What is the Longest Lasting Nose Injection?

I am considering nasal bridge augmentation and I am wondering what filler is the longest lasting and most cost effective? I have had mixed reviews about Radiesse.

Doctor Answers 4

Artefill is the longest lasting---it's permanent.

Artefill is permanent. And Artefill has FDA approval as a cosmetic injectable filler (for the nasolabial folds), whereas Silikon-1000 has no FDA-approved use cosmetically. On the other hand, many physicians have used Silikon-1000 with good results, but I would argue that it's even more technique sensitive than Artefill.

Radiesse is a great choice for those who want a long-lasting filler (maybe 2 years or so in the nose) but are not yet comfortable with a permanent filler.

In any of these cases, though, it's important to be sure that non-surgical treatment of the nose is a better option than surgical rhinoplasty. Many problems with nasal disproportion simply can't be fixed with injectables alone. However, an isolated dent or asymmetry, a low radix, etc. are often good places for long-lasting or permanent fillers.

And since technique and judgment is very important, I recommend that patients seeking non-surgical rhinoplasty consult with a surgeon competent in surgical rhinoplasty as well, since they tend to have a better understanding of the relevant nasal anatomy and what can and can't be fixed with fillers.

All the best,


Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 25 reviews

Silikon-1000 is an "off-label" permanent filler that works well in the nose.

If you're looking for an FDA approved filler for your Non-Surgical Rhinoplasty, you could consider Radiesse. The product is long lasting, and works well in the bridge of the nose.

I have been using Silikon-1000 for Non-Surgical Rhinoplasty procedures for 10 years with teriffic results. If you would consider this, you should find a board-certified dermatologist or facial plastic surgeon experienced in the micro-droplet technique of Silikon-1000 administration.

I've attached a link to my Non-Surgical Rhinoplasty page for your perusal.

I hope this helps, and best regards.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 421 reviews

Nasal dorsum augmentation

I have found that the Radiesse lasts the longest with the least amount of problems. I had one patient where it lasted almost 15months, but the average is about 9-12 months.

Theodore Katz, MD, FACS
Philadelphia Plastic Surgeon
4.8 out of 5 stars 7 reviews

Restylane and Juvederm are my preference, even though they are not the longest lasting

The two main options are Radiesse and hyaluronic acids (Retylane and Juvederm).  My preference is to use HAs because they are REVERSIBLE and still have fairly good longevity of over 1 year.

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon
4.1 out of 5 stars 9 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.