The nose is a prominent facial feature and one of the first things people see in a face. Compared to Western beauty standards often seen in media, Asians in Singapore often have flatter, wider and poorly defined noses. This type of nose shape visually accentuates the width of the face and the distance between the eyes, making the face look flat and uninteresting.
A high, well-defined nose bridge is highly sought after. Non-surgical options for nasal contouring are on the rise, especially among patients that do not wish to undergo rhinoplasty with risks of unfavourable results, downtime and side effects such as infection or scarring.
Injectable dermal fillers are hydrogels that can be implanted to enhance the shape and contour of the nose. Dermal filler is a very common procedure that many of my newer patients opt for. Nose fillers can be classified into temporary, semi-permanent and permanent fillers. Temporary fillers are the most popular and can be classified into 2 broad groups:
Nose fillers to contour the nose commonly consists of hyaluronic acid. Hyaluronic acid filler is the most commonly used for filler injections on the nose bridge and nose tip, to both contour and give them volume. While dermal fillers as a standalone procedure is sufficient for some degree of nose recontouring, I prefer to combine it with other treatments to obtain the best results.
Fillers have different structural properties such as cross-linking that manifest in their rheological properties such as viscosity, cohesivity, hardness and resistance to deformity. Hard, cohesive and viscous fillers are preferable when choosing a nose filler for nose augmentation as they give the skin a firm look.
The use of dermal filler as a procedure to improve the nose bridge and overall nose shape is very useful as it has many immediate and apparent benefits, making nose filler one of the most popular non-surgical nose contouring procedures.
First, a topical numbing cream will be applied to your face around the injection points in order to minimize discomfort during the procedure. Using a syringe, the doctor will inject a precise amount of dermal filler into the skin and tissue.
This entire process takes around 15-25 minutes.
At 1aesthetics, we only use HSA approved fillers which are subject to stringent safety protocols. This greatly reduces the risk of any unforeseen side effects occurring.
It is common for patients undergoing nose filler procedures to have slight bruising, itching or redness around the injection sites. These should clear up naturally within 4-6 days.
Severe side effects, like skin necrosis or blindness, are very rare and can be avoided through observance of safety methods and using only approved brands of HA fillers.
You will see the results of your nose fillers almost instantly. You should notice a definite contouring and increase in volume around the nose bridge and tip. These results generally last for around 9-12 months, until the HA is naturally reabsorbed back into the body.
I perform both nose filler and nose threadlift for nasal augmentation. Either one procedure can effectively augment the nose shape and the skin around it. Neither treatment can be said to be the best in all situations and it is perfectly fine to combine both nose fillers and nose threadlift if necessary to achieve the desired nasal augmentation.
There is a wide range of techniques to do so and I usually use a mix of techniques in most cases to give the most optimal result. An expert injector knows the surgical anatomy of the nose well to be able to enhance it safely, has an in-depth understanding of the tools and materials available, and appreciates the beauty of proportions as well as the craft of tailoring the treatment precisely to suit the individual patient. There is no one size fits all procedure and a successful nose contouring protocol would naturally harmonize and complement your facial features and skin.
I will assess your anatomy and recommend the most suitable option according to your preferences, generally:
In addition, I have my own techniques to specifically address problems that standard nose thread lift insertion is unable to tackle well, such as:
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I prefer to use very hard and long-lasting hyaluronic acid fillers or agarose fillers as they are reversible with hyalase. Generally, fillers that are like collagen stimulators tend to be hard and last longer than 12 months (common duration of effect for harder hyaluronic acid fillers). However, they are not reversible and this may pose a problem in cases of allergy, malposition or inadvertent injection into a blood vessel.
Newer hyaluronic acids fillers can also give equal or even longer-lasting effects up to 2-3 years. Blunt cannulas must be used where possible to reduce the (low) risk of injection into blood vessels around the nose.