Ask a doctor

Is Filler Safe on Top of a Silicone Implant in the Nose?

Hello. I'm about 2 weeks post-op asian rhinoplasty. I wanted a straight nose, but it is slightly scooped in along the bridge. Would it be safe to get injectable filler along the bridge and around the bridge, even though I have a silicone implant? What kind of filler would you recommend and what are the risks? My biggest worry is that if an infection arises from the filler, I would have to remove the implant. thank you.

Doctor Answers 5

Asian Rhinoplasty Revision with Dermal Filllers

August 21st, 2010
{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Hello,

This is very early after surgery. please be patient for another 6 months.

I would not recommend having filler on top of silicone implant in the nasal bridge area.

Fillers in the nose can create irreversable problems.

Please discuss your desires with your surgeon and he can replace the implant if possible.

Hope this was helpful.

Dr. Sajjadian

Ali Sajjadian, MD, FACS


Orange County Plastic Surgeon
5.0 out of 5 stars 186 reviews

FIllers and Silicone Implants

February 16th, 2011
{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I would not recommend injecting a filler near a silicone nasal implant.  If the needle touches the implant or implant capsule, there is a risk of infection.  If the implant becomes infected, it all most always has to be removed.

Daniel Reichner, MD

Daniel Reichner, MD
Newport Beach Plastic Surgeon
4.9 out of 5 stars 38 reviews

Fillers 2 Weeks after Rhinoplasty

August 29th, 2010
{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I do nor recommend injection of fillers 2 weeks after your rhinoplasty. Wait several months for swelling to resolve before doing any additional modifications.

Richard W. Fleming, MD

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 37 reviews

No fillers on top of silicone nasal implant.

August 23rd, 2010
{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

You do take the chance of an infection and removal of the implant so I would not do that. Your own tissue can be used later if needed.

Toby Mayer, MD

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 32 reviews

Too early to consider revision

August 22nd, 2010
{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

You are only two weeks post rhinoplasty and i recommend to wait at least 3-6 months. If the result is uneven that is due to malposition of the silicone implant, then surgical revision is indicated now. please discuss this with your surgeon or send pictures.

Kamran Khoobehi, MD

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.7 out of 5 stars 110 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.