Non-Surgical Nose Job
What is Non-Surgical Rhinoplasty?
Non-surgical rhinoplasty, or a non-surgical nose job, is a medical procedure in which injectable, soft tissue fillers, most commonly hyaluronic acid ones like Restylane and Juvederm, calcium hydroxyapatite (Radiesse), or a medical grade silicon oil (Silikon 1000) are used to alter and shape a person's nose without invasive surgery.
The procedure fills in depressed areas on the nose, lifting the angle of the tip or smoothing the appearance of bumps on the bridge. Non-surgical rhinoplasty is an augmentation procedure, so it cannot reduce the size of someone's nose. It is a cosmetic procedure and is not used to correct functional problems with the nose, such as breathing difficulties. Often used as a precursor to surgical correction, or surgical rhinoplasty, the use of soft tissue fillers will satisfy minor corrections and adjustments to surgical rhinoplasty, and offer the patient time to “test” a new look, before committing to surgical rhinoplasty.
Is it right for me?
Because the nose is the anchor-feature of the face, an aesthetically proportionate nose balances the physiognomic features of a person. Non-surgical correction is considered for patients with a treatment-suitable aesthetic defect, or a defect resulting from a surgical rhinoplasty (either primary or secondary). Although the procedure is usually performed for aesthetic purposes, it can also be used to correct some birth defects. Because the procedure is not invasive, bruising and swelling are minimal. The procedure is not meant to decrease nose size, although it can make the nose appear smaller by making it look straighter. It is frequently used to increase the height and definition of the nasal bridge, as well as augmenting other precisely defined areas of the nose.
The procedure is not used to correct functional defects. Non-surgical rhinoplasty is used by patients of all ethnicities. The filler-injection technique allows for:
- the augmentation of a flat nasal bridge (depressed dorsum)
- the added projection of the nasal tip
- correction of retracted columella (nasal septum)
- small reduction of nostril size
- the perceptual diminution of a nasal hump
- filling a nasal sidewall depression
- enhancing a retracted anterior nasal spine
- the enhancement of a retracted maxilla lateral to the pyriform (pear-shaped)aperture to displace the anterior plane
- the elevation of a saddle nose deformity caused by a failed primary rhinoplasty
- traumatic injury
As with other aesthetic procedures, possible complications of the procedure can include infection, hematoma, discomfort, anatomic asymmetry, or foreign body reaction (called granulomas). Granulomas are extremely rare, and are most seen with impure silicone and some of the early non-modern versions of methyl-methacrylate.
Sources: Beer, K.R., Nasal reconstruction using 20 mg/ml cross-linked hyaluronic acid. J Drugs Dermatol, 2006. 5(5): p. 465-6; Rokhsar, C. and D.H. Ciocon, Nonsurgical rhinoplasty: an evaluation of injectable calcium hydroxylapatite filler for nasal contouring. Dermatol Surg, 2008. 34(7): p. 944-6; Alexander Rivkin, Kontis TC (May 2009). "The history of injectable facial fillers."Facial Plastic Surgery 25 (2): 67-72; Stupak HD, Moulthrop TH, Wheatley P, Tauman AV, Johnson CM Jr. Calcium hydroxylapatite gel (Radiesse) injection for the correction of postrhinoplasty contour deficiencies and asymmetries. Arch Facial Plast Surg. 2007 Mar-Apr;9(2):130-6; Wilkie TF (August 1977). "Late development of granuloma after liquid silicone injections." Plast. Reconstr. Surg. 60 (2): 179–88. doi:10.1097/00006534-197708000-00004. PMID 887659; Orentreich DS (October 2000). "Liquid injectable silicone: techniques for soft tissue augmentation". Clin Plast Surg 27 (4): 595–612. PMID 11039892.
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