Which is better for a liquid nose job: Restylane Silk or Restylane Refyne?

In general, the success of a non-surgical nose job treatment is dependent upon the person who is holding the syringe. Some surgeons have preference for one filler over another. In our practice, we advocate microdroplet Silikon 1000 nasal injections for those who are looking for a permanent nonsurgical nose job, who are good candidates for this procedure. Hope this helps! Sincerely, Dr. Joseph

Hi and thanks for your question. Restylane Silk is not an appropriate filler for sculpting the nose. It is a filler designed for fine lines and does not give the lift you need for changing the contours of the nose. That being said, Refyne is not much better. I would not choose either of these.
The filler I usually use for a Non-Surgical Nose is Voluma, because it lifts tissue well, holds its shape and gives my patients long lasting results for 1.5 to 2 years. Voluma is also reversible at any time with a simple enzyme injection. Once the filler wears off and the nose goes back to its original shape, I give my patients the option of repeating Voluma treatment or going with a permanent filler like Bellafill. This is also a very safe and effective filler, but it does not get dissolved by the body, so it lasts for many years, or, with many people, the rest of their lives.
Whether temporary or permanent, Non Surgical Rhinoplasty takes 5 to 15 minutes to perform, involves minimal pain, minimal risk, no downtime or swelling and you can see the results immediately after the procedure.
If you do choose to have Non Surgical Rhinoplasty, make sure to find a physician who is very experienced in specifically this procedure and ask to see their before and after pictures. Hope that helps.

I recommend getting a formal evaluation with a cosmetic dermatologist to go over your desired results. Facial fillers (voluma, restylane, juvederm) can be used to improve the symmetry of the nose. Surgery would be needed to improve nostrils or overall shape. See an expert. Best, Dr. Emer

Refyne  is newer filler that differs from previous fillers, because it stretches and has more elasticity. It has been used outside of the US for quite a long time and was only relatively recently approved. As a result of the different technology, it is more expensive. 

Refyne is more expensive because it is the newer product of the two and also the cross-linking technology used in the Refyne generation of Restylane products has the product lasting much longer than the Silk generation. I prefer a dissolvable HA filler such as VOLUMA which lasts a long time, but can be reversed if it is not to your liking. It also has greater lift of the tissue than the restylane products so it is good for areas which need structure such as the bridge. If you are trying to blend areas and not add structure, then Restylane can be used insead,. It is best to have an in-office examination to determine which will work best for you. Sometimes a combination of fillers can be beneficial although you usually only need one type for a liquid nose job.  Hope this helps!
Johnson C. Lee, MD
Board-Certified Plastic Surgeon
IG: @drjohnsonlee