Is it safe to get a rhinoplasty after having filler injected in my nose 5 months ago and could it mess up my result?

Hello and thank you for your question.  I commonly wait for the injected filler to dissolve, as any residual filler or inflammation from hyaluronidase injection can alter the nasal appearance preoperatively.  Please seek a consultation with another board-certified plastic surgeon in your area for a second opinion.For more information on rhinoplasty, please refer to my link below.

Good luck.

Mark K Markarian, MD, MSPH, FACS

Harvard-trained Board Certified Aesthetic Plastic Surgeon 

In general, before having rhinoplasty, you should wait until your nose goes back to its normal state and all of the filler is gone. No one "takes out" filler during rhinoplasty because the filler is in the soft tissue and the rhinoplasty dissection is deep to that, right on top of the bone and cartilage. When all the filler has disappeared, then a proper rhinoplasty can be done.

Hello,Thank you for your question. In my practice, fillers should be dissolved the latest one week before the surgery and if needed totally dissolved by touch ups in order not to misguide during the surgery. Follow up your plastic surgeons recommendations. Best Regards 

Depends on how much filler or you could possibly dissolve it. I would advise you to schedule a consultation with a board certified plastic surgeon for a detailed examination to discuss all possible treatment options and what your expectations are. 

This depends on how much filler was injected into your nose, and where it was injected. Did your surgeon inject it? If so, he knows the effect it would have and is best informed to make the judgement. If you are unsure, my best advice is to have a conversation with your surgeon. If you feel a lack of trust in his judgement before surgery, it is paramount that you speak with him – after all, this is the person who will be operating on you. I do not feel comfortable weighing in on something that your surgeon himself likely knows the most about. 

Most surgeons will recommend dissolving the filler prior to rhinoplasty to ensure the results of the surgery are completely accurate. Since nose reshaping requires extreme precision to get it just right, residual filler in the area could skew the results. I would schedule an in-person assessment with another board-certified plastic surgeon with extensive experience in rhinoplasty for a second opinion. 

In general, injectable fillers may NOT be removed during rhinoplasty surgery. The plane of dissection in rhinoplasty is deep to the soft tissue, and fillers are placed into the soft tissue. We suggest waiting for all temporary filler to dissipate before rhinoplasty. If you have surgery first, your result may change postoperatively as the rest of your filler naturally dissolves. Hope this helps. Dr Joseph

I would be helpful to see photos. However your surgeon is wise not to try to dissolve the Restylane ahead of time. It will not affect performing a rhinoplasty in any way. The rhinoplasty can be performed and the filler totally ignored.

Hello and thank you for your question. The filler can be safely removed during your open rhinoplasty.  An experienced rhinoplasty surgeon will be able to do this at the same time as your surgery.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system.  You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon.  If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. Best wishes and good luck.


Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon
 

Hello and thank you for your question. I would prefer dissolving the filler prior to rhinoplasty. Having said that, an experienced rhinoplasty surgeon should be able to perform the rhinoplasty and remove the filler during the surgery. Best wishes and good luck,

Pejman Aflaki, M.D.

Johns Hopkins-trained double board-certified plastic surgeon