Artefill is a filler that is effectively permanent due to the fact that the body cannot degrade it. It is composed of tiny microspheres in a suspension of bovine collagen. The collagen gets degraded over time but the microspheres remain and induce an inflammatory response by the body which deposits new collagen around it.

Because the results of Artefill depend on each individual's response to it, there is a certain amount of unpredictability. It is therefore prudent to initially under correct with artefill and use it in stages until the desired outcome is achieved.

Like most of the other fillers, Artefill is only FDA approved for injection into the nasolabial folds. Like all the other fillers, practitioners can use it in off label ways and inject it anywhere else they deem to be safe. That is where different doctors might have varying viewpoints as to where it is safe to inject.

The only places I would inject Artefill are in the nasolabial folds, bridge of the nose, high cheek bone area, and prejawl sulcus. All these places are conducive to deep injections on or close to the bone. The deeper the material is injected the less likely it is to cause troublesome lumps or other issues.

Because Artefill contains bovine collagen, a skin test is needed about a month prior to administration of Artefill to make sure you do not have an allergy to it. This is done for free in our office.

By Dr. Gal Aharonov

Non surgical rhinoplasty usually entails using either fillers such as juvederm, restylane, perlane, or radiesse to help change the shape of the nose. Botox or Dysport can also sometimes be used to help change the way certain muscles affect the nose.

It is not possible to absolutely reduce the size of the tip of the nose or nose in general using non surgical nose job, but it is possible to make the tip seem smaller, or make a hump or bump on the nose seem smaller. This can be done by affecting the relationships of the nose. For example, for someone with a scooped out nose who seems to have a large tip, building the bridge of the nose can make the tip seem smaller. Conversely, in a person with a small droopy tip that seems to have a big hump, building the tip support a bit can make the nose seem more balanced and less droopy.

It is also possible to hide a bump on the nose by building the surrounding structure with filler in a non surgical nose job.

Feel free to read more about non surgical rhinoplasty or non surgical nose job.

Non Surgical Rhinoplasty or Non Surgical Nose Job usually entails using a filler such as radiesse or juvederm or perlane to augment or change the shape of your nose. In the bridge, the filler tends to last a fair amount of time. I err on conservative estimates and tell patients it will need to be redone every 6 months or so, but I have had many patients for whom it has lasted for over a year.

Initially, there is some swelling associated with the injection, especially if it is your first time. You might need a small touch up once the swelling subsides about 14 days after the first injection.

You can read more about non surgical rhinoplasty by visiting our non surgical rhinoplasty page

It is possible to make your nose a bit bigger. It might even be possible to do without surgery, just with a bit of filler. This is called a non surgical rhinoplasty. If you prefer a more permanent solution, a revision rhinoplasty can be performed to make your nose bigger. Some of your own cartilage can be used, either from your septum, the inner bowl of your ear, or rib cartilage, or synthetic material such as gortex or an irradiated rib graft. Whatever the material to be used is, the concept is the same: give your nose a larger stronger structure.

There are pros and cons with either the non surgical rhinoplasty or the revision rhinoplasty. With the non surgical rhinoplasty the advantage is that it is quick and virtually pain free and you see the results right away with almost no downtime at all. You can actually go back to work or go out the same night as having the non surgical rhinoplasty procedure done. The downside is that it is not permanent and you will need touch up procedures to maintain the results anywhere between 6 months to one and a half years.

you can visit the non surgical rhinoplasty page

The advantage of having a rhinoplasty revision or redo nose job is that it is permanent and you will hopefully never have to deal with it again. The downside is that it is surgery, causes a fair amount of swelling and downtime of about 1-2 weeks.

You can visit the revision rhinoplasty page