My nose filler is visible 2 years post-op. What can I do? (photo)

The symptoms you're describing - visible gel-like material under the skin and fluctuating changes in your nose bridge height - definitely warrant professional evaluation.
I would recommend that you see a board-certified dermatologist or plastic surgeon who has experience with dermal fillers for a thorough assessment. They can perform an ultrasound examination to determine whether residual filler material is still present in the treatment area. This imaging will help visualize what's happening beneath the skin and provide clarity about your current situation.
If the ultrasound confirms that filler material remains, it will be crucial to identify exactly what type of filler was used in your treatments. Different fillers require different dissolution approaches, and knowing the specific product will ensure that any treatment to address the issue is both safe and effective. I'd recommend bringing any records or documentation you have about your previous filler treatments to this appointment.
The fluctuating appearance you're experiencing could be related to several factors, including how the filler is interacting with your tissue, swelling, or other changes over time. A qualified provider will be able to give you a proper evaluation and discuss your options moving forward.

Hyaluronic gel filler can be dissolved with the injection of hyaluronidase. For your particular case, this would seem to be the best solution since the previously injected filler if causing irregularity and visible deficits through the skin.

Temporary jail fillers may last a long time in the nose, because it is a static structure. If you are seeing over correction and fullness, considered discussing this with your doctor so you can see whether or not it might be amenable to a dissolving enzyme. I hope this is helpful. Sincerely, Dr Joseph

If you are experiencing visible filler and changes in the shape of your nose two years post-injection, it is important to address these issues with a qualified healthcare professional. Here are some potential steps and considerations:

Consult with a Specialist: Schedule an appointment with a board-certified dermatologist or plastic surgeon who specializes in dermal fillers. They can assess your situation and determine the best course of action.

Hyaluronidase Treatment: If the fillers used were hyaluronic acid-based, your specialist might recommend using hyaluronidase. This enzyme can dissolve hyaluronic acid fillers, potentially resolving issues with visibility and irregularities.

Assessment of Filler Type: Confirm the type of filler used. If a non-hyaluronic acid filler was used, different approaches may be necessary, as hyaluronidase will not dissolve them.

Consideration of Inflammation or Infection: The intermittent changes in your nose's appearance could be due to inflammation or a low-grade infection. Your specialist might explore these possibilities and recommend appropriate treatments, such as anti-inflammatory medications or antibiotics.

Review of Injection Technique: Discuss with your practitioner whether the injection technique or volume used in previous treatments could have contributed to the current issues. This information can be valuable for planning future treatments.

Imaging: In some cases, imaging studies like ultrasound may be used to better understand the filler placement and any underlying issues.

Future Treatments: Once the current situation is resolved, discuss long-term plans for maintaining or adjusting your desired aesthetic results, considering alternative approaches if necessary.

Addressing these concerns promptly with a professional will help ensure the best outcome and prevent further complications.