With the recent advent of a variety of fillers for the face, including Restylane, Juvederm, and fat transfer, defects found in revision noses can be easily corrected without any surgical intervention whatsoever. Sometimes the injectables, or fillers, are used during revision rhinoplasty procedures. Other times, fillers for the face, are used by themselves to correct deformities either temporarily or permanently and can lead to a very natural-looking nose without any surgical intervention. Such facial fillers used about the nose should only be done by an established rhinoplasty surgeon who performs an extensive number of revision rhinoplasties. A normal physician who injects fillers throughout the face would not have the skill required in order to exactly correct nasal deformities that are often seen following one, two, or three previous nasal surgeries.
Patients whom are not good surgical candidates for a variety of reasons, many of them having had five or six surgical operations can achieve an excellent result using Restylane or Juvederm. These patients, often walk out of the office with a normal or close to normal-looking nose that can last up to six months before repeat fillers are required. One can also substitute fat grafting into the nose, which may require one to three sessions or more, and this can lead ultimately to a permanent improvement and, therefore, no further fillers are necessary. Fat transfer can be highly successful, but two to three sittings or more are necessary in order to get the final result, and then no more fillers are required.
Fillers for the face, including Restylane, Juvederm, and fat, into nasal deformities or revision nose deformities are highly successful in qualified surgeons’ hands and should be considered by all patients who are not surgical candidates or who wish to have their nasal deformity corrected without surgical intervention.
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