Most people are aware that an operation called rhinoplasty (nose job) is useful for enhancing the nose. This involves reduction of the nasal hump, refinement of the nasal tip, and narrowing of the nose to maintain proper proportions. Most people are not aware, however, that fillers can be used non-surgically to enhance the nasal shape. By injecting a filler above and below a mild nasal hump, the nasal bridge is straightened with a completely non-invasive procedure. Popular fillers for this are Juvéderm™, Restylaneä , Radiesse™, and Artefill®. Artefill® is the newest available filler which, according to the company, may last for five years. While a rhinoplasty operation produces a permanent result, these non-surgical enhancements are an excellent trade-off to avoid the expense, trauma, and down time that surgery requires. I am pleased that we have so many options to offer patients. For more information call my office at 215-572-7744 or email us at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . Also feel free to look at our website, www.drgenter.com.
You injected the patient in the base of the nose bridge (between the eyes)…i want that to but how deep does the needle get penetrated…to the bone, cartilage, or just under the skin?
is it possible to hit a nerve/vein, arteries, or effect the sinisus?
i know that it will make the bridge higher but will it also make it wider..spreading out?
Dear Marc: I inject the Radiesse just on top of the bone as I find that this helps me make a smooth contour. Though it is theoretically possible to hit a blood vessel or nerve, this is very rare, and the sinuses are not penetrated. The injections can make the bridge higher, wider, or both, depending on where the filler is injected.
I hope this answers your questions. Dr. Genter
thanks dr. genter, i just want the higher bridge but want to avoid it becoming wider…is this possible?
Dear Marc: It is possible by limiting the injections along the center of the nasal bridge and minimzing any treatment to the sides.
Dr. Genter
Dear doctor, could the non surgical nose procedure be done manually by the patient themselves if all it takes is a filler and some shaping?
Hi, I’m not sure if you’ve heard of this, but it is a nose-shaping device that claims to reduce the size of one’s nose by reshaping its cartilage. Cartilage is made up of water so this product claims it can restructure it and make the nose smaller. Is this a scam? it is called Nosehuggies. Website here: http://www.nosehuggies.com
Those photos, it claims, are real and before and after when using the device. 15 minutes a day, for around 2-3 weeks usage. What do you think?
Dear John: I looked at the Nosehuggies web site, as I had never heard of the product till I received your e-mail. The devise seems to squeeze the nose cartilages to a thinner shape, but it does not help a nasal hump, which is the primary function of the “non-surgical nose job.” The fillers can also selectively widen areas to camouflage irregularities. It is not clear from any of the web site discussion if Nosehuggie users have to wear the devises 15 minutes per day forever or can eventually stop.
Thanks for writing, Dr. Genter
hi doc. could you tell me if there are any known side effects. Surely its a foreign body. Could the filler liquidify and course problems???? or cause irritations.
thanks
Dear Aadam: The fillers placed in the nose have been used for cosmetic injections all over the face. Their safety is proven and side effects are rare. Also, the fillers are not permanent and generally last about a year in the nose.
I hope this answers your questions. Dr. Genter
i am very self concious of my nose it has a big bump,long big and wide and since im 15 i think it might get bigger i used to press my nose to make the tip of my bose more pointier and now im worried it might droop faster from stretching the cartiliage too much can fillers reduce the drooping of my nose? and how much are fillers?
Dear Ana: I strongly doubt that pressing your nose did anything to change the shape of your nasal cartilage, so stop worrying. I have used fillers to raise the nasl tip as well as camouflage a nasal hump, so the non-surgical injection technique could be useful in your situation. I generally use Radiesse, and we charge $700 for a large syringe and $350 for a small syringe, depending on how much material is needed. Prices in other offices may vary, but if you live near Philadelphia I would love to help you.
Thank you for writing, Dr. Genter
HELLO DR.GENTER I HAVE JUST RECENTLY BOUGHT A PRODUCT CALLED NOSE HUGGIE, IT COSTS ABOUT 25 DOLLARS AND IT IS SUPPOSED TO DECREASE THE SIZE OF YOUR NOSE. YOU WILL START SEEING RESULTS IN ABOUT 2 WEEKS TO A MONTH, I WAS WONDERING IF THIS IS A SCAM OR THE REAL DEAL ALL THE OTHER WEBSITES I DID RESEARCH ON SAID IT WORKS AND LOTS OF PEOPLE ARTE REALLY HAPPY ABOUT THEMSELVES.
