Is it normal to have filler injected in the nose dissolve after 3 weeks? (Photos)

Thank you for your pictures and questions. The bottom line is that no, the product did not dissolve, but your initial results were obviously due more to swelling than to the product. You might require more product, but the bottom line is that this procedure is only temporary and to get a permanent solution, you need to consider surgery.Best of luck!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

We have seen temporary gel fillers last in the nose for up to 2 years after injection. It is always better to be under injected as opposed to being overcorrected. In all likelihood your body has not metabolized HA filler in 3 weeks. More likely, you were under injected and all of your swelling has dissipated. I hope this helps. Sincerely, Dr Joseph

Hi and thank you for your question! While it is hard to tell based on the pictures, some improvements are still evident in the new picture. In general, while every patient is different, it is very rare for hyaluronic acid filler to get dissolved and broken down by the body this fast. Keep in mind that hyaluronic acid is a vital component of extra cellular matrix in our body and if a patient's body is breaking the external filler so quickly, it should do the same to the internal hyaluronic acid, which is expected to result in serious health problems. Hence, in vast majority of cases, what happens is that right after the filler injection as there is some swelling, the swelling will make the results look more prominent, but during the 1-2 weeks after the filler and as the swelling goes away, the volume will also go down and it gives the impression that the filler has gone away, while it's still there. In cases like you, it is critical to have a follow up in person, to be able to carefully and objectively assess and compare the results with the baseline, and then if needed, further filler injection can be done. I hope it helps and good luck!   

filler always goes down after a few weeks and touchups are often needed.  I suggest you go back to your physician to see what is best for the result you are looking to achieve.  Best, Dr. Emer.

Filler makes the nose look bigger. In your case, by filling out the radix area, just above the bump, it makes the nose look longer. It's just almost never ever a good idea.
If you want to consider a rhinoplasty, almost certainly nothing special would have to be done with your radix area. Your bump would be lowered, the tip elevated a touch, and the entire nose moved back closer to your face a little, too. 
Rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes I described above require advanced techniques, requiring skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon.
Your nose is also a perfect example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. I always email morphs to my online rhinoplasty consultations. When you see the surgeon's goals in the morphs, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are large enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. How would you ever get that figured out without the morphs?! 
But remember, you're not the surgeon for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer.

Hi and thanks for your question. Your initial results were quite good, but there is always some settling that happens within the first several weeks. This is why I always schedule a touch up treatment 3 to 4 weeks after the initial procedure. I include that in procedure price. It sounds like you got Voluma and I think that is the best filler for the nose due to the nice duration of effect. You just need more filler now and see how that goes. If it settles a bit more over the next 6 months, another touch up may be in order. Some people's filler settles less, some more, but the foundation of filler is still in there, so tis worth putting a bit more in to get a good result that lasts for a good amount of time.

Part of your immediate result photo involves swelling that has now resolved. Fillers generally do not dissolve in weeks but having to add more to sustain the contour improvements is a common requirement. Over-correcting the result during the first treatment is less predictable than having additional product added after 3-6 weeks. Remember that the products do dissolve slowly and incrementally each month. Consequently for small corrections that look perfect initially, within weeks or a few months the correction will partially be lost. 

The initial swelling from the treatment is probably what has resolved. I suspect you just need a little more filler to get the optimal results. I prefer to use Restylane or Restylane Lyft on the nose. 

Hello. Thank you for your question. It is very doubtful that your filler dissolved in 3 weeks. My guess would be that when you left you were a little swollen, and now the swelling has gone down and the filler settled. If you are not happy with the results, you may need to add more filler. Ask your provider what a touch up would run. 

Specially with juvederm is commun thing that patients come back in 3 to 4 weeks for a touch up. Must of the times I let the patient know about it.