Getting the nasal improvement without having to undergo surgery seems too good to be true? It probably is although non-surgical nose job options do exist. Limitations of non-surgical nasal treatments need to be stressed: noses cannot be made smaller, a nasal hump cannot be removed (but a bump can be camouflaged) and a poorly defined tip cannot be made more sculpted. We recommend to talk to an experienced rhinoplasty surgeon who does both surgical and non-surgical rhinoplasty in order to get complete information.
Small Improvements after Rhinoplasty
The non-surgical rhinoplasty technique was and is most commonly used in patients who underwent a rhinoplasty earlier. If these people want a touch-up of a small depression but decide that a surgical correction is not desirable, filling substances can be used to improve these little imperfections. These substances are injected similarly to the way dermal fillers are used to even out facial furrows and creases. Certainly, the nose is less forgiving than other facial areas like the cheek or chin. Therefore, a conservative approach and good eye of the surgeon are a prerequisite.
Injectable Substances Used for Non-surgical Rhinoplasty
Various injectable dermal fillers can be used for the “nose job without surgery”. The choice of material determines how long the result will last. Most people seek long-lasting or even permanent improvements in order to limit the need for recurrent treatments. On the other hand, there may be value in using something that will disappear over 8 months or so to ensure that the result meets one’s expectations. If the outcome is not what the patient was hoping for, then the material will disappear and the nose will look like it did before.
HA for Rhinoplasty without Surgery
Hyaluronic acid products are available in various forms and under different trade names. Although manufacturers claim superiority of one product over the other, the differences are rather minor. Expect these compounds (i.e. Restylane, Perlane, Juvederm, Captique etc.) to last 6 to 12 months.
Long-Lasting Injectables for Rhinoplasty
Calcium hydroxyl apatite is a used dermal filler available under the trade name Radiesse (or Radiance FN). Because absorption of this material is slower, one can expect the fill effect to last one to two years.
Permanent (=Non-absorbable) Fillers for Rhinoplasty
Artefill is a non-absorbable filler which is cleared by the FDA for cosmetic enhancement of deep facial creases such as nasolabial furrows. We can expect the result to be permanent.
Liquid silicone is a second permanent option which carries a rather ambivalent reputation. For some doctors, injectable liquid silicone represents the preferred material for facial enhancement and they report an extremely low risk profile. Clinical papers reporting on the positive experience with silicone for touch-up rhinoplasties have been published. Others believe that liquid silicone should never be used. If you are interested in silicone injections, talk to your surgeon about his experience.
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