How common are serious complications from a dermal filler/fat transfer to the nose during a Liquid Rhinoplasty?

When it comes to serious complications with dermal fillers, the largest factor in our opinion is the person holding the syringe. The key to avoiding serious complications is understanding the vascular anatomy of the nose. Many areas of the nose, including the central nasal bridge, or devoid of blood vessels and very safe areas to provide volume. I see you're from Los Angeles. Consider checking out Dr. Robert Kotler in Beverly Hills. Hope this helps! Dr Joseph

It is good that you are researching now as this is in fact a high risk area, however new studies are now showing it may not be as high risk as we once thought. The key, if you chose to treat this area is picking an experienced provider. I would ask about their training, how many procedures they have performed and do they have a filler "crash kit". I would ask if they have treated a vascular occlusion before as well. We have seen online some of the worst scenarios of vascular occlusions, most occur outside of the U.S. or by untrained providers. Make sure your provider takes a good health history and if you have had previous surgeries or injury to the nose they may not want to treat you. A cannula does decrease the risk of injecting into a blood vessel in most areas of the face however there has been caution from some key opinion leaders to not use cannulas in the nose as it can be difficult to stay midline and that is the safest area in the nose. We use a needle in my office and aspirate with every injection. Small boluses, staying on bone when able and aspirating are the safest methods you can utilize when injecting the nose, unfortunately arnica or any other supplements do not alter that but can be helpful in minimizing bruising or swelling.