Is filler a good option to lift my tip 14 months post rhinoplasty? (photo)

Question

I got a rhinoplasty 14 months ago. The results were really subtle and I wish the tip was a bit more pointy and lifted. Is adding filler to the tip safe/a good option? Or should I just Leave it as-is? I want to avoid a revision if possible.

Eric M. Joseph, MD · Answer

Unfortunately, fillers are not helpful for achieving a lifted nasal tip appearance. that said, it is impossible to make a recommendation based on the single image you provided. Please consider reasking your question with more photos. Thank you. Dr joseph

Nelson Lee Novick, MD · Answer

I have been using HA fillers for elevating and shaping nasal tips for many years with gratifying results. The particular issue here is filler treatment after a prior surgical rhinoplasty. Changes in the anatomic position of blood vessels and entrapment of blood vessels in post-surgical fibrous tissue are the particular issues when considering any filler injection treatments following a surgical rhinoplasty. Experience and skill are required. So, it would be wise to make sure to consult an experienced, board certified cosmetic dermatology injector when pursuing this option, rather than risking a cut-rate, novice injector or medspa venue accustomed to simple filler injections for smile lines. Hope this helps, and best of luck.

Kim Meathrel, MD, JD, MBA · Answer

It's difficult to give recommendations based on only one view in the photograph. You need to be extremely careful placing filler into noses due to the risk of vascular occlusion and the risk is even higher in a post-rhinoplasty nose due to the changes in the vascular supply post-surgery. If you decide to got this route please go back to your original surgeon who has all the detail of how the tissue was dissected.

Is filler a good option to lift my tip 14 months post rhinoplasty? (photo)

Answers (3)

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