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What filler is best & cosmetic physician recommendations please!!!

I underwent primary rhinoplasty back in August 2014, I Had/ still have a deep horizontal crease in my radix. The surgeon in pre-op discussed doing a radix graft to take out the deep crease which unfortunately don't think he did as the crease only got deeper has he made my nose smaller ( which I wanted) Amongst other improvement's with tip and radix I may need revision rhinoplasty currently researching surgeons. Temporarily I'm wanting long lasting fillers injected to take out the crease, I find when I get botox injected in the glabellar it helps a little but the crease is to deep and theirs no structure and my biggest fear is the fillers ending up near my eye region! The surgeon at 3 months post -op did inject some disposal Juvederm Ultra Xc it helped a little but it's very deep, 2 years later I feel the filler is going away and needing something. If I don't do anything soon I feel I'm going to look mad and ugly as my eyebrows get lowered as theirs no structure if that makes sense ? Botox helps raise the eyebrows which I religiously get done every 3 months Can you please advice what fillers you would use the the radix region to take out a deep crease ? Thank you in advance! Cosmetic

cosmetic June 13th, 2016 NSW

  • Answer
    Dr. Raymond Goh

    Raymond Goh

    123 answers

    Plastic Surgeon
    Queensland, Australia

    Hi Cosmetic. Thank you for posting your queries.
    If you are intending on undergoing further revision rhinoplasty to correct the glabella/radix area, I would caution against using long-lasting fillers. I have seen many patients for rhinoplasty who at the time of consultation had fillers in their nose. For these patients, I will get their fillers "dissolved" (with hyaluronidase in the case of hyaluronic acid based fillers) in order to gain a true assessment of what's required for their nose. Glabella/radix/root of nose augmentation can be easily achieved with cartilage/fascial grafts, and this will give you the best long term result. In my opinion, fillers, no matter how long lasting they are, are never a reliable long term solution. In your case, fillers are a great way to ascertain if filling out the radix will give you the look you desire and if so, then an autologous graft should be contemplated.
    I hope this information helps, and all the very best.
    Warm regards,
    Dr Ray GohValley Plastic Surgery