3 wks post op Voluma filler in nose, my nose is very red with no sign of improvements. Should I have the filler removed? (photo)

Question

I am very concerned that my nose is still very red with no sign of improvement in the last week. should I have the filler removed? If I do, will this get rid of the redness? I'm absolutely terrified that this is vascular compromise and my doctor is very hard to get hold of.

Mark K. Markarian, MD, MSPH, FACS · Answer

Thank you for the picture.  I think this is a concerning complication of Voluma and needs to be addressed immediately.  Voluma is the only FDA-approved filler for cheek augmentation, and should be predominantly used in that area.  Due to the redness and lack of improvement of your nose, I would highly recommend the following:(1) Personal evaluation and examination by the dermatologist or surgeon who injected you.  If he/she is still "very hard to get hold of", then ask your primary care physician to get in touch with him/her.  You may also seek out another clinician in your area who has plenty of experience with injectable fillers.  (2) Hyaluronidase (aka Vitrase) -- this will help dissolve some of the Voluma and likely improve the swelling and redness.(3) Antibiotic coverage -- redness (in addition to swelling, drainage, tenderness, and warmth) are some of the signs of a possible infection and need to be treated with antibiotics, likely 1-2 weeks.(4) Close follow-up:  the person who injected you should treat this complication, and arrange for close, scheduled follow-ups.Good luck.

Martin Jugenburg, MD · Answer

Thank you for your question, If you are concerned ensure you follow up with your injector to discuss treatment. You can have an injection to dissolve product .Best,

Kian Karimi, MD, FACS · Answer

Redness of the nose after filler injections three weeks out is concerning.  I would consult with your surgeon ASAP to evaluate for infection, vascular compromise, or other complications.  You may need to have the filler dissolved and possibly go on a course of antibiotics but discuss this with your doctor for recommendations.

Brian S. Biesman, MD · Answer

The nose is At higher risk than some other areas to developing significant problems after filler injections.I would followup with the physician who injected you immediately for further evaluation.

J. Jason Wendel, MD, FACS · Answer

Thank you for your question and picture.Injection of fillers into the distal 1/3 of the nose can be difficult and sometimes dangerous. The skin in this areas is very adherent and thick. Extreme caution must be taken.

You need to return to see your injector who hopefully is a licensed provider. If not, see two or more licensed
and board-certified providers in your area for a complete evaluation to make
sure you are a good candidate and that it is safe for you to have these
treatments.

I hope this helps.

3 wks post op Voluma filler in nose, my nose is very red with no sign of improvements. Should I have the filler removed? (photo)

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3 wks post op Voluma filler in nose, my nose is very red with no sign of improvements. Should I have the filler removed? (photo)

Answers (9)

Answer: Problems after Voluma injections in the nose

Answer: Problems after Voluma injections in the nose

Answer: Red nose after Voluma Liquid Rhinoplasty

Answer: Red nose after Voluma Liquid Rhinoplasty

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Recommended reading

Everything you need to know about Voluma

Our mission is to create a world where every investment in modern beauty is Worth It.