I got nose filler a year ago I'm wondering if it's gone bad, it's red & bumpy (Photo)

You should schedule an appointment with a board-certified dermatologist or plastic surgeon to have this evaluated. The symptoms you're describing - redness, puffiness, and bumpiness - are worth having checked out professionally, especially since it's been a year since your treatment.What to expect during your visit:
The practitioner should perform an ultrasound to determine if filler is still present and see how it's distributed in the areaThey'll assess what might be causing these changes and discuss treatment options
Important information to gather:
Try to find out exactly what type of filler was used originally - this information is really helpful because different fillers require different approaches if treatment is neededIf it was a hyaluronic acid filler, it can be dissolved with hyaluronidase if necessaryOther types of fillers have different treatment options
Next steps:The good news is that most filler-related concerns can be addressed effectively when evaluated by an experienced practitioner. Many people experience some changes or concerns with their filler over time, and these issues are typically manageable.If possible, contact your original practitioner for records of what product was used - this will make the evaluation process much smoother.The main thing is getting a professional assessment so you know exactly what's going on and what your options are for moving forward.

Without knowing where the filler was injected, I don't see anything obvious to suggest any issues with the filler in this photo

Hi Indy,
Yes, you should have your nose evaluated by an expert injecting physician. You are having a delayed reaction to the nasal filler. It should be dissolved and you may need antibiotic treatment. Feel free to call my office with any further questions.
Michael A. Persky, MD

If you had a temporary gel filler, you could be experiencing an infection or inflammation. Sometimes a combination of antibiotics and steroids are helpful if somebody has an infection after a temporary gel filler. I hope this is helpful. Sincerely, Dr. Joseph

I'm sorry to hear about your concerns with your nose filler. Here are some steps and considerations to address your situation:

Immediate Steps
1. **Do Not Panic**: While concerning, these symptoms can sometimes be managed effectively with prompt medical attention.
2. **Avoid Touching or Manipulating the Area**: This can exacerbate inflammation or introduce infection.
3. **Contact Your Provider**: Reach out to the healthcare professional who administered the filler. They will have your medical history and details about the specific filler used.

Potential Causes
There are several reasons why your filler site might be red, puffy, and bumpy after a year:
1. **Delayed Inflammatory Reaction**: Some fillers can cause a delayed inflammatory response.
2. **Infection**: Though rare, infections can occur even a long time after the procedure.
3. **Granuloma Formation**: This is a type of inflammatory response where the body reacts to the filler material.
4. **Migration or Movement**: Sometimes fillers can move from the original site, causing irregularities and inflammation.
5. **Allergic Reaction**: An allergy to the filler material can develop over time.

When to Seek Immediate Medical Attention
- **Severe Pain**: If you experience severe pain, this could indicate an infection or vascular compromise.
- **Visual Changes**: Any changes in vision, such as blurring or loss of vision, require immediate medical attention.
- **Signs of Infection**: Fever, chills, or increased redness and warmth around the area.

Consultation with a Specialist
Consider scheduling an appointment with a dermatologist or a plastic surgeon who specializes in fillers. They can:
- **Assess the Area**: A physical examination can help determine the cause of the symptoms.
- **Imaging**: In some cases, imaging studies might be necessary to understand the underlying issue.
- **Treatment Options**: Depending on the cause, treatments might include antibiotics for infection, corticosteroids for inflammation, or hyaluronidase to dissolve the filler if it is causing problems.

Preventive Measures for Future Procedures
- **Choose an Experienced Provider**: Ensure that future procedures are performed by a qualified and experienced healthcare professional.
- **Follow Post-Procedure Instructions**: Adhere strictly to any post-procedure care instructions provided by your healthcare provider.
- **Regular Follow-Ups**: Schedule regular follow-ups with your provider to monitor the condition of the filler and the surrounding tissue.

Given your symptoms, it is important to consult with a healthcare professional as soon as possible to determine the cause and appropriate treatment. Early intervention can prevent complications and help manage any adverse effects effectively.