What Are the Risks of a Juvederm Nose Job?

All fillers pose some risk of occlusion if injected into a blood vessel. Juvederm is not of itself more dangerous than another filler. Because it is a Hyaluronic acid filler it is considered safer than some because it can be reversed instantly with Hyaluronidase.  The real issue is the experience and expertise of the injector. They need to understand the risks, areas to avoid, and recognize the signs of vascular compromise and know how to manage a medical emergency should it arise. The incident that caused blindness should have been preventable if the injector had been properly trained. Injections of this nature are for advanced and highly qualified injectors only.

Without a photo, I could not comment on your candidacy for a Non-Surgical Rhinoplasty treatment.

In my practice, I prefer to use Silikon-1000, an off-label filler for permanent results. Uncommon complications with silicone nasal injections (<1%) include bumps or prolonged redness. I have not seen necrosis (dead skin), migration, or sequelae from embolization (like blindness) in any of my patients.

Hope this helps.

Dr. Joseph

"Non-surgical" rhinoplasty is the use of fillers such as Restylane, Juvederm or Radiesse to fill areas of the nose to reduce a visible hump. This can look great for someone who has a low radix (the area between your eyes at the top of the nose). For the rest it will just make the entire nose bigger to camoflage a hump.

Complications have been published. They are rare but they can include blindness or skin loss over the nose. What is more common are lumps. Since the filler is injected and not laid down uniformly as would be during surgery lumps are fairly common.

Juvederm or any injections around the nose with fillers can very rarely cause blindness. Fillers last about a year and only help for small changes, otherwise get a rhinoplasty.

Necrosis of the skin is a real risk factor for injecting Juvederm into the nasal bridge.  There is no FDA indication for injection into the nose.