Can dermal fillers be used to lengthen the columella and infra-tip? Rhinoplasty done 3x previously, will this cause necrosis?

Question

I've had 3 rhinoplasties. My columella is still not as long as I'd like it to be, is it possible to add filler to the columella and infratip area? Or is there too high of a risk of necrosis?

Nelson Lee Novick, MD · Answer

You are quite right to be cautious. However, an appropriately cohesive, low viscosity HA filler can be added to the columella and nasal tip regions. This is not a region for the hands of a novice injector; this should best be trusted to and performed by a very experienced filler injector. You would be wise to make sure to consult a board certified cosmetic dermatologist and best of luck.

Darice W. Fadeyi, MD · Answer

Generally speaking, dermal fillers are not recommended at sites of prior invasive surgery especially in high risk areas with a variable blood supply. This is because the surgery can affect the normal vascular anatomy making the risk of vascular occlusion and its requisite complications higher.

Can dermal fillers be used to lengthen the columella and infra-tip? Rhinoplasty done 3x previously, will this cause necrosis?

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Can dermal fillers be used to lengthen the columella and infra-tip? Rhinoplasty done 3x previously, will this cause necrosis?

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