Miami Non Surgical Nose Job doctors
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Rian Maercks, MD
Miami Plastic Surgeon
757 Arthur Godfrey Road, Miami Beach |
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5 answers |
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Darryl J. Blinski, MD
Miami Plastic Surgeon
6705 S.W. 57 Ave Suite 412, Miami |
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4 answers |
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Richard Galitz, MD
Miami Facial Plastic Surgeon
2875 NE 191st St Turnberry Plaza, Suite 303, Miami |
3 answers | |
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B. Pat Pazmino, MD
Miami Plastic Surgeon
848 Brickell Avenue Suite 820, Miami |
1 answer | |
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Jacob D. Steiger, MD
Boca Raton Facial Plastic Surgeon
4800 Linton Blvd. Suite D502B, Delray Beach |
1 answer |
Recent Answers
I have seen before and after pictures of fillers used to temporarily minimize the size of a dorsal hump. It seemed that sometimes the added filler above and below the hump made the nose look unnaturally long and begin slanting too high on the face. Is this a result of poor injection, or is that just what can result? I would prefer a surgical rhinoplasty and possibly chin reduction, but I am worried I wouldn't have the funds or time to allot for a full recovery until summer or in a few years.
Your nose could be temporarily improved with fillers, but you need to see the right kind of practitioner. A doctor who does not perform surgical rhinoplasties cannot possibly understand the structural dynamics of an aesthetic nose. A plastic and reconstructive surgeon preferably with craniofacial experience has this advantage. your hump can be improved by giving the base of your nose more support and your tip more definition. This combined with a very subtle augmentation of your radix(above the hump) will give you a nice correction and allow you to put rhinoplasty off for about a year. Be careful in who you select to perform this, a rhinoplasty with fillers is still a rhinoplasty so your practitioner should be competent to perform a rhinoplasty!
All the best,
Rian A. Maercks M.D.
I actually had Radiesse injected last year but the filler is gone. I made an appointment to get it again but I need professional opinions. I think I broke my nose when I was 15. I didn't have this hump before then and I have cartilage sticking out more on the right side so the hump is more visible on the left profile. Am I a good candidate for a non-surgical nose job or do I need rhinoplasty? Is my nose too big for the filler? Or the bridge too high? Thanks.
The only way to correct this is with a surgical hump removal, nasal osteotomy, tip cartilage suturing and columellar strut grafting. Shortcuts on a nose such as yours will certainly leave you unhappy!
All the best,
Rian A. Maercks M.D.
I am interested in having a procedure done to my nose, however, I do not want a surgical rhinoplasty procedure. I was looking to have one of the non invasive procedures done to make my nose straighter and slightly raised at the tip. I have an appointment at Demicare Medical on Friday to find out more but wanted some more feedback of what type of non invasive procedures I should have done to enhance my appearance (without surgery) and specialists in Manhattan. Thank you in advance :)
You are actually a reasonable candidate for a nonsurgical rhinoplasty3, you just have to be careful with who you select to perform the procedure. As a plastic reconstructive and craniofacial surgeon, I understand that nose morphology is profoundly effected by skeletal dimensions. Part of your concern with your nose is relatively low midface projection. What this means is that the midle portion of your face where your nose sits is a few millimeters behind where it should be for optimal aesthetics. If I were to perform your rhinoplasty, there would be very little reduction of the hump. I would rather focus on enhancing support to the lower part of your nose. By enhancing the skeletal base of the nose and adding strength to the columella(the bridge of skin between your nostrils) you would achieve upward rotation and forward projection of your nasal tip. Addition of a subtle tip graft would make your dorsal hump nearly disappear and would need very minor reduction(0.5-1mm). Be very careful about going to see someone who thinke the dirsal hump needs to be removed by itself as this will result in a very flat faced and button nose type undesirable aesthetics!
While the above surgical plan if well executed is ideal, these maneuvers can indeed be approximated with fillers. The nice thing about doing this with fillers is that it gently lets you ease into these subtle changes and in the future you will probably opt for a rhinoplasty if you like the results. The down side of the fillers is that you will spend several thousand dollars to get this done right and that is money that could have gone towards your rhinoplasty. I do not recommend using permanent or semipermanent fillers. I believe only hyaluronic acid based fillers such as Juvederm should be used and unfortunately this only lasts about a year.
In short, your nose certainly can be drastically improved with fillers but the right thing to do for long term correction is a rhinoplasty. I hope this helps!
All the best,
Rian A. Maercks M.D.