I need to have a dent above my tip filled in after a revision rhinoplasty. Can I have temporary filler put in for the year I will have to wait before a more permanent solution, like filling in the space with soft tissue or cartilage? Will the filler disolve enough in time? Is this a good idea?
Answer: Filler for small nasal defects The filler option is fine, as long as you are about a month or more post revision. If you try to use it too quickly after a surgery, the results are less predictable. The choice of product like restylane, juvederm, or radiesse is not that critical, but if you are looking only for a year effect, stick with restylane or juvederm. Some long term studies have shown that restylane (and therefore very likely juvederm) induces collagen deposition of your own during healing. So it is possible that you can get more lasting results with only using filler if you wanted to avoid a third surgery. However a couple of injections in series would be required. Just an option. The fillers are very precise, safe and natural.
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Answer: Filler for small nasal defects The filler option is fine, as long as you are about a month or more post revision. If you try to use it too quickly after a surgery, the results are less predictable. The choice of product like restylane, juvederm, or radiesse is not that critical, but if you are looking only for a year effect, stick with restylane or juvederm. Some long term studies have shown that restylane (and therefore very likely juvederm) induces collagen deposition of your own during healing. So it is possible that you can get more lasting results with only using filler if you wanted to avoid a third surgery. However a couple of injections in series would be required. Just an option. The fillers are very precise, safe and natural.
Helpful 5 people found this helpful
Answer: Fillers as temporary solution while waiting for revision rhinoplasty Soft tissue fillers can be used in certain situations to correct deformities of the nose. One of the more common uses is to fill depressions of the nose especially after surgery. A filler can be used to achieve a temporary result while waiting for revision surgery. In some cases, where a small depression is the only concern, having an injection of soft tissue filler every year or two to maintain the result may be more practical and affordable than undergoing revision surgery. There are several important considerations when using soft tissue fillers in the nose to improve safety and prevent both short and long term complications. Use temporary fillers NOT permanent (Silicone, Artecol). Use gel fillers NOT particulate (Radiesse, Sculptra). The amount of filler injected at one time must not be excessive as this can cause problems with not only the appearance but also the blood supply. Hyaluronic acid fillers are ideal for injection into the nose as they are temporary (usually last for over 1 year) and gel. Additionally, if too much filler is injected or there are problems with blood flow to the nose, an enzyme (hyaluronidase) can be injected to dissolve the product and reduce the risk of skin loss and scarring. Both Juvederm and Restylane are commonly used hyaluronic acid fillers. Another consideration is that you have had previous surgery which causes the skin to be less pliable, so injecting fillers can be more challenging.You would benefit from seeing a board certified plastic surgeon that performs both revision rhinoplasty and soft tissue filler injections into the nose to see what would be an appropriate option for you.
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Answer: Fillers as temporary solution while waiting for revision rhinoplasty Soft tissue fillers can be used in certain situations to correct deformities of the nose. One of the more common uses is to fill depressions of the nose especially after surgery. A filler can be used to achieve a temporary result while waiting for revision surgery. In some cases, where a small depression is the only concern, having an injection of soft tissue filler every year or two to maintain the result may be more practical and affordable than undergoing revision surgery. There are several important considerations when using soft tissue fillers in the nose to improve safety and prevent both short and long term complications. Use temporary fillers NOT permanent (Silicone, Artecol). Use gel fillers NOT particulate (Radiesse, Sculptra). The amount of filler injected at one time must not be excessive as this can cause problems with not only the appearance but also the blood supply. Hyaluronic acid fillers are ideal for injection into the nose as they are temporary (usually last for over 1 year) and gel. Additionally, if too much filler is injected or there are problems with blood flow to the nose, an enzyme (hyaluronidase) can be injected to dissolve the product and reduce the risk of skin loss and scarring. Both Juvederm and Restylane are commonly used hyaluronic acid fillers. Another consideration is that you have had previous surgery which causes the skin to be less pliable, so injecting fillers can be more challenging.You would benefit from seeing a board certified plastic surgeon that performs both revision rhinoplasty and soft tissue filler injections into the nose to see what would be an appropriate option for you.
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June 3, 2011
Answer: Fillers and Nasal Revision Surgery
The current role of hyaluronic acid fillers that are non-particulate fillers such as hyaluronic acid fillers like Juvederm or Restylane are good temporizing fillers to correct small nasal indentations that will allow one to wait and look good while you’re waiting for the nose to mature. One can then do a true revision rhinoplasty 12-15 months after the procedure if one is needed.
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June 3, 2011
Answer: Fillers and Nasal Revision Surgery
The current role of hyaluronic acid fillers that are non-particulate fillers such as hyaluronic acid fillers like Juvederm or Restylane are good temporizing fillers to correct small nasal indentations that will allow one to wait and look good while you’re waiting for the nose to mature. One can then do a true revision rhinoplasty 12-15 months after the procedure if one is needed.
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January 31, 2016
Answer: Tissue filler before revision Rhinoplasty?
A tissue filler can be used as a temporary solution while waiting for further surgery. The filler should be resolved before commencing the Rhinoplasty.
Helpful 1 person found this helpful
January 31, 2016
Answer: Tissue filler before revision Rhinoplasty?
A tissue filler can be used as a temporary solution while waiting for further surgery. The filler should be resolved before commencing the Rhinoplasty.
Helpful 1 person found this helpful
October 19, 2011
Answer: Fillers a good idea while waiting for revision rhinoplasty
Injectable fillers are very effective for correcting small irregularities of the nose. I generally prefer waiting at least 12 months after a primary rhinoplasty before performing any revision surgery. A filler may be an effective way to optimize appearance while waiting to the appropriate time for revision.
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October 19, 2011
Answer: Fillers a good idea while waiting for revision rhinoplasty
Injectable fillers are very effective for correcting small irregularities of the nose. I generally prefer waiting at least 12 months after a primary rhinoplasty before performing any revision surgery. A filler may be an effective way to optimize appearance while waiting to the appropriate time for revision.
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March 15, 2010
Answer: Be careful with the tip There are several different, safe and proven fillers available now for use in the face and nose. In general I feel much more comfortable using small amounts of filler to correct irregularities of the dorsum (the upper two thirds of the nose) rather than the tip. The problem with the tip is that there are deep, large pores that are full of bacteria and there is a risk of infection or even possible injury to the skin. You need to make sure the doctor doing the filler understands this and injects deep, below the skin. That being said I prefer to use Radiesse right over the bone or cartilage in the dorsum. It can last for a long time. Hope this helps
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March 15, 2010
Answer: Be careful with the tip There are several different, safe and proven fillers available now for use in the face and nose. In general I feel much more comfortable using small amounts of filler to correct irregularities of the dorsum (the upper two thirds of the nose) rather than the tip. The problem with the tip is that there are deep, large pores that are full of bacteria and there is a risk of infection or even possible injury to the skin. You need to make sure the doctor doing the filler understands this and injects deep, below the skin. That being said I prefer to use Radiesse right over the bone or cartilage in the dorsum. It can last for a long time. Hope this helps
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