Can my nose be fixed with filler or would I need to have surgery? (photos)

Question

I had to previous sinus surgeries with septoplasty and now have saddle nose. I do have a hole in my anterior septum. The second to the last photo is what my nose looked like prior to surgeries several years ago.

Tanveer Janjua, MD · Answer

The nasal deformity can be helped with fillers but you have to be aware of the risks of the fillers such as skin loss, blindness etc. Surgery is always the best option for safe long lasting results. RegardsDr. J

Matthew Bridges, MD, FACS · Answer

The saddle is caused by loss of septal support,  not uncommon with a septal perforation.   You could have some filler injected in your bridge,  but the long term solution will require surgery to fix the hole and rebuild the bridge.   The saddle can get worse over time due to slow enlargement of the perforation.

Sean Freeman, MD · Answer

meippolito, Just because it can be done does not mean it should be done; in other words filler could be used but in my opinion it would be just as risky if not more so than doing a proper revision. See an experienced surgeon that does "only faces". see the video and good luck!

William Portuese, MD · Answer

In our practice, we do not recommend placement of a significant amount of fillers in the nose in an attempt perform a rhinoplasty procedure. Fillers are only temporary, are not FDA approved for that application, and can have significant complications such as skin necrosis.  A surgical rhinoplasty can accomplish  shaving down the dorsal hump, and building up the saddle nose deformity with a cartilage graft.  This is a very difficult rhinoplasty, so choose your surgeon very wisely based on extensive experience. For more information  and many examples, please see the link and the video below

Fred J. Bressler, MD, FACS · Answer

I am sorry that your previous surgery was complication by a nasal septal perforation and secondary saddle deformity of the nose. Fillers only offer temporary camouflage for the saddle deformity and are associated with risks to the skin and vascular supply to the tissue. Actual correction would require nasal reconstruction rhinoplasty and closure of the nasal septal perforation simultaneously. Perforation closure depends on several factors including, size of the perforation, location, septal mucosal tissue health, infection, persistent sinus issues etc. Smaller perforation less than 1cm have a greater success rate than larger ones, though perforations can be closed generally up to 3cm. If your perforation is very large, but stable without infection, some surgeons would opt to leave it alone and reconstruct the saddle deformity with an open rhinoplasty. Ideally, best to fix the nose and perforation together, if possible. Consult with a surgeon who has experience and success with septal perforation and rhinoplasty to see if your case is favorable with regards to repair. Please contact my office if you need additional information. Best Regards.

Can my nose be fixed with filler or would I need to have surgery? (photos)

Answers (5)

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