Artefill Nose Jobs and VeraFil for lip enhancement

Hi Dr. Rivkin:

Happy New Year to you. I have several questions on the above subject matter.

1. Artefill used as non-surgical nose job: What are the limits with Artefill as compared to traditional rhinoplasty for building height to the bridge and tip of the nose ?
For example: If I wanted a higher bridge for my nose or a lift at the tip of my nose - can Artefill produce these results or Rhinoplasty can yield "height" better ? Or the limits are dependent on the patients actual nose ?

2. What are your thoughts on Perma and VeraFil for the nose, lips, and face and will you be offering them in the future in your practice ? If you don't offer/perform this can you refer a doctor in CA. that does ?

Thank you and I look forward to your reply shortly.


hi,
1. lifting the height of the bridge will depend on the individual patient. if you've had surgical rhinoplasty before, your skin will be scarred and it will not lift up nearly as easily as it would otherwise. i like to maximize lift by bringing people back 2 to 4 weeks after the intitial procedure to add to the bridge for more height. i can usually get a couple of mm on an unoperated on nose.

2. i'm suspicious of implants. you can't control the shape nearly as well and the chances of the lips looking unnatural is much higher. i would never consider something like that for the nose. the advantage of injections is that i can shape the lips according to the individual anatomy of the patient. i find it hard to believe that a pre-made implant can look good on everyone.

hope that helps

http://www.westsidemedicalspa.com/non_surgical_nose.html