What happens if I dissolve filler in my nose? Swelling, bruising? Is it still too soon?

Question

I had revision rhinoplasty done 7 months ago. After developing irregularities & not wanting another revision... I had Voluma applied to the irregularities 2 weeks ago. The irregularities are definitely improved, but now the area seems like it was too filled. Although the irregularities are masked... it looks too "full". I wanted to give it time for swelling to go down so i waited till 2 weeks, but its not going away. I do not want to have all of the product dissolved, but some of it.

Aldo Guerra, MD · Answer

With nasal injections, I think you should wait a bit more time. Perhaps another 6 to 8 weeks. I think theres a goos chance it will look better in time. Dissolving with a tiny injection might leave some of the product intact, but it is hard to control.Good luck, Dr. ALDO

Elham Jafari, MD · Answer

Hi and thank you for your question! You have already waited for 2 weeks so there shouldn't be much swelling left at this time, but you really don't stand to loose much if you give it a few more days just in case. If the issue persists, dissolving the extra filler with enzyme is an option, and when done carefully, it shouldn't result in removal of all or too much of the filler. I hope it helps and good luck!

Jason Emer, MD · Answer

Yes, it takes 2 weeks for final results with injections. If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. There may be swelling and/or bruising with hyaluronidase injections and it may take a series of treatments. It's difficult to predict results with partial removal. See an expert to go over your options. Best, Dr. Emer

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Dissolving dermal fillers involves the placement of hyaluronidase, a medication that is injected to break down the Voluma.  A small amount can be applied to take down the area of fullness but because it is a liquid it can also over do the removal to take you back to your starting point.  Depending on the asymmetry you can also add Voluma to the surrounding tissue to mask it.  Ultimately it depends on your current nasal appearance and underlying irregularities created by your rhinoplasty and revision rhinoplasty.  Best wishes.

Faiyaaz Kalimullah, MD, FAAD · Answer

Thank you for your question.  Voluma, like all other hyaluronic acid fillers, can be dissolved with hyaluronidase injections.  Like any other injections, hyaluronidase can cause temporary swelling and bruising.  Because Voluma is a longer-lasting, more robust filler, it can take a series of hyaluronidase treatments to fully reverse its effects.  That said, I think it's also important to keep in mind that the nose is particularly prone to swelling after procedures, and post-filler swelling can persist for over 2 weeks on the nose.  I would recommend following-up with your surgeon to discuss your concerns.  I hope this helps!

Arian Mowlavi, MD, FACS (license on probation) · Answer

U can conservatively dissolve your filler with a hyaluronidase that can be injected by your provider.

What happens if I dissolve filler in my nose? Swelling, bruising? Is it still too soon?

Answers (6)

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