Dear Gevo: I just learned about the Nose Huggie at the beginning of this month and there are some blog entries you can read. I really do not know if the device works or not. From my reading at the web site and the comments, the best the Nose Huggie can do is narrow the width of the nose, but it does not camouflage a nasal hump or add any support to the nasal tip like the injections do with a “non-surgical nose job.”
Good luck. Dr. Genter
What about the mole?
Dear Boss: To some it’s a mole and to others it’s a beauty mark. But the blog is about the nose.
Thanks for writing. Dr. Genter
hi
i am 20 years old and i have a nose with not a straight profil
each time i pull the skin between my eyes my nose looks perfect and straight
is it possible too use artefill so that the skin will be filled and make the profil with a straght nose?
also is there a problem if i have a lasik eye operation?
and what are the dangers of artefill or radiesse?
i saw a woman in a show complaining about her face they injected her some kind of filler and she looked like a hippo.
can cancer may appear because of a filler?
which is the worst it can happen?
thank you waiting for your answer…
john
Dear John: Artefill is not available anymore in the US, so I use Radiesse. The only real dangers with any filler injection (aside from infection or allergic reactions) is a poor result that will resolve over time. I suspect that the lady who “looked like a hippo” was the victim of poor technique. Fillers do not cause cancer. From your description, I think Radiesse injections could help your problems with your nose. Finally, Lasik has no relationship to Radiesse injections.
Thanks for writing, Dr. Genter
thank you for your answer
is there a newer filler waiting to be approved by fda and maybe will be or last forever and be healthier?
i am in europe
what other options of fillers do i have?
is artefill available in europe?
shall i go first radiesse and after a year artefill?
can i send you pics to your mail to tell me if it can be done?
i read somewhere that if you have thin skin you get injectables,is it true?
thank you again
Dear John: I cannot really say that fillers are healthy-like they actually improve your health. They are safe- meaning they do not harm you. I am not sure what is available in Europe at this time or exactly what is eventually going to be approved in the US. Injectables do work with thin skin, but there is a limit to the advice I can give with photos. I recommend that you find a physician in your area to examine you properly and discuss your options.
Dr. Genter
Hi
I’m only 12 years old [I know that's young] but I hate my nose! It’s got this horrid bump on it and I hate looking at it in the mirror. Would it be possible for me to get a non-surgical nose job, or would I have to wait a little longer?
Please reply!
Dear Kaylan: You are young and I hope you are not letting this issue spoil your life. You are definitely too young for surgery. I think you should talk this over with your parents. Because a “non-surgical nose job” is not permanent and is relatively easy to do, it is a safe and appropriate, though temporary, solution for your problem as long as your parents agree.
Thanks for writing. Dr. Genter
Hi Doctor, basically wondering if you could ansewer some questions about the ‘nose huggie’ that would really help. I have a bolbous nose (my bridge is fine and not a worry at all) and I am seriously considering buying this product. As I can’t afford a nose job and I have yet to hear of somebody over the internet who has used the nose huggie saying it doesnt work, I think it might be genuine. However I was wondering if you think the concept it proposes could work as it claims because the cartiledge is 75% water and therefore through regular use the tip of the nose should appear smaller/thinner after two or three weeks and after contunual use you can get the desired thinness in your nose and it will remain this way.
However I am still sceptical, so do you think it’s a scam? is it medically possible that this product could create the desired effect? My final question is, on the site (www.nosehuggies.com)they have two ‘before and after’ pictures. Would you be able to tell if these are genuine or in fact just two people who have had rhinoplasty’s, posing as those who have used the nose huggie? As there are pretty much the result I would love to hve from using the nose huggie.
Sorry for all the questions, just like a lot of people on this forum, I hate my nose and it really gets me down and it would change my life if the tip of my nose was thinner and in proportion with the rest of my nose and face
Thank you
Drear Callum: I have had several inquiries about nose huggies on this blog. If they do work, they seem to thin the nasal width. I cannot tell if the photos are real. To be realistic, the most you can lose is $20 if it is a scam, so why not give it a try? It’s so much cheaper than surgery that maybe it is worth $20 to find out. Keep us posted.
