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Permanent Filler for Non-surgical Rhinoplasty After Radiesse?

I'm considering getting a non-surgical Rhinoplasty for the first time by using Radiesse. I read online that Radiesse nose job can last 10-24months. When Radiesse is almost gone, what does the nose look like? Are there some signs so that I know I should go back to get a re-injection before nose returns to original/flat shape?

Also, is it safe to do permanent filler injection (eg. Aquamid, Artefill) for nose job next time, after using Radiesse this time? If yes, do I need to wait until Radiesse is completely gone, then do permanent filler? Or is it safe to use permanent filler on nose while Radiesse is still there? Thanks!

Asked 31 months ago by Tina2009 in San Francisco

Tags:

nose non surgical

Non Surgical Nose Shaping

Dear Tina 2009 Radiesse has been advocated for shaping the nose in many papers. The longevity is variable- 8 months to several years. Restylane also works well and can last a long time. It is relatively straight forward to shape the nose with an injectible filler. Of course there are risks, but with careful technique complications are uncommon. Using Fillers in the nose is 'off-label' or not appproved by the FDA. I would not recommend perrmanent fillers in the nose- if you have a... more

Trevor M. Born, MD

Toronto Plastic Surgeon

ASAPS

Fillers and non surgical rhinoplasty

It is best not to place two products in the same area at the same time. Permanent fillers might create lumps, granulomas, as a reaction to the material, even five or more years after the procedure.

Ronald Shelton, MD

Manhattan Dermatologist

Similar process to facial wrinkles and folds

Just like with correction of facial folds, temporary fillers used for reshaping the nose gradually dissolve and the correction slowly fades away. The timing of re-injection can be either after all the product has dissipated or before it's gone away completely. Either approach is reasonable. The only situation where it is critical to let all of a filler resorb is if a patient is finally opting for a surgical rhinoplasty. This ensures that the surgical plan is tailored to the actual... more

David C. Pearson, MD

Jacksonville Facial Plastic Surgeon

Filler rhinoplasty

Tina, Wow! That is a barrage of appropriate questions. Radiesse can indeed be used to fill areas of the nose that are deficient. It's duration is variable in each individual, but may last 12-24 months for some. As the material is absorbed by your body you will see a gradual return to your present appearance. At that time you can make a decision about a more permanent filler. Be aware that permanent fillers will remain in place as your nose ages, thining your nasal skin, cartilage and... more