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Both non-surgical and surgical solutions are available for reshaping the nose.

Who Can Benefit From Non-Surgical Rhinoplasty?

Dr Pooya performs the Non-surgical rhinoplasty, also known as a non-surgical nose job, injection rhinoplasty, or the “15-minute nose job”, can be a lower-risk, lower-cost alternative (with less pain and less downtime as an added bonus) for those who may have otherwise considered surgical rhinoplasty. For those who can’t afford the expense or downtime associated with surgery, or for those who are simply afraid to actually go under the knife, it can be quite a relief to hear that there is such an option available.

While non-surgical rhinoplasty cannot reduce the size of a large nose, the creation of symmetry or smoothing out of contour irregularities can actually make the nose appear smaller on the face.

Non-surgical rhinoplasty can be useful to:

  • Reduce the appearance of a “bump” by filling out the surrounding tissue
  • Reduce or eliminate unsightly depressions, dents, or grooves
  • Improve symmetry
  • Create a lifting effect on a drooping nasal tip
  • Raise and define a flat bridge or de-emphasize a rounded tip (popular in Asian and African-American populations)
  • Correct a “scooped out” or “saddle-nose” profile (whether you’re born with it or it is the result of previous surgical rhinoplasty)

How Non-Surgical Rhinoplasty Is Done

Tiny amounts of dermal filler (such as Juvederm, Restylane, Perlane, Belotero, Radiesse) are injected into areas that need to be filled out to achieve a smoother, more symmetrical appearance. The filler is injected in miniscule amounts using what is called a microdroplet technique.

This procedure is not exactly a quick fix, as the end result is only achieved after a series of several treatments, with at least 4-6 weeks in between sessions. This gradual approach is necessary because of the way these fillers work: After injection, your body’s defenses begin working to “wall off” each microdroplet of the filler material, forming a capsule of tissue that holds it in position. Over a period of time, the natural tissue built up around the filler creates more volume in the area, so the result cannot be accurately judged at the end of each injection session.

Only after the prescribed amount of time is it possible for the doctor and patient to judge if and where more injections are needed, as well as how much is needed. This allows to doctor and patient to judiciously decide when enough is enough.

Is the non-surgery approach Safe?

Non-surgical rhinoplasty does not require general anesthesia or IV sedation. Only a local anesthetic is used, sometimes in conjunction with an oral sedative to relax the patient. Because of this and the fact that there is no actual cutting involved, this method carries less risk than a surgical rhinoplasty procedure. There are, however, some risks, which include:

  • Hyper-sensitivity reactions
  • Infection
  • “Lumpy”, asymmetrical, or otherwise unsatisfactory aesthetic results
  • Nasal skin damage

What Cannot Be Accomplished With Non-Surgical Rhinoplasty?

If you want a smaller nose, a thinner bridge, a large bump removed, or a more narrow tip, this procedure will not accomplish your goals. Non-surgical rhinoplasty cannot improve breathing problems or correct internal defects such as a deviated septum.  Nor can it (or any other procedure) give you a “perfect”, completely symmetrical nose. As always, the goal of cosmetic surgery is improvement, not perfection.

The downside to the non-surgical approach

Injections are temporary. To maintain your results, you will have to come back again and again for injections. This can be inconvenient and could become expensive over time.

The Surgical Rhinoplasty Approach

Patients should wait until their nose is fully developed before having plastic surgery to reshape the nose.  This will be at least age 14 or 15 for girls, and possibly older for boys. Assuming you are in good health, there is no upper age limit for having your nose reshaped. Rhinoplasty is sometimes performed in conjunction with a facelift or other rejuvenation procedures to correct aging changes of the nose such as a drooping tip.

Certain breathing problems related to the internal nasal structures may be corrected at the same time as nose reshaping is performed. Dr Pooya will be able to help you determine whether these structures should be modified along with reshaping your nose.

Am I a good candidate for rhinoplasty (reshaping of the nose)?

  • Your nose appears too large for your face
  • There is a bump on the nasal bridge when viewed in profile
  • Your nose seems too wide when viewed from the front
  • The nasal tip droops or plunges
  • The tip is thickened or enlarged
  • Your nostrils are excessively flared
  • Your nose is off-center or crooked
  • Previous injury has made your nose asymmetrical

It is important that you have a clear idea of how you would like your nose to look and, at the same time, realize that there are limitations to the procedure. Patients with sufficient physical and emotional maturity who undergo rhinoplasty because they want to enhance their self-image are usually very satisfied with their decision.

