Would Restylane on Nasolabial Fold Affect Rhinoplasty?

Question

I'm considering getting Restylane in nasolabial folds, but am also interested in Rhinoplasty in 2 months.The Rhinoplasty would include alar base reduction. I'm just wondering if I should hold off on the filler, as I am concerned that the 'plane' for the new nostril positioning would be altered. Do you have any experience with Rhinoplasty and nasolabial fillers? thank you.

Rod J. Rohrich, MD · Answer

Rhinoplasty is not affected by injections around the perioral nasolabial fold area or even in the periapical base area. It does not have an affect on rhinoplasty.

David C. Pearson, MD · Answer

There's no hard and fast answer here, but from my perspective:
1) Don't do the filler during surgery. That adds unnecessary time under anesthesia.
2) Since the rhinoplasty is the more complicated and permanent procedure, I'd usually recommend doing it first. After the majority of the swelling has resolved (say, 6 weeks post-op), then the nasolabial folds could be filled in.
3) For the nasolabial folds, I tend to prefer Radiesse (longer lasting) and sometimes Artefill (a permanent filler).
Hope this helps,
--DCP

Jeffrey E. Schreiber, MD, FACS · Answer

Hi Hellokitty777 - You should be fine getting the fillers with a rhinoplasty. I frequently combine the two, and to help minimize pain the fillers can be placed while you're asleep for the rhinoplasty if you'd like. If not, you can separate them by 2 months as you indicated and the alar base reduction should not interfere with the fillers to the nasolabial folds. Good luck!

Michael A. Persky, MD · Answer

Hello Kitty,
Since you are having your rhinoplasty relatively soon, I would advise you to wait on the Restylane in your nasolabial fold (unless you stay away from the upper part of the fold that meets the nose).  If you feel that you must have filler to look great for the holidays, may sure that you discuss it with your rhinoplasty surgeon.  Most likely your surgeon injects fillers as well.
Good luck and be well.
Dr. P

Otto Joseph Placik, MD · Answer

The alar base reduction is performed in a well defined crease and I would highly doubt that fillers would interfer with the  procedure but I would ask your surgeon.

Steven J. Pearlman, MD, FACS · Answer

Alarplasty is an excellent adjunct to rhinoplasty for the right patient. The incision needs to be carefully placed so it is either completely hidden or barely visible except to the trained eye looking with a magnifying glass. I published an article in the spring on alarplasty in the Archives of Facial Plastic Surgery discussing the indications and techniques.
I would suggest you hold off on the filler in the nasolabial fold until after surgery since the filler may distort where the nostril meets the cheek.  Filler may also make this area firmer and may make a proper closure using what is called an everting technique more difficult as well.

William Portuese, MD · Answer

Restylane for the nasolabial folds can be done even if considering rhinoplasty a few months after. The rhinoplasty will address cartilaginous skin and bone of the nose, while Restylane is filler placed in the nasolabial folds for augmentation of these independently.

Sigmund L. Sattenspiel, MD · Answer

Injecting Restylane into the nasolabial folds before or after should have no effect on rhinoplasty. I have never injected Restylane into the nasolabial folds during a rhinoplasty. There may be no adverse effects in doing so; however, Restylane may produce a subcutaneous inflammatory response that may be undesirable in the region of the nose when rhinoplasty is performed.

Michael C. Pickart, MD · Answer

I can't see why these 2 procedures couldn't be combined.  Even with an alar base reduction, the aesthetics of the nasolabial fold are (mostly) distinct from the nose.
However, if you were my patient, I would probably separate the Rhinoplasty and the Restylane.  The swelling from one might affect the fine performance of the other.  The injection of Restylane, in particular, is so routine in my office, that I would feel very comfortable completing your rhinoplasty, and then doing the Restylane 2-3 months later under local anesthesia.
Just my thoughts.  You should OK no matter what you choose.

Scott E. Kasden, MD, FACS · Answer

I don't see that this shoud present a problem in the planning or performance of the nasal surgery.  The aesthetics of the nasolabial fold wont interfere.

Would Restylane on Nasolabial Fold Affect Rhinoplasty?

Answers (19)

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