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Is it safe to get a non surgical nose job top up done by a different doctor?

tanyaakhaanNov 20, 2016
The doctor who initially carried out my non surgical nose job was an absolute nightmare for me! She overfilled my nose an was so rude when I raised my concerns with her. Thankfully 3 months later after some of the filler has softened up I'm happy with my results. However I don't trust going back to this doctor, so is it okay to go to another doctor for a top up? Will they have to use the exact same filler (perlane) on my nose? Or do I have to wait until this filler fully dissolves first?

Answers (4)

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Dr. Eric M. Joseph, MD
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Dr. Eric M. Joseph, MD
Board Certified Facial Plastic Surgeon
4.9 | 627 Reviews
Answered on Sep 2, 2025
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Dr. Theda C. Kontis, MD
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Dr. Theda C. Kontis, MD
Board Certified Facial Plastic Surgeon
5.0 | 100 Reviews
Answered on Nov 22, 2016
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Dr. Jason Emer, MD
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Dr. Jason Emer, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 522 Reviews
Answered on Nov 21, 2016
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Dr. Jeffrey Jumaily, MD
Dr. Jeffrey Jumaily, MD
Board Certified Facial Plastic Surgeon
Answered on Nov 21, 2016
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Eric M. Joseph, MD

Based on your singular photo, you appear to have a wide nasal appearance, along with relatively thick nasal skin. Unfortunately, my sense is that adding volume to your nose would only lead to a larger nasal appearance. Rhinoplasty surgery may be considered for achieving narrowing of the upper...

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Eric M. Joseph, MD

Sure. If you are satisfied with your nasal appearance, and wish to camouflage your small dorsal bump, microdroplet Silikon-1000 nasal injections may be considered for achieving a permanent non-surgical result. I appreciate your question, and I hope this is helpful! Sincerely, Dr Joseph

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Eric M. Joseph, MD

Based on your photos, you appear to have an overprojected nasal appearance, mostly in your bridge. That means that your bridge sticks out from your face further than your nasal tip. This is associated with a dorsal hump as well. Adding volume to your nose may only lead to a larger nasal...

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Eric M. Joseph, MD

Vascular obstruction and necrosis from HA fillers happens because the product is a gel, and it can compress a small artery, or get inside of a small artery and block it. Utilizing a blunt tipped cannula would lead to more tissue trauma, and I do not believe this would reduce the risk of ha...

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Eric M. Joseph, MD

Since the nose is not a dynamic entity that moves, but rather remain stationary, I believe that fillers can last for a long time in the nose. We have been advocating the use of microtroplet Silikon-1000 for permanent non-surgical nose job treatments for over 25 years. It is an excellent product...

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Eric M. Joseph, MD

Sometimes, a picture is worth a thousand words. If you like, feel free to re-ask your questions with photographs, so the experts can view them and give a more specific response insofar as your candidacy for nasal fillers. I hope this helps! Sincerely, Dr Joseph

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