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
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.
Before and After
Dr. Alexander Rivkin on the Today
Show performing his Non-Surgical Nose Job.
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
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
- the added projection of the nasal tip
- correction of retracted columella (nasal
- 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.
The Kass Center for Cosmetic Facial & Eye Plastic Surgery
Lawrence G. Kass, M.D.
Petersburg (Main) Office
6025 4th Street North
St. Petersburg, Florida 33703
1811 North Belcher Rd
Clearwater, Florida 33765
Phone: (727) 725-4612
May 08, 2013 |
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