Dissolving filler in cheeks, and under eye and nasolabial folds prior to rhinoplasty

Hello,

It should have no impact. Your nose might be more projected with the filler so if you are concerned with that, then dissolve. Otherwise, it should not make a difference.

If your ha fillers look acceptable, I don't believe there is a necessity to have them dissolved before your rhinoplasty surgery. It's different if somebody has Juvederm in their nose and wishes to have rhinoplasty surgery. When that is the case, having the filler dissolved may bring somebody back to their Baseline nasal appearance. I hope this helps. Sincerely, Dr Joseph

Hello and thank you for your question. You do not have to get those fillers dissolved prior to surgery. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

In our clinic, what I would neither perform nor recommend in general is filler. Each surgeon will have their own view and opinion on this and it may be best to discuss with your doctor.
Filler may bring balance to uneven topography of the cheek area, which could positively affect your outcome helping it appear more symmetrical. Too much filler, however could negatively impact the result your surgeon is able to achieve. Without seeing a photo, it’s not possible to say.
The best way of dissolving HA is to perform slowly, over several visits. Dissolving does not always happen symmetrically. Symmetrical dissolving is only an idea once fillers are placed.
It will also depend on your long term goals. Would you want to touch-up your filler post-op? If so, perhaps better not to dissolve just to repeat.
Your surgeon can create a long-term treatment plan with you based on your goals and best weigh in.
I hope this is helpful in guiding your pre-operative conversations!

You do NOT need to dissolve the filler in your cheeks for a rhinoplasty procedure. Choose your surgeon wisely based on extensive experience, producing natural results.

No, you would not need to get your fillers dissolved before your rhinoplasty as they are not necessarily related with the procedure that you would undergo.

I suggest you ask you rhinoplasty surgeon what their thoughts are.
Some plastic surgeons are very particular and don’t want anything that can distort your facial aesthetics in regards to making a really good assessment before and during surgery.
Fillers typically don’t last much longer than six months so I think as long as you don’t get more fillers, you should be OK either way.
Personally, as long as the fillers aren’t in the nose, I don’t think it would make that much difference for me personally, but I generally prefer to have the area. I’m working in be free of manipulation from temporary treatments.
The best example of this is patients who get facial fillers prior to getting facial fat transfer.
Your provider is the right person to ask.
Best,
Mats Hagstrom MD