My nose looks larger after dermal filler of nasolabial folds

I had injections of various substances over the last 4 years into my nasolabial folds (first Radiesse, then Restylane, then Juvederm). After the first procedure, I noticed my nose looked larger--both at the end and across the bridge. I thought it could be an optical illusion considering the other changes that happen when you treat the nasolabial folds, but it appears very obvious after I did comparisons of before and after pictures. Is there a way to correct or decrease this "swelling"? Can it be dissolved?

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11 answers to “My nose looks larger after dermal...”

A: Nasolabial fold injections

Otto Joseph Placik, MD

On the one hand, deep injections of the nasolabial folds may lift the nose away from the face by adding bulk beneath the nostrils thereby lifting the nose off of the facial skeleton and providing additional projection to the nasal tip. In some instances this is desireable and prevents or corrects a drooping... more

A: Facial Fillers and Facial Harmony: Nasolabial Folds

Raffy Karamanoukian, MD

Rather than attribute this to an optical illusion, I believe that your interpretation of your before and after pictures warrants careful consideration and examination.  Facial surgery or facial fillers can dramatically affect facial harmony and the relative proportion of one area with respect to another.... more

A: I've never heard of this

Richard P. Rand, MD

This is an unusual thing you are describing and I have never heard anything like it from a patient or at a national meeting. Since all of the injectables you have used are temporary, it is probably best to avoid any more treatments for quite some time and wait for changes to resolve.

A: Massaging or Wydase injecton might help.

Kenneth R. Francis, MD

Karen, At the risk of cliche, I must first assume that you have had your injections performed by a board certified plastic surgeon or dermatologist.  If not, it is conceivable that your injecting physician may be placing the product in the incorrect location.  This would explain a widening of... more

A: Please give the fillers a rest

David Shafer, MD

Karen, You have an unusual concern. Without seeing pictures, it is hard to tell for sure. Also, if you are using a pocket camera for the post-injection pictures, then these tend to make the nose look larger because of the angle of the optics with a small lens. For pictures of the face, it is best to use an... more

A: more likely an optical illusion, but...

Sirish Maddali, MD

Hi Karen. What you have certainly can be an optical illusion. It is very common for patients to notice an area next to a treated area and state that there has been a change to the UN-treated area. This happens all the time in liposuction, tummy-tucks, body lifts, etc. The same is true with dermal filler... more

A: Can Dermal Fillers in Nasolabial Folds Cause the Nose to Appear Larger?

Michael A. Persky, MD

Hi Kareni, I have never had a patient who experienced your complaint with dermal fillers in nasolabial folds.  I have seen swelling at the bridge of the nose with ill advised injections for the horizontal lines at the top of the nose.  It is difficult to answer your question without seeing photos and... more

A: "Overfilled" look can distort your nose

Stella Desyatnikova, MD

I would actually venture to say that it is possible that an indiscriminate use of filler can indeed make your nose look bigger and wider in the lower portion and in the middle. Using too much filler at the top portion of the nasolabial folds can lead to its accumulation there over time. It can also push and... more

A: Probably optical illusion

D.J. Verret, MD

Greetings Karen, What you are describing sounds like an opitcal illusion though without seeing it in person I can't say for sure. There is some local swelling when a filler is injected and in fact hyaluronic acid fillers such as Restylane and Juvederm work partly by having an increase in swelling. It would be... more

A: Perhaps

Steven Wallach, MD

Facial fillers are known to cause local tissue swelling. This is a reuslt of the product absorbing water during its degradation( breakdown).  However, it is highly unlikely that you are experiencing reactions to these products in areas where you were not injected with them. 

More answers to My nose looks larger after dermal filler of nasolabial folds
New York City - Sounds like an optical illusion

Comments

Shhharon
1 post
15 Nov 2008

I am considering having Radiesse injected into my nose tip at one side. I had a nose job years ago and the surgeon took too much cartilige out of my nose at one side, and I wanted my nose to look wider again at the tip. could this be the right treatment for my nose and not make the rest of my nose look different in some way. Oh and is it possible for my nose cartilidge to grow back. Thanks in advance!

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