Do I have to scrape all the fillers before rhinoplasty?

The three-dimensional effect of the front and side faces is influenced by the line of the nose. One of the most important parts of the face is the nose, which is located in the center of the face. The nose, which plays a very important role in the overall impression, can have a big impact even with small changes, so many people decide to have rhinoplasty to transform their image.

The nose plays an important role in the overall impressionㅣSource: Clip Art Korea
Just as fashion and the latest trends exist in culture and fashion, there are trends in plastic surgery. In the past, naturalness was the trend, but recently, the ‘semi-straight socks’ line, which adds splendor to naturalness, is the trend. However, rather than following the trend unconditionally, it should be molded in harmony with your face. This is because every patient has a different nose shape.

If you have a nose line that you want, you should check the features of each hospital in detail. Each hospital and each doctor has their own style, so you need to carefully consider whether it fits the style you want.

The filling of the nose must be dissolved before rhinoplasty
During rhinoplasty consultations, there are many inquiries about whether rhinoplasty can be performed on top of the nose filler after the nose filler procedure. If you have previously had a non-rhinoplasty nose filler procedure, you must dissolve the remaining filler inside your nose before rhinoplasty.

When a nose filler procedure is performed, the nose lifts immediately after the procedure, but as time passes, the nose is often not supported as the filler is gradually absorbed. If you do a re-treatment on top of that, the filler material gradually spreads to the side, changing the overall shape of the nose. For this reason, many people undergo nose filler surgery and eventually decide on rhinoplasty, a procedure that must be preceded at this time. It is a procedure that dissolves the nasal filling as much as possible.

If surgery is done with the filler left in the nose, there is a high possibility that the desired height or shape of the nose will not come out as the filler is gradually absorbed or spread to the surrounding area. If possible, dissolve all filler before rhinoplasty to increase the effect of the rhinoplasty.

Nasal filler melts before rhinoplasty
Before rhinoplasty, I work on melting the nasal filler. Mainly, the remnants of the filler are dissolved and removed by a filler disassembly injection. It is usually injected 1 or 2 times into the glabella or bridge of the nose, and when all the filler is removed, rhinoplasty can then be performed.

One thing to be aware of is that if a non-dissolving permanent nasal filler is injected, it may not be removed cleanly with the dissolving filler injection. At this time, it is recommended to avoid permanent nose filling procedures because it has to be surgically scraped.

It is also important to check the desired shape and the line of the bridge of the nose before rhinoplasty.
Each individual has a slightly different nose shape, so a modified rhinoplasty should be performed accordingly. In particular, it is important to perform an optimized rhinoplasty by prioritizing harmony with the eyes, mouth and adjacent facial lines rather than unconditionally building the bridge of the nose.

It is also very important to check the shape of your nose before rhinoplasty. It’s also a good idea to check your face from the front, 45 degrees to the right and 45 degrees to the left when holding a mirror, or taking a picture with your phone. It is important to check the general shape of the upper part of the nose very carefully, such as the bridge of the nose, the bridge of the nose, and the tip of the nose, to correctly identify the areas to be solved by surgery.

Nose bridge and nose shape checklist
– Check the bridge of the nose and the tip of the nose
– Check the height of the forehead and the starting point of the tip of the nose
– Check if the bridge of the nose is bent before (bent nose, deviated septum, etc.)
– Check if the bridge of the nose is uneven (eg, bent nose) from the side
– Diagnose the height and shape of the tip of the nose

Just as each person has a different face shape, so does the shape and size of the nose. It is necessary to identify different types of noses, such as curved noses, curved noses, bulging noses, and short noses, and to establish a tailored 1:1 plan for them. A successful rhinoplasty can only be expected when a custom design that matches the existing nose shape is chosen. Therefore, before performing rhinoplasty, it is necessary to check the condition of the internal tissues of the nose and cartilage of different sizes for each patient, and make a suitable surgical plan.

Written = Director Kim Hyeong-seok, medical reporter in Haidak (Plastic surgeon)