Is there a non-invasive way to 'fill' my nose bridge? (photo)

Question

Hi. As you can see in the picture of my nose bridge, the area circled in red appears sunken in. This gives my face a slightly neanderthal-ish look. I was wondering if there's a way to fill that region and make my nose bridge protrude, without a highly invasive procedure.

Thomas Romo, III, MD · Answer

Injectable fillers are routinely used to fill in contour deformities of the nose. Care must be taken when using this approach because the skin can be injured causing permanent bad changes to the nose.

Steven J. Pearlman, MD, FACS · Answer

The area above the bridge of the nose is called the radix. A subtle improvement can be made with fillers. I prefer hyaluronic acid fillers such as restylane or juvederm. That way, if you are unhappy with the result it can be dissolved. This may require a few repeat treatments, putting too much in at one sitting can cause the filler to go around the area for desired treatment.

Eric M. Joseph, MD · Answer

In our practice, we prefer to use Silikon-1000, an off-label filler for permanent results. Since your skin is loosely attached to your underlying nasal skeleton by the radix, several treatments may be necessary to achieve a modest improvement.Hope this is helpful for you.Dr. Joseph

A. Joshua Zimm, MD · Answer

The area of your concern is called the radix or root of the nose.  That area happens do well with fillers such as Juvederm or Restylane.  The benefits with these type of fillers is that they are safe, effective, and reversible if need be.  You should consider consulting with a facial aesthetic surgeon or dermatologist who is an expert using fillers in this area. Best of luck.

Kenneth Hughes, MD · Answer

Fillers are used by some to make minor changes in the nose, but, from the single picture, it would be hard to make a recommendation.Kenneth Hughes, MDLos Angeles, CA

Phillip Langsdon, MD · Answer

A deep angle can be slightly improved but products will spread. Generally, surgery will provide better and longer lasting results.

Robert Singer, MD · Answer

Hyaluronic fillers can elevate the depressed area and produce a modest cosmetic improvement. They generally last 6-9 months. Micro-fat grafts are a more permanent filler, but require a more involved procedure. There are synthetic permanent fillers, but most plastic surgeons would warn against using them, especially in the nasal area because of the long term potential complications.Keep in mind that following advice from a
surgeon on this or any other website who proposes to tell you what to do based
on two dimensional photos without examining you, physically feeling your
tissue, assessing your desired outcome, taking a full medical history and
discussing the pros and cons of each procedure would not be in your
best interest. I would suggest that you find a surgeon certified by the American
Board of American Plastic Surgery and one who is ideally a member of The
American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are
comfortable with. You should discuss your concerns with that surgeon in person.Robert Singer, MD  FACSLa Jolla, California

M. Dalvi Humzah, MD · Answer

Yes the shape can be changed with Radiesse for the upper part and Hyaluronic acid for the cartilagenous bridge - gives a good feel to the final result. Make sure the person doing this knows which layer to inject. If it is done superficially there are risks of damage to the skin and vascular problems

David A. F. Ellis, MD · Answer

Fillers would be a great choice. we are just reporting 44 injectable rhinoplasties with excellent results and minimal complications. This area can be nicely filled with out effecting other areas. In Canada we use Voluma which is a HA lasting 18 months.Surgery is a permanent soltion.

Stephen Weber MD, FACS · Answer

I have found that Radiesse is effective to fill this area. On occasion the filler will spread requiring a touch up treatment to add more volume and create the fill that you are looking for. This anatomic area is also full of large blood vessels and should only be addressed by an expert physician injector to minimize the risk of complications such as skin loss. I hope this information is helpful.Stephen Weber MD, FACS

Is there a non-invasive way to 'fill' my nose bridge? (photo)

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