Filler on nose/Dangers of injecting vein across bridge

Hi, I am interested in temporary filler to fill area from over rasping. I read that if the vein across nose bridge is hit, will go into eye area and or brain (causing permanent damage). I can see where mine is when I cough to bring it out. It is in the middle, hump area, a little to 'my' left (micro amount), about less than a quarter inch worth, then looks like it disappears. The last person I saw [PS] wanted to put temp/permanent Radiesse in there. Not a good idea (!) Wouldn't trust him about the vein either. I would like to know myself in testing where I go next to see who I may be dealing with if they really know what they are doing, as well as guide or help to make sure. Is everyone's in the area of nose I described ? Thank you for your knowledge...

Doctor Answers (8)

Avoid veins when placing fillers in the nose

+2

It's best to avoid veins when placing fillers in the nose which can be done by placing the fillers deeped within the tissues.


Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Injecting fillers in nose with noticeable vein

+2

If the vein is noticeable, it is much easier to avoid it than if it were unnoticeable.

The Radiesse would be injected at a level well below the level of the vein. However, there might be a connection with a deeper vein which may in fact communicate with intracranial veins..

Carefully chosing the entry point, the level of injection and carefully aspirating repeatedly before injecting, should result in an uneventful procedure. The cosmetic results are often very gratfying

Eugene Mandrea, MD
Chicago Dermatologist
4.5 out of 5 stars 4 reviews

Filler in the nose might make you very happy

+2

Correcting a defect in the nose with a filler is very simple and satisfying. If you can see your vein, all the better as the doctor will be able to avoid it. Drawing back prior to injecting also makes the injection into a vein less likely, although always possible. Make sure that you trust the person that you choose to do this and that they have worked on the nose before.

Jo Herzog, MD
Birmingham Dermatologist
5.0 out of 5 stars 12 reviews

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Nasal augmentation with fillers

+2

I have used Radiesse often in the nasal regions and they have all done well.  They have even trumped my recommendations for implant surgery in many cases.  If you have a demonstrable vein in the bridge area, this needs to be taken into consideration.  The complication of intravascular injection is rare but real.  This can be minimized by your surgeon's techniques of careful bevel direction, aspiration before injection, and slow injection rate with use of a blunt cannula instead of a sharp needle.

Randy Wong, MD
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Fillers in the face/nose

+2

Facial fillers are being used in many different areas including for minor nasal deformities.  While there is always a risk of injecting intravascular, it is extremely rare.  I use facial fillers all the time and have used it for many different indications. Good luck.

Steven Wallach, MD
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Fillers on the nose are a very nice way to reshape it

+1

Fillers on the nose are a very nice way to reshape it.  There is a chance of vascular occlusion and for this reason it is often safer to use a hyaluronic acid product such as Juvederm or Restylane because they are reversible should there be a problem.  Radiesse can be a higher risk, (should there be a problem), because there is no quick way to reverse it if there is a problem.  The risk with hyaluronic acid products is minimal.  And of course there is larger risk with surgery.

Joseph A. Eviatar, MD, FACS
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Radiesse is an excellent choice to shape the nose

+1

Some of my happiest patients are those who have had post surgical defects corrected with a filler. If done carefully it is very safe and requires only a tiny amount of product (which makes it very affordable). Radiesse is not permanent or semi permanent, but like the hyaluronic acid fillers it is absorbable. It does tend to last longer, however, on average about 12 months. As others have said, make sure your doctor has a lot of experience with advanced use of fillers. It is not necessarily the same person you would choose to operate on your nose!

Jacqueline Calkin, MD
Sacramento Dermatologic Surgeon
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Filler for nose

+1

I agree with your surgeon. In my opinion, Radiesse is the best product. The risks are almos nonexistant. If tou can see a vein then it should be easy to avoid.

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon
4.5 out of 5 stars 6 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.