Restylane vs Radiesse for Non Surgical Nose Procedure

Question

About 7months ago I decided to go for a non surgical rhinoplasty procedure. The Dr. I went to suggested that radiesse was a better filler, so I had 0.3ml injected into my nose bridge. About 2 months after the initial procedure I went to a different Dr. that was reccommended to me by a friend, and he suggested that Restylane was a better filler as it lasts longer over time with each procedure. Is this true? I am due for a touch up but not sure on whether which filler is better?

Harold J. Kaplan, MD · Answer

Hello 4372 Anon.  May we suggest an actual rhinoplasty?  While injections are certainly an option in your case, we still recommend a surgical procedure based on long term cost benefit as compared to injections.

	While both Radiesse and Restylane are options for this procedure, Radiesse is a bit less forgiving.  It is a denser product that is a bit more difficult to inject and it cannot be reversed.  It lasts longer, but comes with slightly higher risks.  Ultimately, you need to find a practitioner you feel comportable with and then decide with that person what's right for you.  There is no single "best" answer to your question.

Mike Majmundar, MD · Answer

The best filler for nonsurgical rhinoplasty depends on the person.  Some patients have had rhinoplasty and have very thin skin and need a thinner filler such as Restylane silk or Restylane Refyne or Belotero.  Others have thick, oily skin or very tight skin that needs something that can shape the nose and resist the force of the skin pushing back down on the filler such as Restylane Lyft or Radiesse.  Bellafill is a filler that works well in all categories and lasts 5-10 years; however, starting with a shorter acting filler is a good idea first to make sure you get the result you want from a nonsurgical approach.  In other cases, surgery is the best option to get the result you're looking for.

Eric M. Joseph, MD · Answer

I'm not sure why you required more Radiesse only 2 months after your non-surgical rhinoplasty procedure. It's possible that you looked great for 48 hrs., and when your swelling resolved, you wanted more augmentation for your nasal bridge.

	I exclusively use Silikon-1000 for non-surgical rhinoplasty procedures, and this will lead to permanent, natural results if performed properly. My patients will typically require around 3 treatments with Silikon-1000 spaced at monthly intervals, for a complete correction.

	I hope this is helpful for you.

David C. Mabrie, MD · Answer

I prefer to start with Restylane for non-surgical rhinoplasty.  Restylane is very soft, completely reversible, and may be placed safely in the bridge and nasal tip.

	The downside of being very soft, is the results may be great and very crisp at first, but as the filler relaxes, some of the sharp contrast is lost.  Radiesse maintains it's shape better and gives better contrast for augmenting the bridge.

	Because the Radiesse is not reversible I recommend patients try Restylane first and if they want a more aggressive treatment, we try Radiesse.

	 

	Good luck in your search for information!

Benjamin Barankin, MD, FRCPC · Answer

I have used both restylane, juvederm, and radiesse successfully to improve the appearance of the nose. Generally speaking, I like to start with a hyaluronic acid like restylane or juvederm, and if the person is pleased, we can later consider radiesse for a longer lasting effect. If the person is potentially not pleased with a hyaluronic acid, then at least you have the versatility to dissolve it with hyaluronic acid.

Peter A. Aldea, MD · Answer

Regarding: "Restylane vs Radiesse for Non Surgical Nose Procedure
	About 7months ago I decided to go for a non surgical rhinoplasty procedure. The Dr. I went to suggested that radiesse was a better filler, so I had 0.3ml injected into my nose bridge. About 2 months after the initial procedure I went to a different Dr. that was reccommended to me by a friend, and he suggested that Restylane was a better filler as it lasts longer over time with each procedure. Is this true? I am due for a touch up but not sure on whether which filler is better?"

	7 months ago - 0.3cc of Radiesse / 5 months ago - Restylane into the nose. You really should not need so many procedures nor a touch up in such a period of time .

	The use of fillers to correct minor nose deformities is NOT an FDA approved use of the fillers but considered an off-label use. Restylane is a safer filler for the nose and can be dissolved if you do not like it. It lasts under a year. Radiesse lasts well over a year and cannot be dissolved. There is a debate on how chronic use of fillers may affect / complicate a subsequent rhinoplasty.

	Dr. Peter Aldea

Mary P. Lupo, MD · Answer

I always start with an HA filler like Restylane because it can be dissolved, and therefore is safer. Radiesse has been found to last longer, so it is often the product used on the second go round. The results last 9-18 months depending on which product used, and the amount and the level of injection. The only permanent solution would be surgery.

William B. Rosenblatt, MD · Answer

This is the problem with a non=surgical nose job. You keep having to spend more money to add more filler. Surgery is usually a one time thing and permanent.

Shervin Naderi, MD, FACS · Answer

Both are OK options. Restylane has a higher safety factor. Radiesse definitely lasts longer - no questions about it. But I prefer Restylane due to its increased safety factor. It can be melted away if you dont like it and it has a lower chance of infection.

Restylane vs Radiesse for Non Surgical Nose Procedure

Answers (9)

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