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Do Non-surgical Nose Fillers Have Any Long-term Effects?

Does the non-surgical nose job have any long-term effects? Have injectable fillers been FDA approved for use on the nose? I was wondering if the fillers could cause disease and other complications. I hate my nose but I'm scared to death of getting Rhinoplasty.

Asked 31 months ago by steph210 in united states

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non surgical risk side effects

Fillers do work extremely well

The only problem with them is they last a short time 6-12 months: at the most 18. You should discuss your fears of rhinoplasty with an experienced rhinoplasty surgeon. In more than 30 years of doing rhinoplasty we have never had a serious complication.

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Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

Dermal fillers in the nose

None of the dermal fillers are FDA-approved for injections into the nose. Hyaluronic acid based fillers like Restylane, Perlane, Juvederm, etc. are OK to use in the nose. They last anywhere from 6-12 months, and can be reversed with Hyaluronidase should you not like the result. I would strongly advise against other types of fillers (such as Radiesse). While such fillers may last longer, they can cause localized tissue problems, are not readily... more

A. John Vartanian, MD

Glendale Facial Plastic Surgeon

Fillers for nasal shaping

Fillers have been used for decades to correct minor nasal deformities an off-label use of these products. The choice of filler for this application is very important. Many physicians promote the use of permanent injectable fillers like silicone. I strongly advise against any permanent filler material. Hyaluronic Acid materials like Restylane and Juvederm would be preferred as they are quickly and safely adjusted or removed. If they are successful in achieving a satisfactory outcome,... more

Corey S. Maas, MD

San Francisco Facial Plastic Surgeon

Generally Safe

Most non-surgical fillers are safe to use in the head and neck. However as with any drug, even if it is FDA approved, it is unpredictable what long term effects there may be years down the road. That being said, temporary hyaluronic acid fillers generally work well in the nose. Thin skinned individuals need to be careful because of potential problems with erythema (redness) or sometimes in the worst case scenario, skin necrosis. Because this part of your face doesn't move much, the... more

Samson Lee, MD

Seattle Facial Plastic Surgeon

Fillers in the Nose

Fillers are not approved by the FDA for nasal injection. While it is common to use small amounts of certain fillers to smooth small defects in the nose, this is an "off-label" use. Using fillers in place of a formal rhinoplasty is often disappointing, and always temporary. Patients would spend much more money over time than having a rhinoplasty, which has permanent results.Consult with a rhinoplasty surgeon who has experience with all types of nasal treatments before making any... more

Ira D. Papel, MD

Baltimore Facial Plastic Surgeon

Fillers for a non-surgical rhinoplasty

Hi, Fillers are not approved by the FDA for use in the nose, so this is considered an "off-label" use of the product. Fillers have not been shown to cause any diseases with long-term use. Fillers can correct small defects on the nose, but they will not provide the same result as a full rhinoplasty. You could certainly start out with a treatment to see how you like the results, since they will be temporary. Speak with your surgeon about rhinoplasty surgery as he or she will... more

Nina S. Naidu, MD

New York Plastic Surgeon

ASPS

You may receive what you ask for

Most FDA approved fillers have a limited life span. I do place them into the nose in situations where a patient wants a temporary or immediate result but ALL know the result is not lasting unless autologus tissue was instilled. Even using your own tissue requires repeated injections. I am also assuming that you need to have your nasal bridge raised. A patient had silicone injected to raise the bridge of her nose and this had to be removed in order to achieve a better result. It was quite... more

Michael Kulick, MD

San Francisco Plastic Surgeon

ASAPS ASPS

Non-Surgical Nose Job - May Not Be A Quick Fix Long-Term

Filler substances -- such as Restylane, Juvaderm, Radiesse -- are FDA approved for use in the US to correct facial wrinkles and to add volume to the fave. However, they have not been given an specific indication by the FDA for a "non-surgical nose job" -- thus, they are being used in an "off-label" fashion for this purpose.The deformity of the nose will dictate how much of the injectable substance is required to achieve the desired result. While injectable fillers may be... more

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C. Spencer Cochran, MD

Dallas Facial Plastic Surgeon

Injectable fillers may be helpful for rhinoplasty imperfections

We have found hyaluronic fillers helpful in minor imperfections after rhinoplasty, where the irregularities are minor and do not warrant revision. Fillers are not FDA approved in nasal shaping and the use is considered "off label" though it is perfectly acceptable to do so if proper explanation is given and consent is obtained. There has been much touted about nonsurgical rhinoplasty with fillers and we feel that results are limited and will not replace surgical rhinoplasty, and... more

Peter E. Johnson, MD

Des Plaines Plastic Surgeon

ASAPS ASPS

Fillers do have long term local effects

From a general health standpoint the newer fillers are safe and should not cause general health risks. However, repeated injection of fillers beneath the skin does cause inflammation and collagen production, which in reality can cause scarring. This is most important when fillers are used around the eyelids, but not a problem when used in thicker skin in other facial areas. Repeated injections into the nose can cuase visible deformities if not done perfectly. The use of fillers into the... more

Brooke R. Seckel, MD

Boston Plastic Surgeon

ASAPS ASPS

Long term effects of fillers instead of surgery in noses

Rhinoplasty is the procedure of choice for most nasal deformities but it is surgery and has it's own set of long term consequences and complications. For minor nasal deformities fillers can be very effective. One of the safest places to use fillers is in the nasal radix to camouflage the nasal hump. I have used Radiesse with good long term results in that area. I have also used it in the nasal tip in people with thick skin with good long term results.

Farhad Rafizadeh, MD

Morristown Plastic Surgeon

ASAPS ASPS

Fillers for rhinoplasty

While I do not think it is a good idea to have a filler replace a rhinoplasty, I have used it for minor asymmetries that I have seen in patients that have had multiple rhinoplasties.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Fillers are safe but consider effectiveness

The use of dermal fillers is generally safe. In the augmentation of the nasal bridge it will usually make the nose larger but appear more sculpted. If you need a rhinoplasty you should have a rhinoplasty and not a much inferior second choice.

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Richard Gentile, MD

Cleveland Facial Plastic Surgeon

Fillers are not approved for use in the nose

Fillers are not approved for use in the nose. That said, they can be useful to temporarily fix contour deformities or camouflage moderate dorsal humps. Be careful about permanent fillers, since one they are in they are very difficult if not impossible to remove.

David Shafer, MD

New York Plastic Surgeon

ASPS

Any intervention has potential complications

Yes, non-surgical rhinoplasty does have risks. This depends on the product utilized and can vary. Complications can be due to: allergic reaction to the product itself adverse reaction to the product (foreign body or granulomatous response) improper placement intravascular administration bleeding fibrosis etc.