I got a nonsurgical rhinoplasty with the help of fillers in july 2020, and they still haven’t dissolved. How is this possible? My doctor used Juvederm Voluma I believe. (I want to get a nose job soon but read that I’ll have to get my filler dissolved first)
October 30, 2022
Answer: Filler longevity Fillers likely stay in the tissues for a lot longer than the few months-a year. There are imaging studies that show presence of hyaluronic acid filler in the tear troughs on MRIs 14 years after injection. The nose is also not a very mobile area, which likely translates into fillers sticking around for a longer as opposed to shorter period of time. Voluma is a more cross-linked filler, meaning its hyaluronic acid subunits are more tightly connected than some other fillers; and this may need several dissolving sessions to treat. As a surgeon who does rhinoplasty, I often find leftover filler in the nose even after it's been treated with dissolving medication; and then I just mechanically remove the filler. Speak with your rhinoplasty surgeon about your filler history, to create a customized pre-treatment and treatment plan. Good luck!
Helpful
October 30, 2022
Answer: Filler longevity Fillers likely stay in the tissues for a lot longer than the few months-a year. There are imaging studies that show presence of hyaluronic acid filler in the tear troughs on MRIs 14 years after injection. The nose is also not a very mobile area, which likely translates into fillers sticking around for a longer as opposed to shorter period of time. Voluma is a more cross-linked filler, meaning its hyaluronic acid subunits are more tightly connected than some other fillers; and this may need several dissolving sessions to treat. As a surgeon who does rhinoplasty, I often find leftover filler in the nose even after it's been treated with dissolving medication; and then I just mechanically remove the filler. Speak with your rhinoplasty surgeon about your filler history, to create a customized pre-treatment and treatment plan. Good luck!
Helpful
