Would you recommend Artefill use for build a nose bridge on an Asian?
Robert Strimling (Las Vegas, NV) on Apr 13, 2012
No, I do not recommend Artefill because it works by stimulating new collagen which is individually variable, not predictable in response and theoretically permanent. Thus, if the stimulatory effect is aesthetically displeasing, the results are not easily corrected. In general, my preference for most filler indications is hyaluronic-acid based fillers, such as Restylane, Perlane or Juvederm. These fillers are very malleable, reversible and temporary, but long-lasting (up to 2 years). On a final note, as we age, our anatomy changes, and a permanent filler or implant may not look as good as it did when first introduced. With a temporary implant or filler, periodic touch-ups can be adjusted to changes in our face and bodies.
Nelson Novick (New York, NY) on Apr 13, 2012
I am not a big fan of permanent fillers of any kind. This includes Artefill, silicon and bioalcamid. The problem with permanent fillers is that if there is an undesirable result or if, as often happens, there are changes in the shape of the nose and the surrounding face with age, permanent fillers cannot be removed. What may look terrific today may not look so good five years down the road. So, while the idea of putting something in that is permanent is admittedly enticing, there are real potential risks. I prefer the use of semi-permanent volumizing fillers, such as Radiesse or a combination of Radiesse and Juvederm UltraPlus XC. These materials are naturally degraded with time by the body's own metabolic processes, which allows additional material to be added whenever needed and in accordance with the new proportions of the nose to face that may occur with aging. In my experience, semi-permanent volumizers last considerably longer than they do in, say, the smile lines because, unlike the latter, the bridge of the nose is subject to little movement and hence little mechanical stress. An added benefit of using a hyaluronic acid volumizer or a mixture containing hyaluronic acid is that, if for any reason, there is an undesirable result, the material can be easily dissolved with hyaluronidase, something impossible to do with permanent filling agents.