Dr. Sykes prefers fillers that can be reversed. In his years of practice, he has seen some inflammation caused by Bellafill, and if you have that inflammation with a permanent filler, the only way to get rid of it is to cut it out. On the other hand, hyaluronic acid fillers have varying thicknesses and viscosities that can be dissolved. This means that if a lump or bump, any irregularity, or even an occlusion occurs, we can reverse it with the hyaluronidase enzyme that dissolves filler. Many patients who’ve had filler in the nose one or two times tend to opt for surgical rhinoplasty in the future. If Bellafill was used and a patient wants to go the surgical route to make their nose smaller, Dr. Sykes will have to cut the Bellfill out during their rhinoplasty.