An alternative to rhinoplasty
Non-surgical rhinoplasty is a non surgical procedure in which injectable fillers, usually hyaluronic acid ones like Restylane and Juverderm or Radiesse (also known as calcium hydroxyapatite), are used to modify a person’s nose without surgery. The procedure injects the fillers in depressed areas on the nose, lifting the angle of the tip or smoothing the appearance of bumps on the bridge. As it is an augmentation procedure, it cannot reduce the size of someone’s nose. It is an aesthetic procedure and is used sometimes to correct breathing problems.
Non-surgical rhinoplasty origins date from the end of the nineteenth century, when American neurologist James L. Corning and Austrian physician Robert Gersuny began using liquid paraffin wax to rise the nasal dorsum. Altough it was efficient, paraffin proved to be harmful.
During the 1960s, silicone gel fillers were introduced to the non surgical rhinoplasties. Nevertheless, silicone gels proved harmful, causing ulcers and granulomas. To reduce the risk, doctor D.S. Orentreich started using the progressive filling technique, short doses of silicone injected over several sessions.
In 2002, Dr. Alexander Rivkin began using fillers like Restylane and Radiesse that had recently been authorized by the FDA to improve the shapes of his patients’ noses. He developed a non surgical procedure consisting of a series of small filler injections in precise locations on the nose. The procedure focused in making a bumpy or curved nose appear straighter to the eye. He observed that this procedure made it appear smaller by making it blend better with the contours of the rest of the face. Since 2005, Dr Andrew Tuan-Anh Le, has been applying Aquamid with satisfactory results.
Because the nose is the main-feature of the face, an aesthetically proportionate nose balances the physiognomic features of a person. Non-surgical rhinoplasty is considered for patients with little aesthetic defects, or a defects resulting from a surgical rhinoplasty. 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 practically non existent. It is usually used to rise the height and definition of the nasal bridge, as well as increasing other defined areas of the nose.
The technique when performing a non surgical rhinoplasty, is the following, first we will make a stunning in the area by topical or local anesthesia. The doctor will use a syringe with a hypodermic needle to inject the filling material under the nasal skin, usually the depth of subcutaneous tissues just above the periosteum. The method for injecting and positioning the filling material takes between 10 and 30 minutes,this after a period of 15 minutes for the anesthesia to take effect. After the process, the patient can carry out all their normal daily activities. This technique can be used to augment the nasal dorsum, add projection to the tip of the nose, correct defects in the columella, reduce the size of the nostrils, decrease the perception of nasal hump, etc. However, as with other cosmetic procedures, possible complications may appear as infections, bruises or granulomas.