Dr. Genter
Hello doctor,
I’m a 15 year old male and I have a moderatly sized nose, but what bothers me is the nasal hump I have. Will I grow into my nose and will the nasal bump disappear?
Thanks!
Dear Kyle: I hate to say it, but it is unlikely that the nasal hump will become less obvious as you grow older. As you pass through puberty, your facial bones as well as the ribs, spine, and bones of the arms and legs begin to grow to their adult sizes. All of these changes can be jarring at first, but often we then get used to our new appearances. Good luck, and thanks for writing. Dr. Genter
Hello, I was wondering if the nonsurgical nose job can make your teeth show more when you smile, as it is supposed to lift the tip of the nose if done properly. Would more teeth show in the smile? Thank you.
Dear Jason: The non-surgical nose job cannot lift the upper lip. I can use filler injections to lift the nasal tip because the material can push against the base of the nose to lift the tip. During surgery I place cartilage struts to permanantly do this job. There is no way to inject any material to pull the upper lip in an upward direction to show more of the teeth when you smile. However, if a smile shows too much of the teeth, Botox can be injected to weaken the upward pull of the lip to decrease the visibility of the teeth.
Thank you for your question. Dr. Genter
Dear doctor, I am from India. 1year ago i had undergone a nose job after convincing my parents a lot who were against it. Now post-surgery my nose is straight but the bottom is not so well. One side of the nostril is slightly bigger than the other. But now nobody is agreeing to it nd i m not given permission to do another surgery. I am depressed. Can u please suggest me if i can use another option which is non-surgical and available in india? Plese help me. M waitin for ur reply. Thank you
Dear Siya: There is no non-surgical way to make your nostrils look more even. But, let me give you some perspective. Perfect symmetry does not exist in nature and it does not exist after surgery. Although we can always notice our own imperfections, these imperfections may not be obvious to others. I can assure you that nobody is paying that much attention to your nostrils. Have you discussed this issue with your surgeon, because a nostril can be reduced in the office under local anesthesia. If your surgeon sees a significant asymmetry, maybe this can be presented to your parents as a touch-up of the original surgery. Personally, I perform little touch-ups (like scar revisions, taking a tiny bit more fat after liposuction, etc.) after surgery I performed for no charge. On the other hand, if your surgeon does not see a difference, I would just forget about it. Sometimes, pursuing that last tiny bit of perfection can lead to problems.
I hope you find this answer useful. It is the best advice I can give. Dr. Genter
Dear doctor,
Thank you so much for your kind advice. It has helped me to an extent. I haven’t spoken to my surgeon yet about it, because he along with my parents think that i have some psychological problem (which is not true!!!) Somebody mentioned about ‘huggies’ and ‘fillings’. Can you please explain it? I would thankfull to you. Are they easily available in market? (India?)
Dear Siya: I never heard of nose “fillings” but Nose Huggies are said to narrow the nose by compressing the nasal cartilages. They would have no value in adjusting nostril size. I have no idea whether or not Nose Huggies really work, but they are not very expensive. With regard to availability in India, you can find the Nose Huggie web site on Google to learn about the product and the availability.
Good luck, Dr. Genter
Hi doctor, i have actually purchased this nose huggie from nosehuggies.com and it does actually work in making your nose much thinner, i use to have a fat tip and bulbous tip now it’s thinner and my nose in general is smaller.
i have also noticed this recently, it has drastically reduced the small bump i had on my nose bridge. i’m not sure how it did this but maybe the cartilage spread because of the pressure from the sides. i know that my nose now has a straight type bridge instead of looking like it has a broken bump
one thing i must warn people is you have to be very patient with this thing.. it took me a good 3 weeks of constant use @ 20 minutes a day
hi i had a nose job when i was 21 my nephew hit me by accident with a hair brush and my nose bone top bit got bent so i got it straighten but after the operation the nose bone middle was not set right and one side of the nose was silently rise but you could not notice it that much.
anyw i decide to do another operation to straight the bone but inside with further discussion i decide to put a silicon implant size 3 in my nose and had the tip reduced. This made my nose go super big and long which i hated.
so then i told my doctor to remove everything i want my old nose back so a month later he removed the silicon implant. i thought he reversed the nasal tip plasty but he never. now my nose is straight but the side nose right side of do nose has gone in like before but it is more noticable because the nose before was round and wide so you could not tell so much but now it is looks slimmer but the middle looks squeeze and big and popin out of my nose.
im not sure what to do i want my old nose back as in the tip to go wide again and the height to go low again so it is not noticable because he put in 2 alar bases fix like a number 8 and the dome of the tip was fixed 2mm higher than before.
im not sure what i shud do because it has been 7months since the last operation and the last time was scary because i found it hard to wake up. my old suggested i have non surgical nose job but im not sure that is what i would as i just want my wide round nose back.
can you please tell me what i should do?
