Will dissolving nose filler placed 1 yr post rhinoplasty cause changes or can it be restored to what it was before filler?

Question

I had a primary rhinoplasty over a year ago with cartilage grafts placed. I got nose filler recently to fill in an indent around my tip/nostril area and some in the bridge. I’m not loving the way it looks and am now concerned that if i get the filler dissolved the pressure of it being there will have displaced cartilage/some of the work that was done during the rhinoplasty. Is this something to worry about or will my nose be just as it was before the fiiller?

Alan Gonzalez, MD, FACS · Answer

Hello @medstar95, and thank you for your question. The material with which fillers are made is usually hyaluronic acid, which is a skin-compatible material that integrates with the skin. It also depends a lot on the surgical technique of the treating physician that varies from surgeon to surgeon. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)

Selcuk Inanli, MD · Answer

Hello! Thank you for your question. As far as I can understand from your question, nose filler is always dangerous because of the migration risk. After rhinoplasty it would be much risky because it can cause necrosis. You need to talk with your surgeon about it. It would be more convenient to decide with face-to-face consultation. Best Regards!

Eric M. Joseph, MD · Answer

In our experience, it may be helpful to dissolve hyaluronic acid in the nose before proceeding with rhinoplasty surgery. We have seen the enzyme dissolve hyaluronic acid placed in the nose within two days of injection. It is not clear whether dissolving your filler would be beneficial or not. Consider re-asking your question with photos. Hope this helps! Sincerely, Dr. Joseph.

Mark K. Markarian, MD, MSPH, FACS · Answer

Hello and thank you for your question. Dissolving filler is unlikely to affect/disrupt the osseo-cartilaginous (the bone and cartilage) framework of your rhinoplasty. Once your filler is dissolved, your nose appearance will likely be similar to what it was before the filler was injected.

For more information on rhinoplasty, please refer to my link below.

Good luck.

Mark K Markarian, MD, MSPH, FACS
Harvard-trained Board Certified Aesthetic Plastic Surgeon

For more information on rhinoplasty, please refer to my link below.

Good luck.

Mark K Markarian, MD, MSPH, FACS
Harvard-trained Board Certified Aesthetic Plastic Surgeon

David Plank, MD · Answer

A board-certified plastic surgeon is qualified to address your issues. Board-certified plastic surgeons have spent years of training and have the top level of experience and skill. Seek out a board-certified plastic surgeon for your cosmetic needs.

Robert Ciardullo, MD · Answer

Will your nose return to pre-filler after removing the filler? given the small amount of filler that is usually used for the nose and given the short amount of time that it has been there, the nose should return to where it was prior to injecting the filler once the filler is removed. Theoretically if a huge amount of filler is put into tissue and left there for years, there may be some change if it is removed from the pre-filler state. But this would not apply in your case.

Richard Clark, MD · Answer

Hyaluronidase is the enzyme that will dissolve the filler and it may incompletely do so [which might actually be what you want]. Bruised cartilage may do a better job and is permanent yet requires, of course, a revision [touch up] surgery. Rhinoplasty is difficult and there is a 10-20% touch incidence even with the best rhinoplasty surgeons. Good luck :-)

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there! Thanks for your questions. Dissolving the filler, if done carefully, won't likely do much to the shape of your nose. It will return to the form it had before assuming no scar tissue has developed from placement of the filler. As you probably know, there are ways to add volume for divots to the nose aside from filler. Temporalis fascia and cartilage grafts can often be performed with lasting results. Hope this helps!

Will dissolving nose filler placed 1 yr post rhinoplasty cause changes or can it be restored to what it was before filler?

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