Filler on columella? (photo)

Question

Can I use filler to help my nose? I feel like the right side could use some to balance the nose. Can some be added to columella on the right? When I smile it is off to the side. I've had 3 rhinos all resulting in errors. Not sure I can handle another surgery. Very interested in exploring fillers.

Nelson Lee Novick, MD · Answer

Bumps, scroll formations, tip irregularities, over exposure of the columella or other problems with this structure are among the known complications of a surgical rhinoplasty (nose job). Fortunately, a nonsurgical nose job can be helpful in improving many of these resulting problems. For problems directly related to the columella, in my Upper East Side Manhattan office, I prefer to use Restylane L for its lifting capacity. In my Israel practice, where a wider variety of regulatory agency approved injectable products are currently available, I prefer to use Volift. Because previously surgerized noses tend to have a greater likelihood of problems with fibrous tissue accumulation and more compromised vasculature, it would be advisable to seek a consultation with a board certified aesthetic physician with extensive experience in performing nonsurgical rhinoplasties. As part of the evaluation, a pretest to assess the potential outcome may be performed using normal saline or a small amount of local anesthetic solution.

J. Jason Wendel, MD, FACS · Answer

Thank you for your
question. A non-surgical nose job or "liquid rhinoplasty" does not involve incisions or surgery at all.  It is simply the strategic use of injectable fillers in the nose to improve the shape or contour of a person's nose as an alternative to surgery. Fillers can be added to depressions or irregularities of the nose, so the procedure augments the nose but does not reduce the nose or make is smaller. To be sure what is best for you, see two
or more 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
treatment.

I hope this helps.

Raffy Karamanoukian, MD, FACS · Answer

Fillers can help fill in areas of hollowness and can add 3D dimension to your nasal profile, further enhancing the aesthetics of your nasal and facial profile. Best, Dr. Karamanoukian

John Mesa, MD · Answer

Patients not ready for nose surgery ( rhynoplasty) can
benefit from nose reshaping with injectable fillers administered by board
certified plastic surgeons with expertise in the face and nose.In candidate patients, injectable fillers can reshape the nose
without the need of surgery. The procedure can be done in the office setting
under local anesthesia (with minimal discomfort/pain) as a walk-in. The
longevity of the ‘liquid rhinoplasty” depends on the type of hyaluronic acid injectable
used (from 6 months to 1 and 2 years). Procedure can be reversed in an
injection of an enzyme shall the patient change his/her mind.For some examples of liquid rhinoplasty, please click the
link bellow:

Darryl J. Blinski, MD · Answer

Worth a try to use Restylane (HA) filler in the areas you are not satisfied with. Find an expert injecting doctor in your area./city.//

Arian Mowlavi, MD, FACS (license on probation) · Answer

Non surgical procedures such as fillers like Radiesse are very helpful to improve the shape and contour of your nose and is more affordable than surgical rhinoplasty. Filler may be added to your columella for improved nose contour.  A consultation with a plastic surgeon is necessary before making any definitive recommendations.

Vincent D. Lepore, MD (retired) · Answer

There are a number of injectable fillers which could be considered to help improve the contour and symmetry of nose including Juvederm and Restylane.  For deeper areas of injection a new hyaluronic acid filler - Voluma by Juvederm - has just recently been released which should give longer lasting results.  Best wishes.

George Commons, MD (retired) · Answer

You can use fillers anywhere on a nose that needs enhancement.  While Juvederm is not permanent it is very long lasting in  non mobile areas.  I  prefer Juvederm over other fillers and the Allergen company is excellent.  My Best,  Dr C

Filler on columella? (photo)

Answers (8)

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