How Long Should I Wait to Have Rhinoplasty After Having Fillers on my Nose?

Question

I hv been using non-permanent fillers for my nose (tip & bridge) for abt 2 yrs now (4 mths in btwn) My last procedure for fillers was done on 2nd Sept. I want to explore Rhinoplasty instead as I am tired of getting d jabs n wld like a more permanent look. I m planning for d procedure in Mar 2012. Consultations scheduled end Nov. Is d time span good enuf for d effects of my fillers to wear off for d consult in Nov n procedure in Mar? If no, how long should I have to wait before I can proceed?

Kevin Sadati, DO · Answer

Dear Patient,

	Appropriate timing to have a surgical rhinoplasty after a non-surgical rhinoplasty depends on the type of filler that was utilized. If hyaluronic based filler was used for non-surgical rhinoplasty, it would be fine to have a surgical rhinoplasty in 6 months. I have performed many cases similar to yours with 6 months waiting period and no complications were encountered. However, I would highly recommend waiting at least a year if filler like Radiesse was used. It takes much longer for this type of fillers to dissolve. Good luck Dr. Kevin Sadati

Scott Trimas, MD · Answer

It is best for the fillers to probably be gone prior to the rhinoplasty so the exact degree of correction can be planned. I would discuss the timing with your surgeon as different fillers take different amounts of time to resorb.

Umang Mehta, MD · Answer

Hello Kauakea,

	Thanks very much for the question, one I get very frequently from patients seeking a Nonsurgical Rhinoplasty. Temporary filler placed in the nose can improve the shape of the nose for 9 to 18 months, though the correction may be present even longer. Fillers in the nose seem to last longer than some other areas of the face (e.g. around the mouth), likely due to the fact that the nose doesn't move much with animation, talking, and chewing. There are also permanent fillers which can be used, though this must be performed very carefully and judiciously. 

	Getting back to your question, it would be helpful to know which filler was used. If one of the Hyaluronic Acid (HA) fillers such as Restylane, Perlane, Juvederm Ultra, Juvederm Ultra Plus, or Prevelle were used, the filler can be dissolved at any time with a few injections of hyaluronidase. You could have this reversal performed and have your rhinoplasty consultation and computer imaging done the following day. If on the other hand, your physician injected a non-HA filler such as Radiesse, the results can last for over a year. In my experience, rhinoplasty can be more time-consuming after Radiesse injection as the tissue planes are a bit more "sticky." In any case, be sure to do your due diligence and consult with surgeons specializing in rhinoplasty. 

	Best of luck,

	Dr. Mehta

William Portuese, MD · Answer

Since fillers temporarily mask the shape of your nose, it is preferred that filler has dissolved before undergoing rhinoplasty. As results from rhinoplasty are permanent, it is prudent to present your surgeon with the true shape of your nose without fillers so that surgical changes made during rhinoplasty will produce the best results.

David A. Bray, Sr., MD · Answer

Vheck with your surgeon. You need to wait until the filler is gone in order to make the correcxt pre-opreative decisions

Darryl J. Blinski, MD · Answer

Sounds like a good plan but you did not specify the fillers used. That could effect the timing. Be sure to disclose this to the examining PSs.

Chase Lay, MD · Answer

Hi Kauakea,

	I'm assuming you've been using Radiesse for this.  You could get the consult done in November but before you have your surgery in March get one more evaluation around February to ensure your surgeon's thoughts and plan remains the same.  You should bring some photos with you to your consultation of your original nose if you can (should have them a the office you've been getting your injections performed).

	I have a lot of patients who transition from Radiesse to a rhinoplasty with augmentation of the bridge and I do like to wait about 6 months from the last injection before I perform the surgery.  This is not for safety reasons but just to allow me better judgement.

	Hope that helps

	Chase Lay, MD

Steven Wallach, MD · Answer

You may want to give it a year before undergoing a revision because fillers take a long time to dissolve on the nose. This will allow your surgeon to make a better evaluation.

Louis W. Apostolakis, MD · Answer

The answer depends a lot on what filler you had. If you had a hyaluronic filler like Restylane or Juvederm, you can ask your surgeon to disolve the filler with hyaluronidase. The dissolving is complete in only a few hours. I would suggest that waiting a few weeks would be sufficient once you have it dissolved. If you had a non-disolvable filler like Radiesse, I would suggest waiting about one year.

Francis R. Palmer, III, MD (retired) · Answer

IMHO, you can have Rhinoplasty, if warranted, anytime. Temporary fillers will not affect the Rhinoplasty which reshapes the nasal skeletal structures (cartilage and bone). Any experienced Rhinoplasty Surgeon should be able to take into account any temporary filler that was used. In fact, the filler will most likely be removed during the Rhinoplasty as the nasal skin and tissues are lifted off of the underlying nasal skeleton.

How Long Should I Wait to Have Rhinoplasty After Having Fillers on my Nose?

Answers (13)

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