Do Non-surgical Nose Fillers Have Any Long-term Effects?

Filler substances -- such as Restylane, Juvaderm, Radiesse -- are FDA approved for use in the US to correct facial wrinkles and to add volume to the fave. However, they have not been given an specific indication by the FDA for a "non-surgical nose job" -- thus, they are being used in an "off-label" fashion for this purpose.The deformity of the nose will dictate how much of the injectable substance is required to achieve the desired result. While injectable fillers may be appropriate for treating localized deformities such as depressions or a low bridge, large volumes are required for an substantial change in nasal shape.Many surgeons are beginning to see patients who come to their practice for revision surgery because they are displeased with the results of injectable fillers. Most of the products that have been on the market for the last several years are temporary. However, newer, longer-lasting fillers have become available. Some of these are permanent. This poses a problem when the result does not meet the patient's expectations. The large volumes of these substances are changing the way the natural tissues appear, which can make revision surgery more difficult, and in some cases, impossible.Over time, these fillers have been noted to cause skin changes, such as redness and even skin necrosis, in some patients if they are injected too close to the surface of the skin. They may also give the nose a lumpy appearance.

A nonsurgical rhinoplasty with the use of hyaluronic acid fillers is a good temporary way to see if you would like a surgical rhinoplasty in the future.  Injectables have not been FDA approved as nasal fillers however they offer a safe, non permanent alternative to surgery.  The key is to consult with a board certified plastic surgeon or facial plastic surgeon that has experience and expertise in the use of fillers as well as knowledge of nasal anatomy.

Using safe reversible hyaluronic acid based fillers like Juvederm, you can contour a nose to hide asymmetries or mask bumps when they are subtle and/or if the patient cannot undergo surgery or desires not to. Results last 1-3 years. No downtime after the procedure.  

Fillers are not FDA approved for the nose although many people use them off label.  In the right hands on the right patient using the right filler it is a great option for many patients.  However in the wrong hands that is someone who is not skilled with fillers in the wrong patient that is someone whos nose really needs surgery and using the wrong product that is something thick or permanent you can have a disaster.  You need to do your homework.  I personally only use Restylane and no other product.  I would avoid spas and random injectors.Good Luck

Non-surgical nose fillers are not a substitute for rhinoplasty surgery. Rhinoplasty surgery may be necessary to achieve a smaller nasal appearance, since adding filler may only result in a larger appearance.Temporary gel fillers like HA and calcium hydroxylapetite may lead to necrosis of nasal skin, if vascular occlusion results from a treatment. In our practice we prefer using Silikon-1000 for non-surgical rhinoplasty treatments. Silikon-1000 is an off-label filler for permanent results, and has no propensity for causing vascular occlusion and dead skin.Hope this helps.Dr Joseph

Non-surgical rhinoplasty refers to the use of injectable fillers
to augment areas of soft tissue deficiency. This technique is used for minor deformities that require augmentation
and therefore has limited usefulness.The
procedure uses injectable fillers such as Radiesse, Juvederm, and Restylane to correct
minor contour irregularities.It has
significant limitations because it cannot reduce a large nasal structure when
this is indicated.It also has to be
repeated at six to nine month intervals because the filler material doesn’t
last.It’s
important to realize that the use of injectable fillers for this purpose is
considered an “off label” use by the FDA.It’s therefore important to consult with a board certified plastic
surgeon before proceeding with this type of procedure.Although the procedure appears simple and
less expensive than rhinoplasty, it will need to be repeated.Over the course of time, this might become
more expensive than rhinoplasty surgery.Furthermore, no long term data exist regarding the safety of fillers for
this purpose.For these reasons,
injectable fillers should be approached with caution when correcting nasal
deformities.

Fillers have been used for decades to correct minor nasal deformities an off-label use of these products. The choice of filler for this application is very important. Many physicians promote the use of permanent injectable fillers like silicone. I strongly advise against any permanent filler material. Hyaluronic Acid materials like Restylane and Juvederm would be preferred as they are quickly and safely adjusted or removed. If they are successful in achieving a satisfactory outcome, a longer term filler like Radiesse might be considered.

Rhinoplasty is the procedure of choice for most nasal deformities but it is surgery and has it's own set of long term consequences and complications. For minor nasal deformities fillers can be very effective. One of the safest places to use fillers is in the nasal radix to camouflage the nasal hump. I have used Radiesse with good long term results in that area. I have also used it in the nasal tip in people with thick skin with good long term results.

Fillers are not approved by the FDA for nasal injection. While it is common to use small amounts of certain fillers to smooth small defects in the nose, this is an "off-label" use. Using fillers in place of a formal rhinoplasty is often disappointing, and always temporary. Patients would spend much more money over time than having a rhinoplasty, which has permanent results.Consult with a rhinoplasty surgeon who has experience with all types of nasal treatments before making any decisions. It is best to learn all the angles before having your nose injected with expensive and temporary substances.

Most FDA approved fillers have a limited life span. I do place them into the nose in situations where a patient wants a temporary or immediate result but ALL know the result is not lasting unless autologus tissue was instilled. Even using your own tissue requires repeated injections. I am also assuming that you need to have your nasal bridge raised.
A patient had silicone injected to raise the bridge of her nose and this had to be removed in order to achieve a better result. It was quite difficult to remove the material but you can see how the silicone injected eventually "spread," making her nose look wider.

 The only problem with them is they last a short time 6-12 months:  
at the most 18. You should discuss your fears of rhinoplasty with an experienced rhinoplasty surgeon. In more than 30 years of doing rhinoplasty we have never had a serious complication.