Filler on nose/Dangers of injecting vein across bridge

I have used Radiesse often in the nasal regions and they have all done well.  They have even trumped my recommendations for implant surgery in many cases.  If you have a demonstrable vein in the bridge area, this needs to be taken into consideration.  The complication of intravascular injection is rare but real.  This can be minimized by your surgeon's techniques of careful bevel direction, aspiration before injection, and slow injection rate with use of a blunt cannula instead of a sharp needle.

Fillers on the nose are a very nice way to reshape it.  There is a chance of vascular occlusion and for this reason it is often safer to use a hyaluronic acid product such as Juvederm or Restylane because they are reversible should there be a problem.  Radiesse can be a higher risk, (should there be a problem), because there is no quick way to reverse it if there is a problem.  The risk with hyaluronic acid products is minimal.  And of course there is larger risk with surgery.

Some of my happiest patients are those who have had post surgical defects corrected with a filler. If done carefully it is very safe and requires only a tiny amount of product (which makes it very affordable). Radiesse is not permanent or semi permanent, but like the hyaluronic acid fillers it is absorbable. It does tend to last longer, however, on average about 12 months. As others have said, make sure your doctor has a lot of experience with advanced use of fillers. It is not necessarily the same person you would choose to operate on your nose!

I agree with your surgeon. In my opinion, Radiesse is the best product. The risks are almos nonexistant. If tou can see a vein then it should be easy to avoid.

Correcting a defect in the nose with a filler is very simple and satisfying. If you can see your vein, all the better as the doctor will be able to avoid it. Drawing back prior to injecting also makes the injection into a vein less likely, although always possible. Make sure that you trust the person that you choose to do this and that they have worked on the nose before.

Facial fillers are being used in many different areas including for minor nasal deformities.  While there is always a risk of injecting intravascular, it is extremely rare.  I use facial fillers all the time and have used it for many different indications. Good luck.

It's best to avoid veins when placing fillers in the nose which can be done by placing the fillers deeped within the tissues.

If the vein is noticeable, it is much easier to avoid it than if it were unnoticeable.

The Radiesse would be injected at a level well below the level of the vein. However, there might be a connection with a deeper vein which may in fact communicate with intracranial veins..

Carefully chosing the entry point, the level of injection and carefully aspirating repeatedly before injecting, should result in an uneventful procedure. The cosmetic results are often very gratfying