“My thoughts on this are mixed. I’m not totally against it, but I also don’t think it’s the magical fix that it’s sometimes billed as,” says Liotta. “Filler is good when someone definitely doesn’t want to get surgery or when they’re looking for very subtle changes. For example, to camouflage a bump on their nose. However, with fillers, the results don’t last and with time, if the filler is repeatedly placed in the same areas, the skin overlying the filler can take on a doughy, un-natural look. Filler is a soft gel, meaning it doesn’t look like bone and cartilage (which is the stuff that normally makes up the nose), so sometimes it can look a bit strange,” she says.
Additionally, placing filler in the nose is not without risk. “It’s exceedingly rare, but something called vascular compromise can occur, which means that the filler has caused the blood flow through an important artery to stop,” explains Liotta. “This may happen either by directly injecting the filler into the artery and causing a blockage, or by injecting filler such that it pushes from the outside on an artery, pinching it off, and stopping the flow of blood. The end-arteries around the nose include arteries that supply blood to the retina, so blocking these could cause blindness. There are also end-arteries that supply blood to certain areas of skin around the nasal tip and nostril, and blocking these would cause necrosis, or death of the skin."
Lastly, filler in the nose can make surgery difficult later, should you decide to go that route. “Filler causes a reaction in the surrounding tissue that can cause more bleeding during surgery. Additionally, it makes achieving the best results more difficult for the surgeon. During surgery, we decide we’re done by looking at the nose, and when filler is present, it’s difficult to judge visually what is filler that will dissolve and change with time, and what is permanent anatomy. So, your results may not be stable after surgery if some of what’s seen during surgery is filler,” she explains.