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    Refining the nose with a needle


    What Fillers Can and Can't Do

    Filler can’t make a big nose smaller; nor can they refine a bulbous nasal tip, according to Dr. Kontis.

    What fillers really do for the nose is camouflage. So, for a dorsal hump, filling on either side of the hump can improve the look of the nose. A crooked nose that’s c-shaped — concave on one side — should look better after the injector fills the concave side. And, while one can’t really refine the nasal tip because fillers have mass, injectors can use fillers to slightly elevate the nasal tip, she says.

    To achieve optimal outcomes in nonsurgical rhinoplasty, Dr. Kontis’ fillers of choice are either hyaluronic acid or calcium hydroxylapatite. Specifically, she uses Restylane (Galderma) or Radiesse (Merz Aesthetics).

    “Restylane is probably my go-to product because it’s soft, it gives good elevation and, if I run into a problem, I can dissolve it,” she says.

    Dr. Kontis says she might go to Radiesse for someone who doesn’t want to come in six months or so for a touchup. Radiesse lasts about a year in the nose, she says.

    NEXT: Nasal Injection Tips

    Lisette Hilton
    Lisette Hilton, president of Words Come Alive, has written about health care, the science and business of medicine, fitness and wellness ...


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