Dear Dr. Rivkin,
Was wondering what your thoughts were on permanent fillers to the nose and aging. I believe the nose droops with age and that cartilage can still grow. How will this affect a permanent filler ?
Also is a permanent filler injected deep to the bone ? for example if one has a dent and the filler fills it up, is that filler fell like it’s part of the underlying structure or more the skin ?
In addition ( sorry for all of the questions), how do you handle patients that come from other countries that can not come back in two weeks for a touch up ( post swelling)?
Thank you for your time
hi,
good questions.
1. i think that you are correct – the nose does change with age, but more slowly and subtly than the rest of the face. i try not to put too much filler in the tip – i do not want to increase the weight of it as the nose ages. but from the reports that i have read, artefill and aquamid both integrate well into the skin.
they should not become lumpy or irregular as tissues move with time. i don’t get concerned with the bridge, since that area really does not move with time.
2. fillers for the nose should be injected just above the bone, but never deep to it. this way, the result is smooth and natural looking. filler (temporary or permanent) always feels like its part of the skin, not the bone or cartillage.
3. i ask them to make a mini vacation out of it – they see me at the begining when they arrive and then 5 days or 7 days later when they are leaving the country.
hope that helps
how much does the permanent procedure cost?
hi david,
the permanent artefill non surgical rhinoplasty procedure cost is $2000.
that includes the touch up visits.
Hi Dr.Rivkin,
I would like to know if I am candidate for the artefill non surgical rhinoplasty procedure. My nose is typical kind of Asian nose (more rounded at the tip). It’s worth a drive to come down there to your office and I do hope you can help me. Thank you.
absolutely, generally most asian noses are suitable for the artefill procedure
you should crtainly come in and we can take a look in person.
Hello.
I have 2 questions.
1- What is the minimum age requirement to have this nose job done?
and 2- How long does it last? (I am asking this because sometimes when people say “permanent”, they only mean 10-20 years…)
Thanks!
Thanks for this article. it was so helpful!
for the permanent procedure, i think 21 is the minimum age
for the temporary procedure, though, there is no minimum age
the permanent filler really is permanent. people say 10 years because the studies only follow for 10 years.
But wanna admit that this really is really beneficial , Thanks for taking your time to write this.