This section of the forum is dedicated to discussions on rhinoplasty (cosmetic, reconstructive, and functional) nose surgery, also known as a “nose job”. Ethnic rhinoplasty topics can be addressed either here or in the Ethnic Cosmetic Surgery Forum.
Dear Doctor, can the "non surgical nose surgery" (assuming the person is a good candidate for it) be done with Hyaluronic Acid injections? I know it is done with fillers, but I've noticed that in most countries in this area the substance used is metacrylate/PMMA. Something I know it is not FDA approved and would NOT use. Knowing that it would be temporary (which in a way is better -yes, more money but if it turns out bad, you don't have lifelong complications), could Restylane be used for it? I have seen pics of the way doctors in Brazil get to elevate the tip of the nose and narrow "narrow" the base of the nose by using metacrill or the like applied in specicif spots and the results looked amazing, but I definitely would not use those PMMA products. I would not risk my health for it. Could I ask a doctor to get the same type (sites) of injection and results with 'ol beloved Restylane/plain hyaluronic acid???
Btw, PMMA is FDA-approved in the U.S. It is marketed as Artefill. If you want to see why I don't use Artefill, watch my video log on it: http://www.lamfacialplastics.com/plastic_surgery/dallas/content/view/1483/425/
Yes, I do Restylane all the time for noses. Please watch my video on that here: http://www.lamfacialplastics.com/plastic_surgery/dallas/content/view/1600/47lang,en/
Also, I have a few before and afters you can look at in my injectable gallery. best, sml
Wow, thanks! I had missed those specific links!! (or maybe watched them long ago and forgot, sorry!) You are such an artist! and I mean that in a good way! The way you add beauty to a person is unbelievable!
One only thing confuses me, and is not about you, is about the FDA. If you know the reason let me know, but I am aware that you might not have a clue about it neither, since it has to do with specific info on brands and ingredients and regulations...
I did not know Artefill was approved... but that confuses me because there are products used in South America and Europe called Metacril and other names that are made of ONLY PMMA particles (no collagen, no other material other than PMMA beads) but those are not approved in the US! I don't understand why the FDA approves something with PMMA particles only and collagen and not something with PMMA alone...?! That confuses me! I thought the FDA considered PMMA as not safe, but then, it is not that the case?
Aside the practical problems you speak of regarding PMMA, why is it considered, then, safe in some cases only? ??
i am not here to speak on behalf of the FDA. however, i will say even Artefill has gone through multiple iterations as you heard in my video from arteplast to artecoll to artefill. only artefill is approved and they are all PMMA. that is because the PMMA in the earlier version had larger spheres and more impurities (not as washed). i look at PMMA as an evolving science which I am not quite ready to endorse yet for use. But that is just me. So you can see already that just the differences in PMMA molecules already has contributed to previous disasters and now reportedly more safety. also metacril does not have any bovine collagen. the thought i believe on the part of the manufacturers here (but you need to ask them) is that without the collagen carrier, the tissues can't really ingrow since it is just a clump of PMMA. with the gradual dissipation of collagen over 3 to 4 months, the tissues have a better chance of ingrowing. do i believe it one way or the other? i don't know. i have no experience with the product. best, sml