Is lipofilling safe in the nose? (Photo)

Question

Hi. I've already had 3 open rhinoplasties and one closed revision. I've already had rib graft revision and the whole thing rebuilt. I've already had perichondrium and nano fat injected during the revision. I have been told I have extremely thin skin and also any more open revisions could compromise blood flow. I want more volume overall and I really want to fill in this dent. I don't want to do HA filler because I've seen Toriumi post that it's too risky. Is fat injection in the nose safer?

Gianfranco Frojo, MD · Answer

Injecting anything into the nose can be dangerous, especially if a needle is used for injection (compared with a blunt tip cannula). There are some people that are very comfortable injecting fat grafting and/or filler into the nose. I would have a very honest conversation with your surgeon about what your expectations are and if they are achievable; also if they will do whatever is needed to fix the deformity in the photo. If this is not possible, I sometimes recommend finding another American Board of Plastic Surgery Certified Plastic Surgeon. I would recommend finding one with experience in rhinoplasty. Sometimes a second opinion on the situation can help smooth the perceived analysis of the outcome. Rhinoplasty is one of the most challenging surgeries that we do. This is a challenging thing to answer over the internet without a physical exam and in person discussion.

Eric M. Joseph, MD · Answer

I can see the indentations involving your nasal tip, and I agree that temporary gel fillers can cause necrosis. Depending on your examination, microdroplet Silikon-1000 injections maybe considered for smoothing out these indentations for an improved nasal appearance. Silikon-1000 injections are not associated with Vascular occlusion, necrosis, embolism, blindness, or infection. I hope this helps! Sincerely, Dr Joseph

Is lipofilling safe in the nose? (Photo)

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Everything you need to know about Revision Rhinoplasty

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Is lipofilling safe in the nose? (Photo)

Answers (2)

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.