Can I get a filler for my nose with existing implant? (Photos)

Question

Hello there, this is my second rhinoplasty done. It is with my ear cartilage. I have had this revision with ear cartilage for 2.5 years now and it has become very visible again on the lower tip area. I am assuming the skin is thinning. May I get nose filler to disguise the area on the tip that shows? Also, even with the cartilage nose implant, what are the chances that this extrudes? I am paranoid about that as well. I don’t know if I’m just paranoid and overthinking. Thank you so much!

Donald Groves, MD · Answer

Hello and thank you for your question! It sounds like your primary concern is the shape and appearance of your nasal tip and nostrils—one of the most common reasons people seek out both primary and revision rhinoplasty. Since you've already had a rhinoplasty, the issues are likely due to a combination of residual structural irregularities and scar tissue, which can be challenging to correct. That’s why choosing an expert in rhinoplasty—especially revision rhinoplasty—is critical.

Many surgeons overlook key techniques that can soften the appearance of underlying structures in patients with thin skin, significantly improving tip symmetry and refinement. These specialized maneuvers require a high level of expertise and experience, which most surgeons simply do not have. Given your history, an open septorhinoplasty would be the best approach to precisely reshape your nasal tip, refine the bridge, and restore overall balance.

In addition to reshaping your nose aesthetically, your septal cartilage (or an alternative graft material) would be used to create structural grafts, reinforcing key areas like the columella (the strip of tissue between your nostrils). This is crucial to maintaining long-term symmetry and preventing future distortions.

Rhinoplasty is one of the most technically demanding procedures in all of plastic surgery—millimeters make all the difference. If a surgeon is only performing one or two rhinoplasties per month, they simply do not have the level of experience necessary to achieve the best possible result. Your nose defines your entire face—this is NOT a surgery to leave in the hands of just anyone.

I have had extensive training in complex rhinoplasty, working under one of the highest-volume rhinoplasty surgeons in the world (who performs 1,000+ nose surgeries per year). If you’re serious about getting the best possible result, I’d be happy to see you for a consultation (Virtual or In-Person) where we can discuss your goals, perform a detailed examination, and create a customized plan for your ideal nose. I'm actually located right here in Los Angeles.

I look forward to helping you achieve the refined, balanced nose you deserve!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Eric M. Joseph, MD · Answer

That said, your photos appear to show a pleasing nasal appearance. If you had ear cartilage grafting to your nasal tip, and if the edges are showing, depending on your examination, microdroplet Silikon-1000 injections maybe considered for adding volume and diminishing the appearance of the graphs. I hope this is helpful. Sincerely, Dr Joseph

Jason Emer, MD · Answer

I would NOT risk having filler placed in your nose with history of surgery or Implants there is a huge risk of necrosis or vascular damage. but that Is up to you to take the risk or not. I do this frequently some of the most nasal injections in the indsutry and I would still turn you away.  Best, Dr. Emer.

Daniel Barrett, MD · Answer

Dear SammyG92,
it is hard to tell for sure without an examination. Generally speaking, it is possible to get dermal fillers if you have an implant. If you are considering a treatment, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Can I get a filler for my nose with existing implant? (Photos)

Answers (4)

Answer: Dermal fillers

Answer: Dermal fillers

Recommended reading

Everything you need to know about Nonsurgical Nose Job

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

Can I get a filler for my nose with existing implant? (Photos)

Answers (4)

Answer: Dermal fillers

Answer: Dermal fillers

Browse related questions

Recommended reading

Everything you need to know about Nonsurgical Nose Job

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