Is liquid rhinoplasty a good option for reducing a wide nose after rhinoplasty? (Photos)

Question

I had a rhinoplasty 2.5 years ago by doc who specializes - and then 1.5 years since an rasping on sides. I wanted a narrow, smaller nose. My nose looks wider & flat on top with a large dent. He said he narrowed. I am not looking to do this again as I bruised terribly. Will liquid filler improve the front and make less flat looking? The doc said that’s the solution he recommends as surgery isn’t an option in his mind. Will liquid filler help and correct? I realize filler is temporary. Thank you.

Jonathan Kulbersh, MD · Answer

It is possible you could see some temporary improvement with some well-placed filler. However, I recommend an in-person assessment with an experienced, board-certified facial plastic surgeon who has expertise in rhinoplasty techniques. This surgeon will be able to determine whether fillers will be sufficient or whether revision rhinoplasty is the only way to get a good result.

Eric M. Joseph, MD · Answer

Depending on your examination, microdroplet Silikon 1000 injections may be considered fulfilling the visible indentation in the mid bridge of your nose. He could also be considered for raising your upper bridge for a strader nasal bridge appearance. This may not, however, lead to nasal narrowing. Nasal narrowing would require repeat osteotomies. Thank you so much for your question and I hope this is helpful. Sincerely, Dr. Joseph

Jason Emer, MD · Answer

you just need a revision by an expert. your tip is not proper height and position as well and the bones look like they werent broken properly first time around and need to be redone and/or grafted. fillers will not make you look more narrow but will help soften the dent/irregularity.  Best, Dr. Emer.

Ronald J. Edelson, MD · Answer

Fillers may help with filling in the dent in the bridge of your nose. it is possible that your bones were never adequately broken at the original rhinoplasty. If so you need a revision with more complete nasal bone fractures.

William Portuese, MD · Answer

No, placement of fillers in the nose is only temporary, will make the nose bigger, is not FDA approved for that application, and can have significant complications such as skin necrosis. There appears to be an open roof deformity from rasping the bridge.  Medial and lateral osteotomies placed in the nasal bones are going to be required to narrow the entire bridge line and close the flat-top, open roof deformity.

Paul P. Daraei, MD - Account Suspended · Answer

Hi There,
Filler to the nose can be helpful in certain patients. Filler to the nose is additive, meaning you are adding volume to certain areas to improve symmetry/contour and camouflage humps, bumps, and irregularities. Based on your photos, it seems that there are prominent edges to the bone and cartilage of your nose, creating the dent you are referring to. Filler can be injected in that area to smooth the dent, but this may bring your nasal bridge out more. This should be done conservatively to avoid giving you a "hump." In addition, injection of filler to the nose is not without risk. You should seek an experienced surgeon and discuss whether you are a candidate before proceeding.
Hope that helps!

Is liquid rhinoplasty a good option for reducing a wide nose after rhinoplasty? (Photos)

Answers (6)

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