Can I use Resatylane injection on the tip of the nose?

Question

I had an open rhinoplasty with septum cartilage a month ago, everything is fine except now I want the tip to be a little more projected. Can I use Resatylane injection on the tip of the nose? How long would it last? I've heard that Resatylane could last longer on noses that's been through rhinoplasty because it would develop scar tissues underneath so it never really goes away. Is this true?

Nima Shemirani, MD · Answer

Hi @tamayooo! Tip swelling usually takes 1 year to fully resolve after a rhinoplasty. I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications. Best of luck, Dr. Nima!

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question. First, wait a full year before judging the results of the rhinoplasty. Then if you still have a problem, use of filler can be considered. The tip of the nose can be tricky with fillers and treatment could result in necrosis. Ask you surgeon if he is experienced with filling the tip of the nose or see an experience oculofacial surgeon. Good luck!

Douglas Wu, MD · Answer

Thank you for your question. I believe you are still far too early in your healing process to consider additional treatment on your nose. Rhinoplasty takes many months - up to a full year - before the results are fully apparent. I recommend you wait for one year before thinking about another treatment. If you are not completely satisfied with the results of your rhinoplasty at that point, a filler treatment is certainly a possibility. 
If you pursue a liquid revision rhinoplasty at some point in the future, make sure you work with a board-certified dermatologist with extensive experience in this procedure. Liquid rhinoplasty takes extensive experience, expertise and an artistic eye to ensure the results are both natural and proportionate to the rest of the facial features.

Steven H. Williams, MD · Answer

Hi,Thank you for your question.Nasal tip swelling usually takes 1 year to fully subside after surgical rhinoplasty. I would recommend waiting at least 1 year before considering fillers in the nose for the best cosmetic outcome. Additionally, keep in mind that the vascular anatomy may be different after rhinoplasty which can increase your risks for vessel occlusion, skin necrosis, and blindness. Please make sure to see an experienced injector for treatment of this area.Hope this helps!

Michael I. Echavez, MD · Answer

Injecting a filler into the tip of the nose can be very tricky.  I frequently do not recommend it as it can be an area where necrosis of the skin can occur.  I would discuss your concern with the surgeon who performed your rhinoplasty.  There are areas of the nose that sometimes can be injected with less risk.

Camille Cash, MD · Answer

This is a question that is best answered by your plastic surgeon.  You may want to wait until you are further in the healing process before considering adding fillers.  Complete healing from a rhinoplasty can take up to one year.

Andy Shieh, DMD · Answer

See your plastic surgeon that had did your rhinoplasty and consult with him/her because they know where they place the cartilage and what shape they were. Knowing what’s in your nose tip can help when placing filler into your nose tip. Further your nose plastic surgeon would know best when it’s OK to place filler into the tip. Nose tip is very fragile and it can be ruin if it’s blood supplies is compromised by fillers placed or injected into the wrong place.

Leonard Grossman, MD · Answer

Restylane is an excellent product for non-surgical rhinoplasty. You however have just had your surgery and you haven't even begun to heal. Healing process from rhinoplasty takes anywhere from 6 to 12 months and in some cases even longer. Personally I would not recommend using Restylane in your nose tip at this point in time but you can definitely confer this with your plastic surgeon. Should he or she agree, then so be it and let them treat you. Good luck from New York City

Paul P. Daraei, MD - Account Suspended · Answer

Hi There,
Restylane-L can be injected into the nose to achieve certain results. It can be safe and effective if done by an experienced injector who is familiar with anatomy. However, injection of filler to the nose is not without risk. Because you have recently had a rhinoplasty, I would first start by discussing the option of filler to your nose with your surgeon. Your surgeon may not be comfortable with you having filler to the nose at this point in the healing process. In addition, your surgeon may be experienced in filler to the nose, and because your surgeon is familiar with your anatomy, that would be the best person to start with.
As for whether or not Restylane would last longer in a nose that has undergone a rhinoplasty, I don't know if we know the answer to that. I would imagine that it would last just as long as in a patient who has not had a rhinoplasty. In the immediate post-operative period (which you are in), I would imagine filler would be absorbed even more quickly since your nose is actively healing. However, I do not have any evidence to back that up - only a guess.
Hope that helps!

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,I think in this scenario you still have to take a little more time to heal.  I would definitely discuss this with your plastic surgeon.  It takes quite some time to heal after a Rhinoplasty.

Can I use Resatylane injection on the tip of the nose?

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