The bridge of my nose has sunken pass the point and it's worse when I'm stressed or without proper sleep.It has bothered me since I was 30. Now in my 50's and would like it filled but have not seen anyone else with that problem. I was told it was a bad place for Restylane but the doctor has agreed to do it.
November 17, 2009
Answer: Fillers for nasal tip There is a remote risk of interference with blood flow to the nasal tip, or the region between the eyebrows if fillers are injected in the bridge or tip, If this occurs, the skin may develop an ulceration followed by a permanent scar. Excellent technique may not prevent this, but using a thin, not thick filler, and being conservative wtihout overfilling are important aspects of minimizing the risk. I have performed, with excellent results, filling nasal tip depressions after Mohs micrographic surgery for skin cancer. However, treating a nose for cosmetic improvement is very different than improving a scar that exists after reconstructive surgery for a skin cancer removal. If a scar develops after treating an unscarred nose for cosmetic puroposes, then this complication will be more bothersome to the patient and physician!
Helpful
November 17, 2009
Answer: Fillers for nasal tip There is a remote risk of interference with blood flow to the nasal tip, or the region between the eyebrows if fillers are injected in the bridge or tip, If this occurs, the skin may develop an ulceration followed by a permanent scar. Excellent technique may not prevent this, but using a thin, not thick filler, and being conservative wtihout overfilling are important aspects of minimizing the risk. I have performed, with excellent results, filling nasal tip depressions after Mohs micrographic surgery for skin cancer. However, treating a nose for cosmetic improvement is very different than improving a scar that exists after reconstructive surgery for a skin cancer removal. If a scar develops after treating an unscarred nose for cosmetic puroposes, then this complication will be more bothersome to the patient and physician!
Helpful
November 13, 2009
Answer: Restlylane for nasal tip The answer is yes, it can, but the notes that others have posted about tip necrosis are a minor issue. In my opinion, the risk of tip skin necrosis is so low that fillers to the tip are reasonable options. The majority of studies to date describe radiesse for non surgical rhinoplasty, but fillers like restylane and juvederm also apply. And because restylane and juvederm are reversible, may be more straight forward. The issue that I feel is more important tries to define what realistic improvements are achieveable. The fillers can add some diffuse fullness to a tip, but not the definition that patients often desire. Or, attempts to create more of that pointy tip that some patients describe (ie more definition) require volumes of filler that are less predictable. And an article by Toriumi describes the difficulty in removing radiesse if a patient quickly follows with rhinoplasty. So in the end, I do use it in the tip, feel it is safe, and effectively adds tip volume. Definition is harder to promise. Dorsal (bridge) augmentation works much more reliably as well with all the fillers.
Helpful
November 13, 2009
Answer: Restlylane for nasal tip The answer is yes, it can, but the notes that others have posted about tip necrosis are a minor issue. In my opinion, the risk of tip skin necrosis is so low that fillers to the tip are reasonable options. The majority of studies to date describe radiesse for non surgical rhinoplasty, but fillers like restylane and juvederm also apply. And because restylane and juvederm are reversible, may be more straight forward. The issue that I feel is more important tries to define what realistic improvements are achieveable. The fillers can add some diffuse fullness to a tip, but not the definition that patients often desire. Or, attempts to create more of that pointy tip that some patients describe (ie more definition) require volumes of filler that are less predictable. And an article by Toriumi describes the difficulty in removing radiesse if a patient quickly follows with rhinoplasty. So in the end, I do use it in the tip, feel it is safe, and effectively adds tip volume. Definition is harder to promise. Dorsal (bridge) augmentation works much more reliably as well with all the fillers.
Helpful
November 12, 2009
Answer: Restylane Volume Enhancement of the Nose Restylane and other hyaluronic acid facial fillers can be effectively used in the nose provided that a knowledgeable plastic surgeon has assessed the vascularity and skin perfusion of the tip and dorsum of the nose. Further, it seems that you lack structural support of the nasal dorsum and Restylane cannot provide any structural support.
Helpful
November 12, 2009
Answer: Restylane Volume Enhancement of the Nose Restylane and other hyaluronic acid facial fillers can be effectively used in the nose provided that a knowledgeable plastic surgeon has assessed the vascularity and skin perfusion of the tip and dorsum of the nose. Further, it seems that you lack structural support of the nasal dorsum and Restylane cannot provide any structural support.
Helpful