Can Repetitive Nonsurgical Rhinoplasty Become Permanent?

Question

I heard that constantly replenishing the amount of filler in one's nose (such as Radiesse) can eventually lead to permanent results, the theory being that natural collagen will eventually fill in the grooves and crevices. Does anyone find this to be true, or at least partially true? This feels a lot safer to me than an open rhinoplasty with rib graft: my second revision (three total). Thoughts?

Kenneth Hughes, MD · Answer

I believe that there is some truth to that. The question is how many times will these injections be needed to achieve the result you are seeking. Every rhinoplasty surgeon will have different ideas on this, and some, as a matter of principle, will not inject filler into the nose. Some may dissuade you from this as they feel that rhinoplasty results are more predictable. Kenneth Hughes, MD Los Angeles, CA

Steven Wallach, MD · Answer

Sure, some collagen may build up with repetitive injections, but if you need a hump removal or significant dorsal height, I do  not think filler will be sufficient.

Francis R. Palmer, III, MD (retired) · Answer

Sadly, no. Temporary fillers like Radiesse, Perlane, Juvederm and Restylane will eventually be dissolved by the body no matter how often it is injected. The effects will never be permanent. Permanent changes, to the nose, would require a Rhinoplasty.

Oleh Slupchynskyj, MD, FACS (retired) · Answer

Hi,

I've redone several noses that had radiesse filler. It's very difficult if not impossible to remove the radiesse. It can be permanent and look terrible and difficult to fix. I would advise staying away from this.

Best,

Dr.S.

Can Repetitive Nonsurgical Rhinoplasty Become Permanent?

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