Does nose tip filler dissolving effect forehead Botox?

Question

Hi, I had filler in the tip of my nose but it’s awful and needs dissolving I’m just curious as to whether it would affect my Botox?

Raffy Karamanoukian, MD, FACS · Answer

Hylauronidase has many advantages and should be considered in patients who are unhappy with their results or in acute cases of overfilling or occlusion. Its often better to reverse filler and restart then to deal with long term edema. Filler migration and permanence is a very common problem because there are many different types of HA fillers on the market and each is specified for a specific part of the face. Use of highly cohesive fillers on thin skin may cause swelling and nodularity. If patients have filler migration or nodules, we recommend a combination approach of filler reversal with enzymes Hylenex and Hyaluronidase in different strengths to dissolve the filler. We may also need to add Kenalog to the mix in order to reduce fibrous tissue. If the filler does not dissolve, it either means the filler is not HA material or we need more enzyme. The HA reversal can be combined with other lasers and skin treatments at the same time, and it usually (usually) does not affect adjacent tissue.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

Thank you for your question, I recommend getting a formal evaluation with a cosmetic dermatologist to go over your desired results. Facial fillers (like Voluma, Restylane, Juvederm) can be used to improve the symmetry of the nose, but surgery would be needed to improve nostrils or overall shape. Best to see an expert. - Dr. Emer

Anil R. Shah, MD · Answer

Hyaluronidase will not affect Botox. The product is meant for hyaluronic acid, not a neurotoxin. Depending on how much filler was injected in your nose, it may change your facial profile after you dissolve it away. 
I recommend that you seek in-person consultation with an experienced injector.
Best, 
Dr. Anil Shah

Center for Aesthetics and Plastic Surgery - Grand Rapids · Answer

Hello there,
       No, the dissolving of your nose tip filler should not affect your forehead Botox in any way whatsoever. I would make sure your are seeing an experienced provider for this treatment. Hope this helps.

Sarah RN BSN

Leonard Grossman, MD · Answer

Using hyaluronidase should not affect the results from your prior Botox treatment. I hope this helps and good luck from New York City plastic surgery

Does nose tip filler dissolving effect forehead Botox?

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