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

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

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.

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

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.

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