Can Bellafill raise the tip of my nose to make it look more pointed and slightly smaller? (Photo)

Question

Hi there, I had rhinoplasty 20 years ago and believe I have a silicone implant. I'm interested in using Bellafill to raise the tip of my nose to make it look more pointed and slightly smaller, but I don't want to undergo surgery or revision rhinoplasty. Additionally, one of my nostrils is asymmetrical—can Bellafill help correct that as well?

Anna Chacon, MD, FAAD · Answer

Bellafill is a dermal filler that is primarily used for correcting nasolabial folds and treating certain types of acne scars. When it comes to non-surgical nose enhancements, fillers like hyaluronic acid-based products are more commonly used due to their reversible nature and versatility.

Here are some considerations regarding your inquiry:

Raising the Nose Tip: Fillers can be used to subtly enhance the shape of the nose, including lifting the tip. However, Bellafill is not typically used for this purpose due to its permanent nature. Temporary fillers are generally preferred for non-surgical rhinoplasty to allow for adjustments over time.

Nostril Asymmetry: Fillers can sometimes help in improving the appearance of asymmetry. However, the extent of correction depends on the underlying cause of the asymmetry and the skill of the injector.

Existing Silicone Implant: With a silicone implant already in place, it is crucial to approach any filler treatment with caution. The interaction between the implant and any filler needs to be carefully considered to avoid complications.

Consultation: A consultation with a board-certified dermatologist or plastic surgeon experienced in non-surgical rhinoplasty is essential. They can assess your specific situation, discuss potential outcomes, and recommend the most suitable and safe options.

While Bellafill is not the typical choice for nose reshaping, there are other filler options that might be more appropriate for achieving your desired look without surgery.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Using Bellafill for non-surgical nose enhancement is an option to consider, especially if you're looking to raise the tip and address asymmetry without undergoing surgery. Bellafill is a long-lasting dermal filler that can add volume and contour to specific areas, which might help achieve a more pointed appearance at the tip of your nose. However, it’s important to approach this carefully, especially since you have a silicone implant from your previous rhinoplasty. I hope this helps and best of luck!

Nelson Lee Novick, MD · Answer

Just a word of caution; the use of permanent fillers can translate into complications, such as nodules and grandules, even five, ten or twenty years later. And, unlike HA fillers for which there is a dissolving enzyme should anything go wrong or the result not acceptable, permanent fillers, like Bellafil, have no such enzyme and to date cannot be dissolved should the need arise. 
You would be wise to consult with an experienced, board certified cosmetic dermatologist filler expert about the use of an appropriate HA filler to suit your current aesthetic goals. Hope this helps and best of luck.

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