Thinking of getting rhinoplasty but I have Belotero under eye fillers, would that be ok?

Question

I have Belotero filler in my eye troughs and some in my cheeks. I really need/want rhinoplasty to correct my deviated septum. Will there be any issues because of the fillers?

Suleyman Tas, MD, FEBOPRAS · Answer

Undereye fillers isn't a barrier for rhinoplasty. You need to inform your doctor about them though. If you consider combining fat injection with a nose job in that case the fillers should be dissolved at least one month before in case if touch up might be required. Personally, I utilize Closed Atraumatic Technique to reshape the nose in the most sophisticated way by protecting the anatomy of the nose.

Daniel Barrett, MD · Answer

Dear MtnSky,
it is hard to tell for sure without an examination. Generally speaking, it is possible to get rhinoplasty if you have dermal fillers. 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

Michael I. Echavez, MD · Answer

In my opinion, there would not be any problem with having had Belotero under the eyes before a rhinoplasty.  The filler should not affect the surgery and vice versa.

Barry M. Weintraub, MD, FACS · Answer

I perform rhinoplasty surgery on many patients who have filler in their cheeks and undereye area. As a specialist in rhinoplasty, I see this often, and unless there is an unusual situation, it would not compromise the results of the rhinoplasty. Although swelling and bruising are kept at a minimum due to the way I perform surgery, you might experience a bit of swelling in your undereye area after surgery since hyaluronic acid tends to absorb water, but this would quickly dissipate. I recommend consulting with a board-certified plastic surgeon in person to discuss your rhinoplasty and your expectations.

Neal G. Moores, MD · Answer

Hello, It should be ok to have a rhinoplasty if you have filler in your cheeks. The only potential issue I could see there would be if when you got the fillers, if you suffered some vascular complication related to the fillers in a blood vessel. Outside of that though, if your fillers went well and there were no issues, then you should be fine to have a rhinoplasty.
Note: The above is intended as general plastic surgery educational material and does not constitute a personalized care plan, or a doctor patient relationship without a detailed interview, medical history, and physical exam.

William Portuese, MD · Answer

It is totally acceptable to undergo a cosmetic rhinoplasty if you had fillers placed underneath the lower islands. A rhinoplasty  is performed  to change the shape of the nose, and is considered cosmetic and must be paid for by the patient themselves. A septoplasty is performed in the back of the nose for a deviated septum blocking airflowDynamics. Both procedures can be performed  together under one anesthesia with one recovery period.

Robert Singer, MD · Answer

Generally, eyelid fillers should not be a containdication to undergoing a rhinop;lasty and should increase potential problems.

Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you what to do  without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of the operative procedure would not be in your best surgery. Natural appearing results need to be individualized and what is appropriate for one patient is not necessarily the best for someone else. I would suggest that you find a surgeon certified by the American Board of American Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person and see if they suggest hyaluronidase to remove the fillers before surgery.

Robert Singer, M.D., FACS

La Jolla, California

Thinking of getting rhinoplasty but I have Belotero under eye fillers, would that be ok?

Answers (7)

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