Nose augmentation is a popular procedure we do in Mizu, averaging about 3-4 procedures a day. Other than surgical options, nose augmentation is done with fillers, threads, or a combination of both. Nose fillers & threads aims to increase the height of the nose bridge, improve definition of the nose contours, and sharpen the tip of the nose. Read here to understand what you are suitable for.
What do fillers for the nose do?
Dermal fillers are commonly used to fill up areas that are lacking in volume, or for the purpose of augmentation.
Nose fillers are particularly sought after with Asians because Asians generally lack, or has a shorter, nose bridge. Other than a lack in height along the bridge area, Asians also tend to have a rounder nose tip which can be corrected with fillers.
Nose fillers are also suitable for use when someone has a hump or a dent along the bridge of their nose. It can fill up the dent or the areas around a hump to make the nose bridge straight, and at the same time increase the height of the bridge.
What can you expect?
A higher, straighter nose bridge and a sharper tip. For some patients with a downward pointing nose, fillers can also be used to lift the nose tip.
Will I look fake with nose fillers?
No you won’t! It is a common concern, and the most common request is ‘I want to still look natural with a higher nose’. Some people want a subtle change, while others prefer a more drastic transformation.
No matter what you want, we will be able to discuss your preferences. Our doctors will advice and recommend on the shape and height of the nose according to your facial shape.
How much nose filler will I need?
The amount of filler will depend on your expectations and the initial shape and height of your nose. We rarely need more than 1ml (1 syringe) of filler for nose augmentation.
However, it is sometimes recommended that a nose augmentation be done over 2 sessions, 3-4 weeks apart, for best results. Our doctors will advise you accordingly as different people have different noses and preferences.
How long do nose fillers last?
Hyaluronic acid fillers should last between 9 – 12 months, depending on individual. The hyaluronic acid content gets reabsorbed by the body over time. Some patients prefer to come back before the effect fully goes away.
Less preferred fillers to use on the nose
Will my nose become wider after doing nose fillers?
We get this question very often, everybody wants to avoid looking like they have an “avatar nose”. However, when done with the right type of fillers, this can be avoided.
We have seen patients with varying types of fillers used in nose augmentation. Dr Tan offers his opinion on this list of fillers commonly requested for the nose, and why you might want to pick something else.
Ellanse is a filler that claims to be long-lasting (It has variations that supposedly last for 2, 3, 4 years). It also claims to stimulate collagen production.
However, from experience, Ellanse is not a suitable filler for the nose.
The reasons being; Ellanse is a soft tissue filler, and while long lasting, it is unable to maintain a lifting effect. This means that Ellanse is unable to sustain the results of a higher nose bridge for more than 3 months.
The main ingredient in Ellanse is 70% Carboxymethyl Cellulose (CMC) and 30% Polycaprolactone (PCL). Not only does CMC usually gets broken down by the skin/body at 3 months, it also has hydrophilic properties. This means it absorbs water over time, possibly broadening the nose and giving it the ‘avatar look’.
Ellanse is a good filler for filling up areas with volume loss as it stimulates volume replenishment, but is definitely not one that should be considered for the nose as nobody wants a broad looking nose for 2 years.
Juvederm has a range of excellent fillers for different areas of the face (It was not until 2019 that they created a filler suitable for nose augmentation). Voluma is one of the fillers, and a popular choice doctors as it provided good volumization.
We’ve had a number of patients with complaints of previous fillers done elsewhere looking broad – and most of them were commonly from procedures done with Juvederm Voluma. It is not uncommon for us to dissolve or squeeze out previous Voluma fillers prior to a new procedure.
Juvederm Voluma is not a suitable choice of filler for a defined nose bridge due to its ability to absorb water over time, causing the nose to broaden. Voluma is a long-lasting filler and can remain in the body for up to 2-3 years – this means a broader nose for an even longer period of time!
All said, Juvederm Voluma is an excellent filler for areas such as the cheeks, temples, and even chin. However, Dr Tan would not advise to avoid using it for the nose.
We have used Radiesse at Mizu countless times for nose fillers. Results after Radiesse are satisfying as it has good definition and doesn’t retain water like other fillers do.
So why do we not recommend it for the nose? Patients with Radiesse done previously are not recommended to mix different types of filler with this. This restricts the patients’ options. Through our observation over the years, we have also realized that it does not last as long as it claims to.
Choice of Nose Filler:
Like Juvederm, Restylane is a trusted filler brand with a wide range of fillers. Restylane Lyft is our choice of filler for the nose for a few reasons:
- Firstly – Restylane Lyft has the ability to lift and hold shape over time and is perfect for shaping the nose. This is because it is made up of larger hyaluronic acid gel particles in comparison to other fillers!
- Secondly, Restylane Lyft is a densely cross-linked hyaluronic acid filler. This means that it will not absorb water and broaden the nose over time.
- Lastly – like all hyaluronic acid gel fillers, Restylane Lyft is reversible. If results are unsatisfactory or if a patient is considering a surgical rhinoplasty, the filler can be easily dissolved and the results reversed.