Too Soon to Have Rhinoplasty After Non-surgical Nose Job?

If Radiesse is used to augment or shape the nose it will take about a year for all the material to dissolve and your nose to resume its previous shape. If you perform surgery on the nose prior to all the synthetic material dissolving the surgeon will not be able to judge the thickness of your tissues well enough to predict the final shape. It is best to wait, and then get it done correctly.

Depending on the type of filler that was used I would usually have the patient wait at least 6-9 months after hyaluronic acid fillers were used such as Juvederm or Restylane. If Radiesse was used, you may need to wait longer as this is not a good filler for the dorsum of the nose as there is only little subcutaneous tissue. This may be problematic in a secondary rhinoplasty.

Difficult obviously to give a definitive answer not knowing exactly how much filler was injected; my thoughts though are that the carrier used in the fomulation of Radiesse has dissolved and you are currently left with the Calcium Hydroxyappetite filler component of the filler which gives the volume enhancement and longevity of the product. But again, not knowing the specifics is a sizeable handicap. As such, I would wait as long as you can before embarking on corrective nasal surgery as the goal is a more permanent construct based on baseline anatomy. If the filler is providing volume and contour changes, albeit even on a small scale, it may adversely impact your final result. I recommend waiting until about 10-12 months before surgery.
See your board certified plastic surgeon for specific answer to your individual case and anatomy.
Good luck!
Dr. C

The Radiesse may have dissolved, but if not your surgeon may see it during your rhinoplasty.  It would probably be okay to go ahead with the procedure, just make sure the Radiesse is replaced with cartilage or bone during the rhinoplasty.  Good luck!

Rhinoplasty requires accurate evaluation of nasal contours at the time of surgery to obtain the desired result and the difference of a millimeter or two is noticable. Radiesse usually lasts about a year in relatively immobile locations such as the nose and I would advise waiting the full year to avoid any unexpected contour changes later.

I would wait until the product has dissipated fully. This may take 9 to 18 months. Having surgery prior to this will make it difficult for your surgeon to determine the proper height of the graft. Waiting will lead to a more successful surgical outcome.
It would be difficult if not impossible to remove the particles after injection as they would be dispersed in the tissues of the skin.