Non-surgical nose job (non-surgical rhinoplasty) is performed using injectable fillers and botulinum toxin to restore a more symmetric look to your nose. Controlled and precise injections can make the nose look more proportional and smaller in the facial frame. The results are instantaneous and there is essentially no recovery, unlike surgery. The most common filler used is Radiesse®, which is made up of calcium hydroxyl appetite crystals that are very similar to the mineral found in the bones of the nose. It is also ideal because it lasts twice as long as most other fillers (hyaluronic acids such as Restylane, Juvederm that we have available, approximately 1 year. Although it is a welcome alternative to surgery, there are limitations to what this approach can accomplish. Doctor Jacono has published on non-surgical rhinoplasty treatments in his most recent book “The Face of the Future”. Doctor Jacono has been selected as one of the best Facial Plastic and Reconstructive Surgeons by US News & World Report and he lectures all over the world on different rhinoplasty techniques. He has offices in New York City at the New York Center for Facial Plastic and Laser Surgery on 5th Avenue and on Long Island in Great Neck.
Non-Surgical Rhinoplasty Patient 1: This young female patient wanted to address her dorsal hump without surgery so Dr Jacono performed a non-surgical rhinoplasty by injecting facial fillers into the bridge area to help camouflage her nasal hump. Her after photo shows a much more refined and feminine nose.
Non-Surgical Rhinoplasty Patient 2: This female patient had wanted to help reduce her nasal bump as well as some refinement to her nasal tip. Dr. Jacono used facial fillers to help level her nasal bridge and also refined the tip so that it shows a natural feminine nose.
The are many ways we can reshape the nose with fillers. The most common way Doctor Jacono uses injectable fillers is to diminish the appearance of bumps on the nose. By injecting the bridge above the bump, it makes it appear straighter. This cannot, however, make a bridge smaller, or create a gently, feminine curve in the bridge that many women desire. While this creates a straighter nose it does not make it smaller. To create a smaller nose and remove the excess bridge a rhinoplasty (nose job) surgery is required.
In other patients who have a flat nasal bridge, Doctor Jacono injects fillers will create or augment the original bridge. This is a very common request in the Asian and African American population who often have flatter noses. Unlike the situation with nasal humps as described above, this treatment can give results similar to rhinoplasty surgery, because the surgery uses either your own cartilage or a permanent implant to build the bridge instead of a temporary injection. The difference between surgery and the non-surgical approach is simply that surgery gives a permanent result that does not require repeat treatments.
The nose can be further reshaped by filling dents, hollows or indentations.
In those who have had a prior rhinoplasty surgery and have irregularities, using a filler can be a welcome alternative to undergoing a more complex revision rhinoplasty surgery. This is especially true if the imperfections after surgery are minor (like small depressions in areas around the tip and bridge) and small refinements are only necessary.
Many patients want the droopiness of their nasal tip to be lifted with injections. A droopy tip of the nose can be cause by an overactive muscle that pulls down the nasal tip called the depressor septi muscle, especially when smiling. Botulinum toxin can be injected in between the nostril on the under-surface of the nose to release this muscle and create a more upturned nose. This will usually last 3 to 5 months at a time. Fillers can be further added where the nose meets the lip to support the tip at its base. Using both of these techniques together gives the best results, but the reality is that it lifts the tip by 2 to 3 mm in the best cases which is not very much. Because of this, the non-surgical approach is best reserved for patients who only require a small amount of lifting of the tip. Those with heavy or droopier tips will usually not see a significant difference to make it worth the expense, so rhinoplasty (nose job) surgery is a better option here.