Fast facts

Rhinoplasty


What it is: A plastic surgery procedure to improve the appearance, proportions and structural functionality of the nose.  Rhinoplasty, commonly called a nose job, can enhance facial symmetry and harmony to improve the patient's self-confidence.  Breathing can also be improved as a result.


What it addresses: Specific aspects of the nose, such as:

- Nose size
- Nose width
- Asymmetry
- Nostrils


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Question

How does injection rhinoplasty work?

What is an injection rhinoplasty and how does it work? What makes it different from a regular rhinoplasty?


Asked by: Anonymous

Answers (2)

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1
September 24, 2008

Other considerations with injection rhinoplasty

David C. Pearson, MD
David C. Pearson, MD
Board Certified
Facial Plastic Surgeon

I completely agree with my colleague's comments regarding non-surgical or "injection" rhinoplasty.

If I can expand on his answer, there are a few things to also consider:

  • Many times, a patient will be better served with a surgical rhinoplasty since surgery can address a broader range of problems with nasal shape and proportion. Because of this, it's essential that anyone offering a non-surgical rhinoplasty is also trained and skilled at surgical rhinoplasty (i.e., a surgeon board-certified in facial plastic surgery or general plastic surgery). In my opinion, it's difficult if not impossible for someone not trained in surgical rhinoplasty to determine whether a patient is best served with an injection rhinoplasty instead.
  • Bear in mind that injection rhinoplasty adds volume to the nose. It cannot make a nose smaller, for example (although an unsightly bump can often be camouflaged by injecting fillers next to it).
  • While temporary fillers such as Radiesse are excellent for "trying on" a non-surgical rhinoplasty, I'll often recommend that my patients consider ArteFill (a permanent injectable filler) to maintain the correction of their nose if they liked the result from Radiesse. By using a permanent filler, we avoid the life-long need for repeat injections and also prevent the patient from having to watch their old nasal contour reappear as the temporary products wear off.
  • Keep in mind, though, that while the advantage of ArteFill is it's permanence, it's disadvantage can be its permanence (if a patient dislikes the result). That's why I'll almost always recommend an initial trial of Radiesse or even Juvederm before going to something permanent.

[BTW, if you want to check whether someone is really board-certified in facial plastic surgery, check out the Board's website at http://www.abfprs.org and click on the "Who's Certified" link.]

 

2
September 17, 2008

Injection Rhinoplasty

Sam Naficy, MD
Sam Naficy, MD
Board Certified
Facial Plastic Surgeon
Answer by Sam Naficy, MD

 

A non-surgical rhinoplasty or injection rhinoplasty is a type of procedure that uses injection of safe and effective filler materials to alter the shape of the nose. Non-surgical rhinoplasty is a quick and easy alternative for those who want to improve certain features of their nose but are not yet ready for a surgical rhinoplasty. Non-surgical rhinoplasty takes less than five minutes to perform and has minimal discomfort and minimal recovery associated with it. Non-surgical rhinoplasty should ideally be performed by a facial plastic surgeon with experience in surgical rhinoplasty.

 

Before
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After
After

 

 

 

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After
After

Non-surgical rhinoplasty by Dr. Sam Naficy for correction of undesirable nasal contour following rhinoplasty many years ago.

 

Non-surgical rhinoplasty can help with the following types of noses:

  • Wide and flat noses that lack a strong bridge
  • Noses with small humps or bumps
  • Noses that have had prior surgery and are overly scooped (ski slope noses)
  • Saddle nose deformity, also known as boxer's nose, which is caused by collapse of nasal structures typically caused by fracture
  • Pollybeak (aka poly Beak or supratip deformity) deformity
  • Nose with a retracted columella (a sharp and deep angle between the upper lip and the nose)
  • Noses with slight asymmetry

The most common filler material used for injection rhinoplasty is Radiesse. Radiesse is ideal for non-surgical rhinoplasty because it is soft enough that it can be injected and molded into shape, yet firm enough that it maintains its shape after injection. Radiesse is made up of tiny granules Calcium (the main element of human bone) so it is very safe and well tolerated by the body. I have also performed a number of non-surgical rhinoplasty procedures using Restylane and fat injections. It is very important that the filler material is injected deeply, just above the bone of cartilage of the nose.

For more information visit http://easyrhinoplasty.com/

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