Best Long Lasting Filler for nose curved at tip?

Question

What's the longest lasting filler (or minimally invasive procedure) available to fix a nose that is slightly curved at the tip to the right and a little bit sunken in at the bridge from a previous procedure?

	I was quoted for Radiesse, but am worried its gonna wear off too soon, and I don't want a constantly changing nose...thanks :)

Lorrie Klein, MD · Answer

Artefill is a permanent filler that can be used on the nose for a non-surgical nose job. Radiesse would be my second choice as it can last up to 18 months. You will need a skin test if you have Artefill done. Make sure you go to an experienced injector for this procedure ESPECIALLY if you use Artefill.

Matthew Richardson, MD · Answer

There are many different injectable fillers that can be used around the nose. Keep in mind that all of these are used "off-label" to achieve these results. In some cases, injections in a nose that has already been operated on may not be safe. Also, fillers may not be able to safely correct a deviated nasal tip, but do work quite well to improve contour irregularities of the bridge of the nose.
I recommend hyaluronic acid-based products because they are reversible in the event of any problem. Radiesse is a good product, but I don't like it in the nose because it cannot be reversed once injected. There are some doctors who use permanent fillers in the nose, but this is not something I recommend due to the risk of potential problems with infection, dissatisfaction with results, and severely limiting any future surgical procedures. Otherwise, all filler injections are temporary and the duration of the results will vary depending on the product that is used and the patient's individual metabolism. Several products are capable of delivering results that last 18 months or more, but again, this varies.
Be sure to see an expert physician injector who is experienced with surgical rhinoplasty and non-surgical nose job procedures.
All the best,

Rod J. Rohrich, MD · Answer

A non surgical nose job can be a great procedure to fill in minor defects or irregularities of the nose. However, they do not necessarily replace or help achieve the goals that most people want when seeking a rhinoplasty to change the appearance of their nose. Restylane and/or Juvederm are great temporary filler products which can be injected into the nose as an in-office procedure with no downtime to the patient. This is a very advanced technique and you and your physician should discuss in detail to see if you are in fact a candidate for the procedure.

Oakley Smith, MD, FRCSC · Answer

However you wont find many surgeons using it any more. As for the semi-permanent fillers, artisense and Radiesse, there are reported issues around inflammation which have caused conservative and conscientious surgeons to worry. However they have the attraction of lasting longer than the more 'natural' Hyaluronidase acid fillers like Restylane and Juvederm. So what is the best approach? Most surgeons are comfortable starting with a temporary filler and procrastinating while we wait for an longer acting but complication free product to arrive.

Otto Joseph Placik, MD · Answer

SEE VIDEO BY CLICKING "MORE":
Radiesse is currently the longest lasting resorbable filler used in the nose. All fillers are used on an off label FDA indication. Permanent fillers are available. However, I would strongly encourage you to start with a temporary filler first to see if you like the results.

Raffy Karamanoukian, MD, FACS · Answer

Improving nasal contour can be performed nonsurgically using facial fillers. I would advise against permanent fillers in favor of the hyaluronic acid facial fillers such as Restylane and Juvederm. Radiesse, although extremely safe, may have a higher rate of complications in this area and should also be avoided for repeat injections.

Deniz Kanliada, MD · Answer

As a rhinoplasty surgeon i must advice not to use Radiesse injections in the nose.
1) Very risky and irreversible
2) very sticky and make the surgery really difficult if you decide to have a surgery in 3 years time.

Juvaderm ultra 3, volift, belotero intense, teosyal global actions are nice and safe fillers in the area.

Andrew Pichler, MD · Answer

Commonly used fillers, such as Radiesse, will only last 6-12 months. They are excellent for minor defects. If you want something "permanent" then the only thing available is the OFF-LABEL use of medical grade silicone. You have to find a VERY experienced PS (and only a few do this) who knows how to do the microdroplet injection technique. Search carefully.

Steven Wallach, MD · Answer

Most of the fillers last between 6 months to 1 year and sometimes longer in areas such as the nose. More permanent products are fat with unpredictable "take", and other permanent fillers which I do not use.

David C. Mabrie, MD · Answer

While in most places Radiesse tends to last longer than the Hyaluronic acids, like Restylane and Juvederm, I have found the opposite to be true in the nose. 

	It may be because of the way Hyaluronic acids hold on to water they are able to hold the same amount of space even as more and more of the molecules are absorbed, while with Radiesse, small amounts don't hold onto more water and the results tend to disappear faster.

	ArteFill is another long-lasting filler for Non-Surgical Nose Jobs and appears to be giving good results.

	For an example of Non Surgical Rhinoplasty, please click the link below.

Best Long Lasting Filler for nose curved at tip?

Answers (15)

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