When evaluating a nose filler procedure, I don’t just look at the appearance immediately after the procedure. I consider the definition of the nasal tip, the behavior of the tissues, and any future rhinoplasty that may be performed.
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When discussing nose fillers, I don’t think it’s enough to look only at the appearance immediately after the procedure. As a rhinoplasty surgeon, I also consider how the filler alters the nose’s tissues and how it might affect any future surgery.
My concerns regarding this topic center specifically on the prominence of the tip of the nose, the natural transitions between light and shadow, and the behavior of the connective tissues between the cartilage and the skin.
Watch Assoc. Prof. Dr. Barış Çakır’s explanations on nasal fillers, nasal tip definition, and surgical approaches.
One of the concepts frequently used in rhinoplasty is definition—that is, the ability to discern the structures through the skin. The prominence of the nasal tip cannot be explained solely by how upturned or small it is. The surfaces formed by the cartilages and the transitions between these surfaces also determine its appearance.
This is the point I emphasize in my video: The rounding of the tip of the nose and the visibility of the cartilage contours create different appearances. In my surgical approach, it is important to preserve these details and the natural interplay of light and shadow.
Filling adds volume and reshapes the area. For example, when the lower areas around the arch are filled in, the contour line may appear flatter. However, this process does not remove the arch.
Similarly, adding filler to the tip of the nose is not the same as surgically reshaping the cartilage structures. In particular, someone who wants to make their nose smaller should evaluate the change that would result from adding volume from this perspective. A desired change in the profile should be considered in conjunction with the front view of the nasal tip. My explanation in the video ↗
The cartilage, skin, and connective tissue between them at the tip of the nose work together. The relationship between the filler and these tissues is one of the factors I consider when planning subsequent surgery.
In the clinical observations I describe in the video, I note that in some noses that had previously undergone filler injections, these tissues did not behave as I had expected during surgery. Prolonged swelling and the difficulties I encountered in achieving the desired definition are among the reasons why I take a cautious approach with this patient group. These are my assessments based on my own surgical experience. Related section ↗
It would not be accurate to answer this question based solely on the volume visible from the outside. The type of product used, when and where it was applied, whether it was repeated, and the current condition of the tissues are all important factors.
Scientific publications also note that patients who have previously received hyaluronic acid fillers should be evaluated separately prior to surgery. Options such as waiting for the filler to resolve on its own, considering its dissolution before surgery, or developing a different surgical plan have been described. None of these options can be automatically considered appropriate for every patient. Ramos et al., 2021 ↗
Therefore, the fact that the visible effects of the filler diminish does not mean that the surgical plan can be determined based solely on the schedule.
No; this heading should not be interpreted as a blanket ban on surgery for all patients.
The preference I discussed in the video relates to my own surgical approach and observations. There are studies that address the performance of rhinoplasty in patients who have previously received hyaluronic acid fillers. However, a history of filler use is a piece of information that must be specifically inquired about during the examination. Permanent fillers or those with unknown contents should not be evaluated in the same way as hyaluronic acid fillers. Clinical evaluation related to this topic ↗
When you come in for your pre-surgery consultation, sharing the product name, application dates, and any procedure records you may have will help ensure a more accurate assessment.
When evaluating nasal fillers, the fact that they do not require a surgical incision should not be interpreted as meaning they are risk-free. Accidental injection of the filler into a blood vessel can lead to serious complications, such as tissue loss and vision loss. The limitations and risks of the procedure should be discussed alongside the expected aesthetic changes. FDA’s safety advisory on fillers ↗
This content is for general informational purposes only. Eligibility for surgery and the treatment plan are determined through an individual assessment.
Adding volume around the arch may make the profile appear flatter. The bony or cartilaginous arch is not physically removed.
A history of fillers is not an absolute contraindication for every patient. A personalized surgical decision should be made based on an evaluation of the material used, previous procedures, and the condition of the tissues.
It cannot be considered sufficient on its own. The type of filler and the condition of the remaining material and tissues must be evaluated by the surgeon.
No fixed timeframe that applies to everyone can be derived from this article. The timing is determined based on the examination findings and the procedure to be performed.
Yes. Even if it’s been a long time, please mention any previous filler treatments. If you know, please share the product name, the date, and how many times it was applied.
You can request an appointment to discuss your personal expectations and options.