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Can I have filler into my nose after revision rhinoplasty? If so, how long should I wait? (photos)

Honest328364Aug 18, 2022
Hello! I had revision rhinoplasty on the 4th of June this year. Unfortunately it didn’t go to plan. I have a pointed tip which is more noticeable from the side. This is from a bit of rib cartilage which sticks out slightly. I wanted a soft and rounded look but I am too scared to go back for another revision. The surgeon suggested filler above the tip in the supratip area and around the tip to blend in the tip and create a rounded and less pointy look from the side. How long should I wait?

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Dr. Ronald J. Edelson, MD
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Dr. Ronald J. Edelson, MD
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Answered on Mar 19, 2023
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Dr. Eric M. Joseph, MD
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Dr. Eric M. Joseph, MD
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Answered on May 15, 2023
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Dr. Nelson Lee Novick, MD
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Dr. Nelson Lee Novick, MD
Dermatologic Surgeon, Board Certified in Dermatology
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Answered on Mar 28, 2023
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Eric M. Joseph, MD

If you have a visible piece of cartilage after rhinoplasty surgery, depending on your examination, microdroplet Silikon 1000 injections may be considered for camouflaging the visible cartilage. Please consider re-asking you a question with the photograph. Thank you. Sincerely, Dr. Joseph

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Eric M. Joseph, MD

We can see by your photos that you have an asymmetrical tip with an indentation more on the right than on the left. Since you're only one month after surgery, this can all be attributed to nasal swelling. If you're indentation gets worse or persists in several months, microdroplet silicone 1000...

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Eric M. Joseph, MD

After an injectable filler treatment, swelling may resolve and this can lead to an appearance where more filler could be necessary. When that is the case, we suggest adding extra filler no sooner than one month from the initial treatment date. Thank you for your question. Sincerely, Dr. Joseph

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Eric M. Joseph, MD

For the reasons that you cite, we do not endorse the use of temporary gel fillers in the nose. In our practice we specialize in the use of microdroplet Silikon-1000 which is not associated with vascular occlusion and necrosis. I hope This helps! Sincerely, Dr Joseph

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Eric M. Joseph, MD

I reviewed all of your photos, and I do not see any bumps involving the tip of your nose on the right side. If you do have a small bump that consists of scar tissue depending on your examination, a dilute steroid injection might be reasonable. Thank you. Sincerely, Dr. Joseph

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Eric M. Joseph, MD

Everyone's nose is very swollen the first 3 months after rhinoplasty surgery. The best way to get advice on your current condition would be to re-ask your question with both before and after photos. I hope this helps. Sincerely, Dr Joseph

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