I had injections of various substances over the last 4 years into my nasolabial folds (first Radiesse, then Restylane, then Juvederm). After the first procedure, I noticed my nose looked larger--both at the end and across the bridge. I thought it could be an optical illusion considering the other changes that happen when you treat the nasolabial folds, but it appears very obvious after I did comparisons of before and after pictures. Is there a way to correct or decrease this "swelling"? Can it be dissolved?
Answer: Facial Fillers and Facial Harmony: Nasolabial Folds Rather than attribute this to an optical illusion, I believe that your interpretation of your before and after pictures warrants careful consideration and examination. Facial surgery or facial fillers can dramatically affect facial harmony and the relative proportion of one area with respect to another. Your assessment of the changes on your face are an exact representation of these changes, rather than an 'illusion.' My advice would be for you to carefully review your before and after pictures with your physician and discuss the aspects of your facial proportions that you dislike. A skilled physician would be able to correct these anatomic subunits to acheive facial harmony. Raffy Karamanoukian, MD Kare Plastic Surgery & Skin Health Clinic Santa Monica, CA
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Answer: Facial Fillers and Facial Harmony: Nasolabial Folds Rather than attribute this to an optical illusion, I believe that your interpretation of your before and after pictures warrants careful consideration and examination. Facial surgery or facial fillers can dramatically affect facial harmony and the relative proportion of one area with respect to another. Your assessment of the changes on your face are an exact representation of these changes, rather than an 'illusion.' My advice would be for you to carefully review your before and after pictures with your physician and discuss the aspects of your facial proportions that you dislike. A skilled physician would be able to correct these anatomic subunits to acheive facial harmony. Raffy Karamanoukian, MD Kare Plastic Surgery & Skin Health Clinic Santa Monica, CA
Helpful 4 people found this helpful
Answer: Optical Illusion This very well may be an optical illusion. Filler to this area does not effect the size of the nose unless it is some swelling. As far as dissolving filler, yes this can be done. I would return to the physician who last did your injections for evaluation. There may be a very simple solution for this problem.
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Answer: Optical Illusion This very well may be an optical illusion. Filler to this area does not effect the size of the nose unless it is some swelling. As far as dissolving filler, yes this can be done. I would return to the physician who last did your injections for evaluation. There may be a very simple solution for this problem.
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June 5, 2015
Answer: Injections in the Nasolabial Folds When injectable fillers are used to treat nasolabial folds the appearance of the nose can occasionally be affected. In most cases this represents an optical illusion, but in some cases it may represent a real phenomena.Injections of the nasolabial folds can cause distortion of the surrounding structures for a variety of reasons. In some cases deep injections of the nasolabial folds can actually push the nasal base forward and ultimately increase nasal projection. In addition injections in this area can obliterate the border between the nose and cheek. This often makes the nose look larger as well.When this situation occurs the clinical results and patient satisfaction rates can be adversely impacted. Under these circumstances, it may be possible to reverse hyaluronic acid products with the enzyme hylauronidase. When nasalabial folds are treated with Radiesse or scultpra, it’s virtually impossible to reverse the process.If you’re concerned about the appearance of your nose after injectable filler treatment, consultation with your physician is important. Your surgeon should be able to formulate a treatment plan that addresses your concerns.
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June 5, 2015
Answer: Injections in the Nasolabial Folds When injectable fillers are used to treat nasolabial folds the appearance of the nose can occasionally be affected. In most cases this represents an optical illusion, but in some cases it may represent a real phenomena.Injections of the nasolabial folds can cause distortion of the surrounding structures for a variety of reasons. In some cases deep injections of the nasolabial folds can actually push the nasal base forward and ultimately increase nasal projection. In addition injections in this area can obliterate the border between the nose and cheek. This often makes the nose look larger as well.When this situation occurs the clinical results and patient satisfaction rates can be adversely impacted. Under these circumstances, it may be possible to reverse hyaluronic acid products with the enzyme hylauronidase. When nasalabial folds are treated with Radiesse or scultpra, it’s virtually impossible to reverse the process.If you’re concerned about the appearance of your nose after injectable filler treatment, consultation with your physician is important. Your surgeon should be able to formulate a treatment plan that addresses your concerns.
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July 20, 2009
Answer: Nasolabial fold injections On the one hand, deep injections of the nasolabial folds may lift the nose away from the face by adding bulk beneath the nostrils thereby lifting the nose off of the facial skeleton and providing additional projection to the nasal tip. In some instances this is desireable and prevents or corrects a drooping nasal tip that is seen with and aged face. In regards to the nasal bridge, I am very puzzled by this because it is very far from the injection site and makes no immediate sense. I can only guess as there are some potential anatomic explanations but I must say that they are only theoretical and not widely accepted. There are blood vessels which travel from the jawine then up to and near the nostrils and end in the nasal bridge area called the angular vessels. Perhaps obstruction of these vessels could cause greater swelling but this is a highly unlikely possibility. You have made an unusual observation. There are some injectable agents i.e., hyaluronidase which could reverse some of the restylane or Juvederm but they would have no effect on the radiesse. I hope this helps.
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July 20, 2009
Answer: Nasolabial fold injections On the one hand, deep injections of the nasolabial folds may lift the nose away from the face by adding bulk beneath the nostrils thereby lifting the nose off of the facial skeleton and providing additional projection to the nasal tip. In some instances this is desireable and prevents or corrects a drooping nasal tip that is seen with and aged face. In regards to the nasal bridge, I am very puzzled by this because it is very far from the injection site and makes no immediate sense. I can only guess as there are some potential anatomic explanations but I must say that they are only theoretical and not widely accepted. There are blood vessels which travel from the jawine then up to and near the nostrils and end in the nasal bridge area called the angular vessels. Perhaps obstruction of these vessels could cause greater swelling but this is a highly unlikely possibility. You have made an unusual observation. There are some injectable agents i.e., hyaluronidase which could reverse some of the restylane or Juvederm but they would have no effect on the radiesse. I hope this helps.
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January 9, 2009
Answer: Please give the fillers a rest Karen, You have an unusual concern. Without seeing pictures, it is hard to tell for sure. Also, if you are using a pocket camera for the post-injection pictures, then these tend to make the nose look larger because of the angle of the optics with a small lens. For pictures of the face, it is best to use an SLR camera, which will give much less distortion. As for the fillers, there are injections which you can have to decrease the Juvederm and the Restylane. There really is not much you can do about the Radiesse. However, if it has been some time since your injections, then the original product is probably gone by now anyway. You might want to give your face a rest for awhile. Also, for your next treatment, you might want to consider fat injections. This is your own fat and you will not react to it like you may have to synthetic products. I hope this is helpful.
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January 9, 2009
Answer: Please give the fillers a rest Karen, You have an unusual concern. Without seeing pictures, it is hard to tell for sure. Also, if you are using a pocket camera for the post-injection pictures, then these tend to make the nose look larger because of the angle of the optics with a small lens. For pictures of the face, it is best to use an SLR camera, which will give much less distortion. As for the fillers, there are injections which you can have to decrease the Juvederm and the Restylane. There really is not much you can do about the Radiesse. However, if it has been some time since your injections, then the original product is probably gone by now anyway. You might want to give your face a rest for awhile. Also, for your next treatment, you might want to consider fat injections. This is your own fat and you will not react to it like you may have to synthetic products. I hope this is helpful.
Helpful 1 person found this helpful