Is it safe to get a rhinoplasty after getting nose filler?

Question

Hello, I got nose filler (done around August but I'm thinking of getting a rhinoplasty but I've heard that getting a nose job after nose filler is dangerous because of the angular vein. I'm thinking of getting my rhinoplasty in May. Will I need to get the filler dissolved? Even if the filler is dissolved is it safe? I'm just worried that I've ruined my chances of getting a safe rhinoplasty. Thank you so much

Selcuk Inanli, MD · Answer

Hello! Thank you for your question. From your question I can say that your surgeon can dissolve the filler before surgery in the operation room. There would be not risk at all. It would be more convenient to decide with face-to-face consultation. Also the filler will be mostly dissolve at that time. Best Regards!

Ahmet Alp, MD · Answer

We have had patients in this situation and we successfully completed the surgery. In general, we make a filler melt 30 minutes before the surgery and start the surgery after that. Sometimes it is possible to see deterioration in the quality of the tissues. But it's not a big problem.

Caner Kacmaz, MD · Answer

It's ideal to undergo rhinoplasty surgery after the fillers have completely dissolved. It takes about 6 months for fillers to dissolve. Good luck

Timothy Ortlip, MD · Answer

You should definitely get the filler dissolved before considering surgical rhinoplasty. This happens pretty quickly, but the longer you wait after its dissolved, the better the chances all the filler is gone. The surgeon will need to get an accurate assessment of the nose without the filler to make the correct surgical changes. With that being said, there should be no contraindication for surgery after filler. This is performed all the time. Filler is often used as a “test run” for patients considering surgery.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  Fillers in the nose are increasingly more common.  There definitely have been instances of necrosis associated with previous filler.  These are extremely uncommon.  I have performed rhinoplasty safely on many patients who have had previous filler.  Filler has been in place for over 4 months it most likely has completely dissipated and safe to have surgery.  Best wishes to you.

George Bitar, MD · Answer

It is safe to get rhinoplasty after having fillers placed in the nose.  You would ideally want all of the filler to be gone, so there will be nothing confounding the surgeon’s evaluation of your nasal features.  Depending on the filler placed in your nose, I would wait at least a year afterwards prior to proceeding with rhinoplasty.  If it is a hyaluronic acid filler, it can be dissolved, but that will create swelling and inflammation, which will have to go away prior to proceeding with rhinoplasty.

Robert Ciardullo, MD · Answer

Fillers and rhinoplasty: if your filler was done in August, most of it should be dissolved by May presuming they used the typical kind of filler. In any event if it’s not all dissolved it can be readily done by injecting hyaluronidase, presuming it was an hyaluronic acid filler. Just check with your injector as to what kind of filler and based on that whether or not he/she thinks you would need any hyaluronidase. You have not ruined your chance to have a Rhinoplasty you may just need an injection to remove any residual filler.

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
The type of filler determines its longevity. Hyaluronic acid fillers will dissolve over a period of 6 months or so. Hydroxyapatite fillers may last up to a year. The presence of residual filler in the soft tissues may distort the nasal anatomy and may limit rhinoplasty effectiveness. There is no danger to your health.
Best wishes...

Is it safe to get a rhinoplasty after getting nose filler?

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