hi doc,
i had 3 injection of aquamid done on my nose before but somehow after awhile its not as sharp as before. i was considering rhinoplasty but worried abt the complication, do i have to remove aquamid before i can do it or its too complicated to have a rhnioplasty. what are the options for me?
Answer:
Hi,
It is nearly impossible to remove an injectable filler completely. Permanent or non permanent fillers are not like discreet implants and complete removal is almost impossible.
I have said it for a long time now: Non surgical rhinoplasty is only a viable option if it can be done with small amounts of safe temporary hyaluronic acid based fillers like Juvederm or Restylane, etc.
Artefill, Aquamid, Silicone, etc have no business in the nose and should be avoided at all costs.
You should talk to some very experienced Rhinoplasty surgeons to be examined and see if a Rhinoplasty would be recommended. Often we can perform Rhinoplasty on patients in your situation but usually the fillers and their scar tissue have to be removed at the time of surgery and Temporalis fascia or Alloderm need to be used to provide some soft tissue cushion. You have options but your case is complex and you should seek an experienced specialist.
