Is nose filler dangerous if I’ve already had 3 previous rhinoplasties?

Question

I’ve had 3 previous rhinoplasties, the last one being a year ago. I have a small indentation on one side of my nose, alongside my supratip area and then I also wish my nose tip was slightly raised. It doesn’t droop but I want it upturned. I talked with an ENT who said nose filler would be perfect for me. However, when I read online about blindness and necrosis I get freaked out. I keep reading it’s more dangerous after having had other surgeries. Would I be putting myself in great danger?

Donald Groves, MD · Answer

Hello and thank you for your question. Unfortunately, filler is not strong enough to overpower the extensive scar tissue present in your nose after having multiple prior rhinoplasty surgeries- you would need another revision rhinoplasty to properly correct your issue and to solidly reinforce the entire underlying framework to assure you get the BEST long term results (to prevent distortion and retraction from scarring forces over time). Anyone who tells you otherwise is doing you a HUGE disservice! Also, nasal filler indeed does carry the risk of BLINDNESS- and this risk is increased if you have had prior surgery (because the anatomy is distorted)!

Revision rhinoplasty is truly a surgery of millimeters- they are the most technically challenging procedures in all of plastic surgery! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in revision rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading revision rhinoplasty experts (who performs 1,000+ nosejobs annually).

I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with revision rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Eric M. Joseph, MD · Answer

Temporary gel fillers may be associated with necrosis, embolism, blindness, stroke, and infection. In our practice, we specialize in the use of microdroplet Silikon 1000, a permanent soft tissue filler. Since the size of a silicon 1000 molecule is smaller than a red blood cell, necrosis and other vascular problems do not occur. Please consider re-asking a question with photographs. I hope this helps exclamation! Sincerely, Dr. Joseph

Hyeong Jun Kim, MD · Answer

Usually filler on top of the nose that went through rhinoplasty is not recommended.SInce it can cause necrosis if the filler blocks blood flow.Also tip of the nose can't be raised by filler.

Is nose filler dangerous if I’ve already had 3 previous rhinoplasties?

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Is nose filler dangerous if I’ve already had 3 previous rhinoplasties?

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Recommended reading

Everything you need to know about Nonsurgical Nose Job

Our mission is to create a world where every investment in modern beauty is Worth It.