Nasal filling has recently become one of the most demanded aesthetic interventions. Although the arrival of summer was evident from the spring. Rhinoplasty (nose plastic surgery) has been the most performed aesthetic surgery in our country for a long time. In these days when the non-surgical aesthetic wind is perhaps the hardest blowing, it would not be expected that rhinoplasty would not take its share from non-surgical interventions! Here are the most important issues you need to know about the application of nasal filling;
1. You should know exactly what is meant by “filling”.
“Filling” is the “general” name of the substances injected to give volume to the human body. There are many different types of fillers in medical use that are approved for injection into the human body. By far the most frequently used one is a kind of sugar jelly found naturally in human joints called “Hyaluronic Acid (HA)”. Apart from HA, many different substances such as collagen, polyglactin/polylactate, calcium hydroxyapatite are in medical use. There are also many different substances, from olive oil, vaseline, window silicone to hair gel, which are not used for medical purposes and are made under the stairs.
Even the most commonly used HA fillers have hundreds of different types. Each filling shows different hardness, fluidity, permanence and chemical bonding properties. In other words, you can’t buy every filling that contains HA of the best filling brand and apply it to the nose. Therefore, take and keep a sample of the barcode ID card of the filler to be injected into your nose.
2. The application of nasal filling is not approved by the FDA.
In order for any substance to be used for medical purposes, it must be thoroughly examined, approved and inspected by authorities such as the FDA, the European Standards Institute and the Turkish Ministry of Health. We can say that the more institutions give approval, the safer a drug or medical device. It is useful to know that the American FDA institution has not yet given permission for the injection of any filler material into the nose. In the USA, there is no filling in the nose, of course, it is done. However, this is called “off label”, that is, “not on the label” usage. If you have any complications, you can’t go back and say wow, I didn’t know, I didn’t hear. On the other hand, according to the data in our literature, the application under the nasal skin seems to have a risk profile similar to the applications in other parts of the face.
3. Make sure you are the ideal patient for nasal filling.
We can say that the ideal patient for nasal filling is individuals where the nasal bridge starts from below, not from the forehead and nose junction. In this type of noses, since the upper part of the nose, where the back of the nose meets the forehead, is structurally low, the other parts look as if they are too high and arched. Raising the place where the nasal ridge is low with filler can create the illusion of a flatter nasal ridge by eliminating the arched appearance.
4. It is a fast, effective and healing medical intervention in a short time.
In the ideal patient group, the application is a 5-10 minute, very slightly painful procedure. You can return to social life immediately after the procedure. Improvement is instantly visible. After the procedure, it is not preferred to have eyeglasses on the area where the filling is applied. In the first 4-5 days after the application, the application area may appear more swollen than the final state depending on the payment, and the final state occurs around 14 days on average. Typically at this point additional doses and touch-ups can be made if deemed necessary.
5. Make sure that the physician who will perform the application is an expert in rhinoplasty.
Nose aesthetics is a whole. It is very important that the person who evaluates the patient in terms of rhinoplasty should have experience in operations as well as non-surgical applications. Only a physician experienced in both fields can accurately and impartially explain the options to you. Anyone who has a medical degree and receives a needle can apply nasal filling in Turkey. The fact that the hand holding the needle has done several hundred nose surgeries will not make you lose anything.
6. The filler will enlarge your nose.
On the name of the filler, it will fill your nose, that is, it will enlarge it. Many patients imagine that the nose will be shaped before it grows when they say they want a nose filling. My observation is that Turkish patients desire smaller noses more and do not tolerate the increase in nasal volume very well. For this reason, it is useful to think about whether you would like to have a larger nose after the application.
7. We can achieve “soft contours” with filling.
Fillers have to be soft enough to flow through an injector. Unfortunately, it is not possible to obtain hard contours and angles with such a soft material physically. In some areas of rhinoplasty, the angulation of the cartilage structure on the surface of the skin, sharp lines and “definition” are very important in terms of aesthetics. For this reason, it is useful to take care not to lose the folds that give character to the tip of the nose when applying filler to the tip of the nose.
8. Minor roughnesses that occur after surgery can be camouflaged with filling.
Filling can be applied to remove some minor roughnesses that occur after rhinoplasty surgery and are so minor that it is not worth having another surgery. The most common application areas can be listed as eliminating the millimetric level differences between the wings, camouflaging the point collapses on the nose back or bone fracture lines.
9. With the filling application, you can postpone the revision surgery for a while.
Let’s say you had an unsuccessful nose surgery and you are not satisfied with the result, but you are not ready for another surgery. In this case, the contour of the nose can be temporarily corrected with filling and you can feel more comfortable psychologically and socially until the revision surgery.
10. The effect of the filler is temporary.
Do not approach the permanent filling materials (silicone, etc.) in the nose. Most of the filling materials used will be absorbed by the body within the first year and its effect will disappear. For this reason, it is useful to consider that the procedure will have to be repeated after 1 year and every year in order to maintain the result. Most patients, after one or two applications, turn to rhinoplasty surgery, which is a more permanent solution, “thinking how long this will last.”
11. There are serious complications of nasal filling application.
Nasal filling is a medical intervention and like all medical interventions, it has some complications of its own. Although the most important complications in the nose are skin loss and blindness, these serious complications are very rare, thankfully.
12. Nose filling is not a substitute for rhinoplasty surgery.
Nose filling is never a substitute for a well-done rhinoplasty. Filling application has almost no permanent effect on nasal breathing function. In addition to what can be achieved with rhinoplasty, what can be achieved with filling is very, very limited. Just because a patient who needs rhinoplasty is afraid of the surgery does not make him a good candidate for nasal filling. Similarly, obtaining a temporarily satisfactory shape of the nose with nasal filling does not change the fact that rhinoplasty is still the most reasonable option in the long run.