Juvederm in Nose Nightmare?

   If Juvederm is not in the right place, the hyaluronidase is reasonable.  More may be needed.  Get a second opinion, if necessary.

A photo would be very helpful to see what you are talking about but generally speaking Juvederm is a soft gel so it doesn't hold a ridged shape especially with manipulation. But as a HA filler it is one of the most forgiving types because it can be dissolved with Hyaluronidase.  If you are unhappy with your results ask to have it dissovled.  You may need to seek another provider if necessary.

Juvederm normally dissolves completely over time.  There are areas on the face where Juvederm typically lasts longer than others.  I would say that the nose is one of the places that Juvederm could last longer, but I would say it should be gone by one to two years at most.  It would be unusual for the Juvederm to migrate, even with your manipulation.  Hyaluronidase injection normally should be able to dissolve the Juvederm fairly soon after it is injected.  You might consider contacting your treating physician again to see if further treatment would be indicated.

I have injected countless people with fillers in the nose including juvederm, restylane and radiesse. While I've never had any problems, it sounds like you may want to seek a second opinion and may need a higher concentration of hyaluronidase injected. Speak with a dermatologist or plastic surgeon experienced with this great antidote.

Juvederm in or on the nose is an off label treatment and if you have any problems with this area I would suggest you consider a second opinion.

If you pressed hard on your nose directly after the injections, then yes, you could have moved the Juvederm. Using Juvederm in the nose is "off label" though many of the uses we have for fillers is technically "off label". Sometimes you need a few rounds of hyaluronidase to get rid of HA filler depending on how much was used and where it was placed. A good injector wouldn't cause "holes" as hyalurondise destroys non-natural HA, like Juvederm. Another round of hyaluronidase is most likely in order. And yes, it will also leave over time, as all HA fillers do, most likely within a year.