4 years post-op rhinoplasty, unhappy with the results. Am I a good candidate for Silikon 1000? (photos)

Hello mariaclara1, and thank you for your question regarding options to address your rhinoplasty concerns.

I want to emphasize that I never recommend permanent fillers such as Silicone 1000 for nasal augmentation or correction. While it might seem like a less invasive option compared to surgery, permanent fillers come with serious long-term risks, including migration, scar tissue formation, and inflammation. These fillers cannot be dissolved and must be surgically removed if complications arise, which can further damage the delicate structures of your nose. Additionally, permanent fillers in the nose can lead to severe complications like necrosis and even systemic issues like ASIA syndrome (Autoimmune Syndrome Induced by Adjuvants).

For your concerns about your nasal bridge, nostril asymmetry, and visible nostril openings, I would recommend considering a revision rhinoplasty. This could involve using a rib cartilage graft to build up and reshape your nasal bridge, providing a more balanced and aesthetically pleasing result. Rib cartilage is an excellent option for revision cases because it is strong, natural, and versatile for reconstructive purposes. An experienced, board-certified plastic surgeon with expertise in revision rhinoplasty can address both your cosmetic and structural concerns.

I understand your hesitation about undergoing another surgery due to your previous experience, but working with the right surgeon can make all the difference. Revision rhinoplasty is often the safest and most effective way to achieve long-lasting, natural results while minimizing the risk of future complications.

I hope this helps clarify your options and the risks associated with permanent fillers. Please consult with a board certified plastic surgeon to discuss the best approach for your goals and concerns.

Sincerely,
J. Timothy Katzen, MD

In general, we can camouflage many irregularities after previous rhinoplasty surgery utilizing microdroplet Silikon-1000 injections for permanent Improvement. Based on your up close photos, we may be able to get some improvement of excessive nostril show and nostril asymmetry, however, you appear to have a very wide nasal bridge appearance on front view. Silikon-1000 injections may be considered for raising a bridge, however, they do not lead to a narrower nasal appearance nor do they lead to bridge line improvements on front view. I know that you do not want to undergo another surgery, however, if you have an open roof deformity, nasal narrowing may be considered by performing osteotomies. Consider meeting with several reputable rhinoplasty specialists so you could see what might be best for you moving forward. Thank you for this question! Sincerely, Dr Joseph