Want filler along the sides of nose, injector said he can inject the midline and “push” it to the sides. Is this risky?

Question

I have had filler injected along the sides of my nasal bridge to purposefully widen it before and loved the appearance. This was years ago before the risks were well known. My current injector says he can place filler along the midline using a needle, then massage it immediately outward to the sides of the nose. Does this massaging put me at higher risk for complications or occlusion? Does the g prime level of the product also factor in? Any areas to avoid massaging?

Eric M. Joseph, MD · Answer

Unlike temporary gel fillers, microdroplet Silikon-1000 injections are not associated with necrosis, embolism, blindness, or stroke. This is because the size of a Silikon-1000 molecule is smaller than a red blood cell. Microdroplet Silikon-1000 injections may be considered for creating a wider nasal appearance permanently. I hope this helps! Sincerely, Dr Joseph

Nelson Lee Novick, MD · Answer

Filler can be massaged and shaped into place, and this is done routinely all the time by experienced injectors. Injecting very small amounts of filler with a needle along the midline of the spine of the nose directly onto the bone or cartilage is the safest way of injecting the nose and, once done, massaging the filler immediately downwards over the sides of the nose should not pose a particular risk. The risk of filler comes from direct injection into vital blood vessels or injecting so much filler that the surrounding vessels become so compressed that blood flow is impeded. So, once again, in the hands of a very experienced injector following the above guidelines, the desired results should be achieved. Hope this helps

Want filler along the sides of nose, injector said he can inject the midline and “push” it to the sides. Is this risky?

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Want filler along the sides of nose, injector said he can inject the midline and “push” it to the sides. Is this risky?

Answers (2)

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