Hi, and thanks for your question. The Non Surgical Nose Job procedure is very effective at correcting cosmetic nasal irregularities whether we use temporary fillers like Voluma or Radiesse or permanent fillers like Bellafill. I recommend using temporary fillers first and then switching over to Bellafill once the temporary fillers fade away. For Voluma, that takes about a year and a half and for Radiesse it takes about 10 months. Choosing the filler that is best for you will depend on what your nose looks like and what areas of the nose you are trying to correct. Non Surgical Nose Job is a tricky procedure to get just right, so be sure to go to an injector with significant experience for optimal results. Hope that helps.
In general, if filler is being injected into a patient's nose for the first time, it is often advisable to take a more conservative approach initially. This would militate against using a permanent filler for a first time nasal injection. Not only do hyaluronic acid fillers dissipate over time, but it is also possible to dissolve them enzymatically with hyaluronidase, if the result is unsatisfactory to the patient, or there is some other complication. Often injection of filler into the nose is performed for patients who are considering rhinoplasty, but want to get some idea of what kind of changes in their nasal shape and proportions surgery might achieve. Of course, injection of filler into the nose cannot simulate the three dimensional changes in the form of the nose that rhinoplasty can achieve, but if the patient does elect, after injection of filler into the nose, to undergo a rhinoplasty, it is easy enough to remove any residual hyaluronic acid filler prior to surgery. Injection of permanent filler into the nose, is generally reserved in our practice for those patients who have already had prior injection of temporary filler without complication, and who were pleased with their prior result from filler, who have ruled out, or are not candidates for a rhinoplasty, or who have undergone rhinoplasty, and are not candidates or have ruled out undergoing a revision rhinoplasty surgery.
It is safer to perform off-label non-surgical rhinoplasty with non-permanent filler in the case of assymetry or a suboptimal result. If you use a hyaluronic based filler such as VOLUMA, Juvederm, or Restylane, it can also be quickly reversed with hyaluronidase. Using permanent fillers off-label such as Bellafill may be an option if you are confident in the results and do not want a surgical rhinoplasty in the future. Surgical rhinoplasty is best done in a nose without filler or previous manipulation. Hope this helps.
Johnson C. Lee MDPlastic Surgery
If you are referring to the "near-permanent" filler Bellafill, keep in mind that it can't be removed, so anything you don't like about the outcome is something you have to live with. Noses do tend to change shape and size with age, so factor those potential changes into your consideration.There are some doctors who use silicon off label and you should know it is not FDA approved for any cosmetic procedure. Safe and sensible should rule the decision you make.
For a non-surgical intervention, fillers can be used to sculpt the nose. I tend to use a lot of Voluma for this area and achieve great results. I do not like permanent fillers here as long term there can be issues, but Voluma will last approximately two years and will slowly resolve. I suggest a physician who is an expert in facial contouring to do a formal assessment. Dr. Emer
Non-surgical rhinoplasty involves placement of fillers in the nose to make it bigger, taller, and wider on a temporary basis. The fillers are not FDA approved for that application and can have significant complications such as skin necrosis. It is best to have a surgical rhinoplasty for a permanent result.
Often best to start with semi-permanent fillers such as hyaluronic acids. These can be dissolved if necessary. Over time you can proceed to the riskier permanent fillers.