Fillers stretched my nose. How can I tighten my nose again without injecting any fillers?

Question

I went to get nose filler a year ago, and I noticed that it stretched the skin of my nose. What non invasion procedures are out there so I can tighten my nose ? Please do not suggest more fillers. I do not want to Inject anything else to my nose.

Anil R. Shah, MD · Answer

Without any standardized before and after pictures, it would be difficult for any expert to assess which treatment is best for shrinking your nose. If you are concerned about loose skin and seek a tightening effect, one suggestion I like to make is applying a strong Retinol (topical cream) to the nose specifically. Retinol offers a fast overturn of skin cells, which results in a tightening effect with nose skin. Be sure to start with a gradual and light application regimen with it because it often causes peeling and if too harsh application, some redness. I personally prefer time-released microsponge retinol creams which can reduce the severity of its peeling and redness effects.Best, Dr. Anil Shah

Theresa M. Jarmuz, MD · Answer

Hi. You should start by having the filler reversed with hyaluronidase. Once the filler is completely dissolved treatments that stimulate collagen will help tighten the skin. 
You could have microneedling and use topical like Alastin Restorative complex. It may take a little time but it can be corrected!!

Inessa Fishman, MD · Answer

It is difficult to answer this question without the benefit of photos or a physical exam.  In general, loose skin may be treated with topical therapies, such as retinol and vitamin C; or more aggressive resurfacing procedures, such as microneedling, microneedling with radiofrequency heat, chemical peels, and lasers.  If there is concern for remaining hyaluronic acid filler distorting anatomy or creating an unwanted aesthetic change, one may consider dissolving the filler with injection of hyaluronidase.  Consider consult with a Dermatologist, Facial Plastic Surgeon, Oculoplastic Surgeon, or Plastic surgeon to review your history, undergo an exam, and discuss your treatment options.  Good luck!

Stephen M. Davis, MD, FACS · Answer

Thanks for writing,There is a spectrum of options, from RF, to Microneedling, to Lasers. Find a Board Certified Plastic Surgeon who does a lot of this and I am certain he / she can help you. Good Luck Stephen M Davis, MD, FACS
Certified: American Board of Plastic Surgery
Member: American Society of Aesthetic Plastic Surgery
Member: American Society of Plastic Surgeons
Member: RealSelf Hall of Fame

Fillers stretched my nose. How can I tighten my nose again without injecting any fillers?

Answers (4)