I have a very noticeable dip on the tip of my nose and essentially have two nose tips. I want to have this 'dip' filled in with a hyaluronic filler. HOWEVER, the risk of necrosis/blindness is scary, especially as the tip of the nose is apparently the most risky. I have read that the use of a blunt cannula and dilution of the filler with lidocaine and/or epinephrine can minimise complications. Im interested in the experiences of doctors here. Are the risk minimisation techniques important?
October 1, 2017
Answer: Non-Surgical Rhinoplasty (Nose Job) Risksderm Voluma All procedures have risks and minimizing those risks is always important. It is also important to use the correct product for the specific problem. The risk of blindness and skin loss when injecting the tip of the nose is actually less than injecting other areas of the nose as there are less large (though still small) vessels there. These risks can be reduced significantly by experience of the injector and use of a blunt canula. I never use lidocaine or epinephrine locally where I am going to be injecting as it distorts the area and the result may not be what is wanted, thus requiring a second injection. I generally use Juvederm Voluma, though I previously used Radiesse, because they are strong enough to hold the correction where other fillers aren't. Make sure you see an expert injector in this area.
Helpful
October 1, 2017
Answer: Non-Surgical Rhinoplasty (Nose Job) Risksderm Voluma All procedures have risks and minimizing those risks is always important. It is also important to use the correct product for the specific problem. The risk of blindness and skin loss when injecting the tip of the nose is actually less than injecting other areas of the nose as there are less large (though still small) vessels there. These risks can be reduced significantly by experience of the injector and use of a blunt canula. I never use lidocaine or epinephrine locally where I am going to be injecting as it distorts the area and the result may not be what is wanted, thus requiring a second injection. I generally use Juvederm Voluma, though I previously used Radiesse, because they are strong enough to hold the correction where other fillers aren't. Make sure you see an expert injector in this area.
Helpful
