Can I fix my asymmetric nostrils with non-surgical rhinoplasty?

Question

I had a primary rhinoplasty done in August to remove a hump. Although my doctor did a great job and Made me confident about my profile, I noticed that one side of my nostrils goes in more than the other. And when I touch it, one side is more "depressed" than the other. Can I fix this with a filler?

Robert Kotler, MD, FACS · Answer

Dear Julielyn93;

It's fairly soon after your August surgery, to consider some type of revision surgery. But at this point, you
should be thinking about what the options are in anticipation of the proper
time. It may well be that in another
month or two, the nostril asymmetry may get better, so I would advise you to
“hold tight.” Do not do anything
yet.I t is amazing how sometimes things
can loosen up a bit, settle down and improve. I am sure your surgeon feels the same way.

Typically, surgical revision rhinoplasty is not
considered for at least six to nine months after surgery. However, depending on the particulars of what
is happening with the nostril area, it may be appropriate to perform a
non-surgical or filler revision rhinoplasty earlier. It all depends on how the tissues look and
feel, and all this calls for a very careful examination by your surgeon or a
consultant, if that's the course you want to pursue.

With respect to one side being more “depressed” than the
other, that too may self-correct in time, and I would advise waiting. Often the tissues are too firm to have any
intervention performed upon them, so try to be patient if you can.

As far as the fillers go, it is certainly a consideration
and you need to consult with somebody who is very experienced and can offer you
that option. Of course, first check with
your surgeon, because he knows your nose best.Silikon 1000 (Adatosil)
is an inert, medical-grade, liquid silicone cleared by the FDA for use inside
the eye. Cosmetic surgeons may legally use it under “off label” provisions that
say, in the doctor’s best judgment, a medical device or product may be used if
it uniquely fills a patient’s needs. In the right hands, micro-droplets of
Silikon 1000 are meticulously placed in just the right places under the skin.
If a small bump (medically, a nodule)
develops at the injection site, the droplet has been placed too shallowly under
the skin. Critics claim liquid silicone travels under the skin, but that
happens only when it is injected in large pools. One Silikon 1000 micro-droplet
injection deposits 1/8th the amount an eyedropper dispenses in a
single drop.Finding a good cosmetic plastic surgeon starts with a
computer search of surgeons in your (or distant) areas. Best results come from
super-specialists (a medical, not an
advertising term) who do the procedure you want at least weekly and have done
it for at least a decade.
Once you narrow in on the website of a surgeon who looks
good to you, focus on the before and after pictures, looking for patients who
have had the procedure you want. There should be dozens and dozens of such
photos.
Many good, plain language books about cosmetic plastic
surgery are on Amazon.com or Barnes&Noble.com.

As you read, write down questions that can be asked later in
consultation with a surgeon.

So do that homework.You live in a large metropolitan area where you should be able to find surgeons who operate that super-specialist practice focusing on noses and who have the
facility to do what you want to have.

Best wishes,

Robert
Kotler, MD, FACS

Kimberly Lee, MD · Answer

It is difficult to answer this question without a proper examination of your nose as many different components can lead to the asymmetry you are describing.  Please consult with a board certified specialist who can assist you with achieving the results you seek. 3-dimensional computer imaging can also serve as an important communication tool with your surgeon and allow you to visualize what you may look like afterwards.

Kyle S. Choe, MD, FACS · Answer

Dear Julielyn93,Yes. Fillers such as Juvederm can be used to correct asymmetry in your nose. This is a quick process (less than 10 minutes) and the result is immediate. It should last 12-15 months.

David Alessi, MD - Account Suspended · Answer

There is no way of determining this without an in-person exam.  You should start with your surgeon and ask what was done in the nostril area and what they expect will happen as the healing goes on.  It is too early to know if a revision or fillers are needed now.  Best wishes

Can I fix my asymmetric nostrils with non-surgical rhinoplasty?

Answers (4)

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