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Post-Rhinoplasty Soft Tissue Fillers Warrant Cautious Use

Silicone should be avoided; other fillers should be restricted to certain areas, researchers advise

FRIDAY, Jan. 8 (HealthDay News) -- Soft tissue fillers can be used to smooth out post-rhinoplasty deformities, but silicone should be avoided and other fillers applied with extreme caution, according to an article in the November/December issue of the Aesthetic Surgery Journal.

Clinton D. Humphrey, M.D., of the University of Illinois Medical Center in Chicago, and colleagues write that the most frequently used fillers to correct irregularities after cosmetic rhinoplasty are hyaluronic acid derivatives, calcium hydroxylapatite gel, and silicone.

Although silicone is effective, some patients experience severe granulomatous reactions, and therefore it should be avoided. The researchers note that, although the other two most commonly used fillers are likely to be safer than silicone, they still carry risks of adverse reactions such as infection, thinning of the skin envelope, and necrosis. The authors further note that the risk of complications is lessened if the use of fillers is restricted to the nasal dorsum and sidewalls.

"Rhinoplasty surgeons must continue to strive for perfection in the operating room because fillers are no substitute for excellent surgical results," Humphrey and colleagues conclude. "Patients who are treated [with fillers] must be followed closely for complications. The use of any soft tissue filler in the nose should always be approached with great caution and with a thorough consideration of a patient's individual circumstances."

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