Dear Mary-Anne: I’ll have to take your word for it since I have no experience with the product. I also have no idea if the result is permanent since cartlage is living tissue and can change with time. To readers of this blog: though I display comments about Nose Huggies on the blog, at this time I am in no way endorsing the product because I am not familiar with it. To be honest, I can’t even be sure that the blogs posted about Nose Huggies haven’t been planted here for some free marketing (no insult intended, Mary-Anne, but things like that do happen). I actually learned about Nose Huggies from another blogger to this site. So, I hope evrybody finds the discussion interesting, and thank you for writing, Mary-Anne. Dr. Genter
Dear Sunny: I find it difficult to advise you what to do because it seems that during this entire process you have not been sure yourself how you want your nose to look. If tissue was removed from your alar base, I doubt if that can be corrected to widen it again. Before having anymore surgery you should wait at least 1 year following your last operation. You could have a non-surgical treatment in the meantime. Before having ANY treatment, however, I recommend you find a surgeon who can do some computer imaging so you can once and for all figure out how you want your nose to look and what is anatomically possible at this point. I do this at all my consultations for nasal surgery. It is a fabulous technique for doctor-patient communication.
Good luck. Dr. Genter
Thnx once again doctor. I hv been searchin like mad as many website i can regrds nose huggies. Every blog is just prais in it. But nobody is stating where 1 cn order it from. I am so much frustratd. I just wanna kn whthr i can undrgo a surgery once again? So that i can equify my nostrils. Wil is b costlier? Painful? M 22 yrs. its been a yr since i had my last job done. Wil i have to were all tht stuff again? Bear Swollenness? Cz dis time it wil b only stiches n not infrastructr. Wil it b a 1 day job? TK CR
Dear Siya: Don’t look for blogs. Go to nosehuggies.com. As for your other questions, you need a face to face consultation. I cannot really give you any answers without examining you.
Dr. Genter
Thank-you.so.much.for.helping.me.Doctor.God-bless
Dear Siya: It has been my pleasure. Good luck.
Dr. Genter
I know to don’t know much about nose huggies, but I was wondering if I try it, will it be dangerous for my nose?
I know you don’t know that much about nose huggies, but I was wondering if it will be a risque or be dangerous to try a nose huggies. My dad doesn’t want me to have it unless he has proof that it is not dangerous of some sort to just trying it.
Dear Garett: While I have no experience with Nose Huggies, I cannot imagine how it could harm your nose.
Thanks for writing. Dr. Genter
Hi Dr.
Im 16 and i have a small round nose, is it possible that this procedure can make my nose pointier. and if not how much do you think my rhinoplasty surgery is going to cost?
Hey Drbg,
I have a nose that is a little wide towards the bottom, I was wondering if injections would give me a better bridge thus leaving the illusion of a more defined, smaller nose…
Dear Sally: The non-surgical nose job injections can make your tip look more sculpted, possibly pointier. I don’t like to give prices for surgical procedures on the blog because prices vary regionally and from practice to practice.
Thanks for writing, Dr. Genter
Dear Clark: The injections are great for altering the nasal bridge. Before actually having the injections, perhaps some computer imaging would be useful to see the potential results.
Good luck, Dr. Genter
Can pressing, pushing, rubbing and bumping on one’s nose cause any change to the bones or cartilage over the course of 2 years or so? I think I may have changed the size and pointiness of the bones in my nose by doing this every day for 2 years. I see a difference in the mirror and in pictures. I definitely have a bigger hump than I used to. I am 19 and started this when I was 17. Thank you
Dear Patty: To my knowledge, the actions you described do not change the shape of a nose. Do you think there is a chance that you had some general growth in the past 2 years, your nose included?
Dr. Genter
Thankyou for your information.
but, i have one concern over this matter. Does this procedure have any side effects especially too someone who has many types of allergies.
Dear Sally: Allergic reactions to these fillers are very rare.
Dr. Genter