a hyaluronic acid such as Restylane or Juvederm, it can be dissolved with an enzyme hyaluronidase.

David A. Sieber, MD, FACS · Answer

Thanks for the great question! At 9 months after the surgery you should be ok to have filler placed to correct the ares you don't like. You need to be very careful about who you let put filler in your nose after having a rhinoplasty. Because some of the blood vessels in the nose are disrupted during surgery, placed filler in patients after rhinoplasty can be very dangerous. There have been cases of people losing the skin on the side of their noses because the filler blocked off a blood vessel. I would only let a surgeon who performs rhinoplasties put filler in your nose as they are familiar with the anatomy and should be able to perform the procedure safely. Best of luck!~Dr. Sieber

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