How much does rhinoplasty cost?

It is understandable that you would like to have information about the cost of surgery as soon as possible. Dr Pooya must first complete a thorough evaluation before your individualized surgical plan can be developed. Following this, the fees required for your surgery will be discussed with you. While most insurance plans will not pay for aesthetic nose reshaping, they frequently will cover surgery performed on the internal structures of the nose to improve breathing problems. We will discuss this with you at the same time of consultation.

How is rhinoplasty performed?

The surgical techniques employed will depend primarily on the goals established by you and Dr Pooya. In many instances, all of the incisions will be placed inside your nose, where they will not be visible. Whatever incisions are used to reshape your nose, they will ultimately be very inconspicuous.

Risks and Complications

Fortunately, significant complications from rhinoplasty are infrequent. Every year, many thousands of people have their noses reshaped, experience no major problems and are pleased with the results. Anyone considering surgery, however, should be aware of both the benefits and risks.

Some of the potential complications include hematoma (an accumulation of blood under the skin that may require removal), infection and reactions to anesthesia. Numbness of the skin following rhinoplasty may occur but is usually temporary. Occasionally, if the surgical outcome needs further improvement, additional surgery may be necessary.  You can help minimize certain risks by following the advice and instructions of your plastic surgeon, both before and after your surgery.

How should I prepare for surgery?

If you are a smoker, you will be asked to stop smoking well in advance of surgery. Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery. Dr Pooya will provide you with additional preoperative instructions. If your rhinoplasty will be performed on an outpatient basis, be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery.

What will the day of surgery be like?

Your rhinoplasty may be performed in a hospital, free-standing ambulatory facility or office-based surgical suite.

Medications are administered for your comfort during the surgical procedure. Frequently, local anesthesia and intravenous sedation are used for patients undergoing nose reshaping, although general anesthesia may be desirable in some instances. For your safety during the operation, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.

When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. There may be some discomfort, but this can be controlled by medication which you may continue taking at home. Depending on the surgical technique used, a splint may have been placed on the bridge of your nose for the purpose of holding the tissues in place until they have stabilized. The splint will protect your nose while you sleep and shield it from accidental bumps. Frequently, you may also have a small triangular bandage beneath the tip of your nose. Packing or soft internal splints are sometimes used inside the nostrils, especially if work has been done to improve your breathing.

You probably will be permitted to go home after a few hours, although some patients may stay overnight in the hospital or surgical facility.

How will I look initially?

It is important to realize that the amount of time it takes for recovery varies greatly among individuals.

The first couple of days after surgery, you should restrict your activities and sleep with your head elevated. This will help to minimize swelling and reduce the possibility of minor bleeding, which is not uncommon. Remember, you must not take aspirin or certain anti-flammatory medications.

Generally, bruising around the eyes and cheeks is most apparent during the first three days following surgery. Most discoloration will disappear within a week. A few days after surgery, you can begin to use makeup as a concealer, if desired. Noticeable swelling may last for several weeks. Minor residual swelling, most frequently affecting the nasal tip, may continue for many months, but generally this should not be apparent to others. If packing was used, it will either dissolve by itself or be removed three to seven days after surgery. Stitches may also be removed at that time. You may need to continue wearing the nasal splint for up to a week, during which time you should avoid getting it wet.

Results of Your Rhinoplasty

The goal of rhinoplasty is a nose that looks natural and blends harmoniously with your other facial features.  Since the healing process is gradual, you should expect to wait up to one year to see the final results of your rhinoplasty. You are likely, however, to begin enjoying your new look within weeks of your surgery. Occasionally, a touchup may be desired to further improve the results. If this is the case, the additional procedure is usually less extensive than the original operation.

When can I resume my normal activities?

Straining, bending and lifting should be avoided during the early postoperative period. In many instances, you may be able to return to work within a week or ten days after surgery. Most normal activities including exercise can usually be resumed within three weeks.  It will be a few months before you can expose your reshaped nose to direct sunlight. Your nose will be sensitive during this time, and you must be conscientious about using a sunblock to protect your skin. If the bones of your nose were altered, it may be a number of weeks before you can wear glasses without special support such as tape.

How long will the results last?

In most instances, the results of rhinoplasty are permanent, except for possible changes associated with the normal aging process.