How to correct a nose that has widened from fillers

Hello.

I am Dr. Peter C. Kang, medical director.

Today, I will discuss surgery that transforms a blunt, widened nose into a defined yet natural shape. This patient had received nasal filler injections about 5 times, and when visiting our clinic, the overall nasal shape was not poor.

However, the patient wanted to improve the overall widened and blunt appearance, hoping for a nose that felt natural yet slightly more defined.

Let us look at the photos taken during the preoperative design consultation.

Design consultation photos taken before surgery.

The nasal tip is blunt and significantly widened. Filler has spread across the nasal bridge, and on the profile view, you can see filler filling the bridge line.

You can see that the nasal tip is wide overall. In addition, the left nostril is larger than the right, and the nostrils appear round.

1. A dissolving injection is administered for the filler in the nasal bridge, and any remaining filler is surgically removed.

2. The wide nasal bone is narrowed through lateral osteotomy and silicone implant placement.

3. The nasal tip is projected using autologous rib cartilage, and the lower lateral cartilages are repositioned and sutured together to correct tip widening.

4. The wide nasal base is expected to resolve naturally as the nasal tip is elevated.

5. The columella line is planned to be reinforced through cartilage repositioning.

Let us compare the preoperative photos with the photos immediately after surgery (Day 0).Immediate postoperative photos show swelling and may differ from the final result.

On the profile view, you can see that the nasal tip has become projected and elevated. With the correction of the nasolabial angle, the appearance of the protruding mouth has improved.

The nose has gained overall three-dimensional dimension, creating a more feminine impression.

Where the nasal tip previously looked widened and upturned, the alar-columellar relationship (ACR) has become natural, and nostril show has decreased considerably.

The widened appearance of the nasal tip has improved significantly.

Today, we looked at corrective surgery for a nose widened from frequent filler injections. Fillers can raise a low nasal bridge and smooth out an uneven bridge line. However, with repeated filler injections, one may notice the nasal bridge gradually spreading wider. Furthermore, fillers cannot effectively elevate the nasal tip or alter the tip shape.

Therefore, I suggest filler only as a 1-time option for those with a low or uneven nasal bridge. Fundamentally, however, surgery is needed to achieve an overall harmonious shape.

I hope this is helpful to those who have had fillers and are considering rhinoplasty.

This was Dr. Peter C. Kang. Thank you.

#closedrhinoplasty #fillerremoval #advancedclosedrhinoplasty #widenednose #bluntnose #rhinoplasty