Will fillers for my nose and sunken eyes have lasting results? (Photo)

Based on your photo, you appear to have a wide nasal appearance with a visible irregularity on the Bridge of your nose. In general, adding fillers to the nose may not lead to a narrower nasal appearance. I hope this is helpful. Sincerely, Dr. Joseph

Hi there,
Injectable fillers are a great option for your mentioned concerns. Although less expensive than surgery, the results are not permanent. I would expect the fillers to last about 12 months. An in person consultation with your local expert provider is recommended. They will determine the best treatment plan for you, as well as the cost. Best of luck. 

I appreciate your question. You appear to be a good candidate for fillers in the nose and tear troughs, although I would need to see you in person to know for sure. Small amounts of filler in the tear troughs add subtle volume to the area under the eyes, minimizing discoloration and fine lines while producing a smoother look. Filler can also be used to add definition to the nasal bridge. In most cases, the results will last for many months. If Voluma is used for the liquid rhinoplasty, your results could last up to two years. 
No filler treatment is permanent. You will need to repeat your treatment over time to maintain your positive results. The cost can add up if you continue this protocol over the long term. Some patients start with fillers and eventually move to a surgical solution to achieve a more permanent result. No matter which approach you choose, always work with an experienced, board-certified plastic surgeon to ensure the best possible outcome. 

THE TRUTH: If you are really interested in a permanent result, then you have three options: 
1) Injectable fillers using permanent material (e.g., silicone)  - risky option due to inability to be corrected and lack of reversibility which can be dangerous in the event of post-procedure complications (e.g., blindness or skin necrosis). I WOULD NOT DO THIS.
2) Repeated Injectable fillers using non-permanent material (e.g., HA or CaHA based fillers) - good option, though is temporary (lasts anywhere from 6 -18 months)! Also, you should consider the long-term cost of these fillers. For instance, undergoing an injection with filler (cost about $1,000) every 1-2 years for the next 30 years would require at the very least 15 treatments to maintain a result. 15 treatments at $1,000 each equals $15,000. In addition, you should calculate the cost of time away from work due to appointments for procedures and follow-ups and touch-ups. OVERALL, A GOOD OPTION. BUT NOT PERMANENT AND COSTLY IN THE LONG-RUN.
3) Surgery - Rhinoplasty with or without blepharoplasty, if done well, should give you a long-lasting result.  BEST OPTION FOR PERMANENT RESULT. ALSO, MORE COST-EFFECTIVE OVER TIME.
Hope this helps,
Blake Raggio, 

Thank you for your photo. You do appear to be a good candidate for hylauronic acid filler to the tear troughs (undereye lines) and nose. This will help blend the junction between your lower eyelid and your cheek. This can also make your nose appear more defined with a more straight and striking profile. I recommend Voluma for the nose which lasts in the tissues for up to 2 years. Restylane is best for under the eyes and lasts for 10-12 months. You may need a small touch-up once a year but this is definitely a more affordable option than a surgery. You also have the option of doing the surgery later time. Hope this helps!Johnson C. Lee, MDBoard-Certified Plastic Surgeon

Hello,
Thank you for your photo and question. If you want permanent results, then surgical rhinoplasty is the best option. depending on the provider, you can discuss different filler options. Make sure you go to an experienced provider who can go over all pre/post care, treatment plan, options, and protocols. Usually, non-surgical rhinoplasty can last over 12 months, but most HA fillers will dissolve over time. 
Hope this helps.
Sie Thomas, FNP-BC

You would benefit from a rhinoplasty procedure to address your dorsal hump and refining the nasal tip. I would not suggest fillers in the nose as they are not permanent and can be costly overtime, they would not address your concerns and many surgeons like myself do not agree with these as a treatment plan when surgery is required. Fillers will only make your nose appear larger. I do agree that fillers in the tear trough area may provide a nice result for you. Seek consultations with experts in the field and have imaging performed to show you the changes rhinoplasty would provide for you. Once a desired nose is agreed upon the surgeon will quote you a fee. These fees will vary from surgeon to surgeon. Most surgeons like myself offer complimentary consultations so you will not incur fees as you start your search and then you can save money for your rhinoplasty procedure or you can look into the many different options for financing available. Review the surgeons before and after photographs to ensure expertise. See examples in the link and video below. Best regards, Michael V. Elam, M.D.