I've had a non surgical nose job before and loved the results. I moved and went to a new provider--she mentioned that necrosis is possible and I need to weigh that into risks associated with the procedure. My prior provider did not tell me that! What's the verdict?
Answer: Non-surgical rhinoplasty Yes, it is a legitimate concern. But the risk is very low in experienced hands. It should, however, be discussed before placing nasal fillers as part of informed consent. Correct technique minimizes the risk, so finding a provider who is familiar with facial and nasal anatomy is key. Hope this helps!
Helpful 1 person found this helpful
Answer: Non-surgical rhinoplasty Yes, it is a legitimate concern. But the risk is very low in experienced hands. It should, however, be discussed before placing nasal fillers as part of informed consent. Correct technique minimizes the risk, so finding a provider who is familiar with facial and nasal anatomy is key. Hope this helps!
Helpful 1 person found this helpful
Answer: Temporary gel fillers may cause necrosis. Temporary gel fillers are thick. They can compress blood vessels, or sometimes they can be embolized and cause a stroke or blindness. If you are considering a temporary gel filler, please make sure that your injector is knowledgeable of the vascular anatomy of the nose, and how to treat these complications should they occur. In our practice, we utilize microdroplet Silikon-1000 for permanent non-surgical nose job treatments. Since the size of a Silikon-1000 molecule is smaller than a red blood cell, none of those complications have been reported. Thank you for your question. Sincerely, Dr Joseph
Helpful
Answer: Temporary gel fillers may cause necrosis. Temporary gel fillers are thick. They can compress blood vessels, or sometimes they can be embolized and cause a stroke or blindness. If you are considering a temporary gel filler, please make sure that your injector is knowledgeable of the vascular anatomy of the nose, and how to treat these complications should they occur. In our practice, we utilize microdroplet Silikon-1000 for permanent non-surgical nose job treatments. Since the size of a Silikon-1000 molecule is smaller than a red blood cell, none of those complications have been reported. Thank you for your question. Sincerely, Dr Joseph
Helpful
January 31, 2020
Answer: Necrosis with Non-surgical Nose Job Hi and thank you for your question! While rare, injection of fillers can interfere with blood flow - when filler is injected inadvertently into a blood vessel which is extremely rare with proper technique but can have catastrophic consequences, but more commonly when the filler exerts some pressure on a nearby vein and slows its blood flow. There are blood vessels on nose and given the limited space, there is the risk but it is very low. After almost ten years and several thousands of filler injections, I have never seen any patients with filler injected into a blood vessel, but perhaps 3-4 patients with signs consistent with filler pressuring on a nearby vein but even those cases all had full recovery with injecting some enzyme and topical application of vasodilators. So to sum it up, yes the risk is there and we all must be aware of it, but it is very small and you and your injector should be vigilant on the warning signs to be able to manage it quickly if it occurs. I hope it helps and good luck!
Helpful
January 31, 2020
Answer: Necrosis with Non-surgical Nose Job Hi and thank you for your question! While rare, injection of fillers can interfere with blood flow - when filler is injected inadvertently into a blood vessel which is extremely rare with proper technique but can have catastrophic consequences, but more commonly when the filler exerts some pressure on a nearby vein and slows its blood flow. There are blood vessels on nose and given the limited space, there is the risk but it is very low. After almost ten years and several thousands of filler injections, I have never seen any patients with filler injected into a blood vessel, but perhaps 3-4 patients with signs consistent with filler pressuring on a nearby vein but even those cases all had full recovery with injecting some enzyme and topical application of vasodilators. So to sum it up, yes the risk is there and we all must be aware of it, but it is very small and you and your injector should be vigilant on the warning signs to be able to manage it quickly if it occurs. I hope it helps and good luck!
Helpful
June 23, 2020
Answer: Nonsurgical Filler Nose Jobs Have Proven Safe Over About Two Decades I have personally been performing nonsurgical filler rhinoplasties for nearly two decades, since the early days when Radiesse, a calcium-based filler was first being used for this purpose. At the beginning, this five minute technique was used almost exclusively for straightening bumpy, humped nasal bridges. Later, its uses expanded to include raising droopy tips and treating certain nasal asymmetries. These days, most experienced injectors use hyaluronic acid-based volumizing fillers, such as Restylane Lyft or Hyabell Deep for these purposes. While vascular occlusion and necrosis are potential adverse reactions, fortunately, given the very large number of people treated, these kinds of reactions are quite unusual. What's more, hyaluronic acid injectables can be quickly dissolved and necrosis averted with the timely and aggressive use of hyaluronidase (a hyaluronic acid dissolving enzyme). So, continue to feel comfortable and best of luck.
Helpful 1 person found this helpful
June 23, 2020
Answer: Nonsurgical Filler Nose Jobs Have Proven Safe Over About Two Decades I have personally been performing nonsurgical filler rhinoplasties for nearly two decades, since the early days when Radiesse, a calcium-based filler was first being used for this purpose. At the beginning, this five minute technique was used almost exclusively for straightening bumpy, humped nasal bridges. Later, its uses expanded to include raising droopy tips and treating certain nasal asymmetries. These days, most experienced injectors use hyaluronic acid-based volumizing fillers, such as Restylane Lyft or Hyabell Deep for these purposes. While vascular occlusion and necrosis are potential adverse reactions, fortunately, given the very large number of people treated, these kinds of reactions are quite unusual. What's more, hyaluronic acid injectables can be quickly dissolved and necrosis averted with the timely and aggressive use of hyaluronidase (a hyaluronic acid dissolving enzyme). So, continue to feel comfortable and best of luck.
Helpful 1 person found this helpful
January 27, 2020
Answer: Necrosis Dear mtimko, there is a risk of necrosis when using dermal fillers and it should be discussed prior to injections. I would recommend finding a plastic surgeon to perform you injections. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful
January 27, 2020
Answer: Necrosis Dear mtimko, there is a risk of necrosis when using dermal fillers and it should be discussed prior to injections. I would recommend finding a plastic surgeon to perform you injections. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful