Refilling after dissolving migrated/overfilled nose - how to reduce the risk of filler migrating?

Question

I recently dissolved my botched/overfilled nose and am looking to get it refilled however I am worried about the risk of migration again. Is there anything that can be done to reduce the risk of my nose filler migrating? For example how long could I wait to refill and allow my skin to bounce back?

Randal Haworth, MD, FACS · Answer

There is no way, shape of form to absolutely prevent what you’re describing from happening if you are injecting a hyaluronic acid base filler. In fact, It’s not that the filler migrates, it expands since it attracts water. You could try a less hydrophilic « water attracting » filler such as Bellafill or even fat transfer. Radiesse is another option which is not hydrophilic but there is no real way to dissolve it if you don’t like it.

I hope this helps,
best of luck !

I hope this helps,
best of luck !

Eric M. Joseph, MD · Answer

Based on your narrative, I suspect that your nose may have been overfilled - not filler migration. Proper technique is used, injectable fillers tend to remain in the place where they have been injected. If you had an HA filler, this can lead to a puffy and distorted nasal appearance if too much is injected. The most reliable way to ensure a favorable outcome is to be certain that your surgeon knows about the anatomy of the nose, and about how fillers need to be applied. I hope this helps! Sincerely, Dr Joseph

Refilling after dissolving migrated/overfilled nose - how to reduce the risk of filler migrating?

Answers (2)

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