Alexander Rivkin, MD
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Alexander Rivkin, MD
Plastic surgeon | Views: 244091

Friendname: AlexanderRivkinM.D.
Business Name: Westside Aesthetics
Website: www.westsideaesthetics.com
Location: 1033 Gayley Ave #104
los angeles, CA 90024
United States
Telephone: 310 443 5273
Languages Spoken: English

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Ask An Expert > Alexander Rivkin Message Board > Besides skin damage, what structural complications could arise from a non surgical nose job done using improper injection technique?
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lhr, Pakistan
Besides skin damage, what structural complications could arise from a non surgical nose job done using improper injection technique?

In such case can soft tissue reaction cause cartilage malposition or accentuate any internal deformity and as a result a permanent disfigurement?

Plastic surgeon
Miami, FL
United States
View My Professional Profile
  June 10, 2012 4:22 AM


  June 10, 2012 1:50 PM

regardless of injection done inside or outside the nose? sorry for bringing up this issue for the second time. again mine was particularly done from the inside and nose doesn't seem to balance out evenly after filler break down

Plastic surgeon
los angeles, CA
United States
View My Professional Profile
Necrosis is the most important adverse event.  June 11, 2012 11:49 AM

The injector has to be careful not to overfill, especially in patients who have compromised skin circulation due to previous surgery on the nose. The areas of the nose that are most vulnerable to ischemia and necrosis are the tip and ala, so the injector has to be most careful there. Otherwise, the worst thing I have seen in over 10 years and 4000 cases is bruising and redness. Hope that helps

Plastic surgeon
New York, NY
United States
View My Professional Profile
Fillers in a nose  June 11, 2012 1:27 PM

Besides skin loss, you could have a bad result that could not be corrected by surgery. Dont put fillers in a nose, unless it is a tiny amount done by a board certified plastic surgeon -- preferably the one who did your nose.

Shape complications  June 11, 2012 2:14 PM

Regarding: "Improper technique"

Well, it's not going to change the structure of the nose bones or the cartilage. It could really screw up other contents of soft tissue envelope of nose if it has to be surgically removed. Why? Because native soft tissue contents often end up having to be removed along with what ever filler is in there they are trying to remove because there is scar tissue and native soft tissue 'stuck' to the scar tissue.

That said, the SHAPE of your nose, as you see it in the mirror could look bad subsequent to having to have the filler surgically removed.

  June 13, 2012 1:31 PM

A sincere thanks to all the experts for the input. My results with the fillers were good but it's the way nose has settled back after fillers have dissolved that doesn't look right.Needed to know that ,in general,would it be correct to say that whether injections done inside or outside the nose, the needle trauma should not impact the nasal tissues so much as to alter the cartilage position or any other aspect of the nasal shape? Thank you.



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