Non-surgical Nose Job to Raise Nose Bridge?

Question

Could non-surgical Rhinoplasty raise the nose bridge? If so, for how long? Is it risky? What would be that safest liquid or filler for this procedure?

Oakley Smith, MD, FRCSC · Answer

Yes, here is one of the best indications for Non-surgical Rhinoplasty. There is a limit of course. However the low bridge can often be raise till its straight on profile.

Martin Jugenburg, MD · Answer

Non-surgical rhinoplasty adds volume to the nasal dorsum (nose bridge).  When well performed these can look amazing.  In our clinic we usually use a filler such as hyaluronic acid (ex: juvederm/voluma/restylane/perlane)

Corey S. Maas, MD · Answer

There are many different options to augment a nasal bridge and a careful physical exam is critical to formulating the best options. Many Asians have a low nasal bridge and an implant may offer the best results. Choices for synthetic implants include Goretex and silicone. Silicone can have a higher rate of complications such as extrusion or infection and hence we tend to avoid using these. Rib cartilage graft is another option.  
A "non-surgical" nose job to raise the bridge entails injecting a filler to elevate the bridge. For certain deficiencies, this may be a reasonable option; for example, while a very low bridge can be treated with fillers, the likely outcome will not be ideal. We recommend a hyaluronic acid (HA) filler such as Restylane or Juvederm first to assess the results. These last about 6 months and can be easily reversed if you dislike the results. Radiesse lasts much longer and cannot be removed immediately. This may be considered if you get a nice result first with one of the HA fillers. Thus, the safer treatment is start with an HA filler.

David C. Pearson, MD · Answer

I prefer Juvederm, Radiesse, or Artefill for non-surgical augmentation of the nasal bridge.

Juvederm has the advantage of being reversible if a patient disliked it, but only lasts about 6-8 months, in my experience.
Radiesse, while not immediately reversible, will dissolve away on its own in about 12-24 months in the nose and has a little more structure to it.
Artefill is a permanent filler that can be a nice option for select patients, but it has to be used with greater caution and ideally by someone well experienced in its use in the face, primarily because it's permanent.

Hope this helps,
--DCP

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