Cosmetic rhinoplasty continues to be a significant part of our practice. The ability to achieve the most elegant-looking nose male or female is a very fulfilling part of our lives. We are often asked if fillers can be used to achieve rhinoplasty results. My immediate answer is no. Usually, rhinoplasty surgery requires reduction, removal, and re-sculpting of the significant anatomic components of the nose.
Bone, cartilage, and to some degree soft tissue must be rearranged to achieve its most optimal relationships. The only benefit and it is only temporary of a filler can be to raise up the area above the nasal home and therefore camouflage this structural discrepancy therefore making the house look less prominent.
When we get inquiries of this nature, we usually spend a significant amount of time discussing the problems using filler. Occasionally and very occasionally if post-operatively there is a contour problem it may be treated with a small amount of filler. It’s better to understand that once the internal structures are realigned it takes time for the skin to shrink over the new reduced or augmented structures.
I have operated on patients who have had fillers placed elsewhere by different surgeons and had apprehension about the blood supply. In other words, it seems that filler in the nose may affect the surgical procedure by compromising or reducing the normal blood supply to the nose needed to heal properly.
My advice to patients who seek to improve their appearance by reshaping their nose to create a more elegant and aesthetic look should save their money and get the real deal by the most experienced plastic surgeon they can find preferably using the closed or internal technique. Rhinoplasty continues to be one of the most rewarding procedures for both the patient and the surgeon. As I always encourage, now and in the past, anyone seeking to change their nasal anatomy for the better should evaluate our before-and-after gallery