During the past several years I have had success in nonsurgically reshaping a variety of nasal problems. These have included dents and bumps post rhinoplasty, traumatic injuries, and simple nasal asymmetries of the tip or sides of the nasal wings and splits within the center of the tip.
When dealing with such problems I usually suggest a harmless saline test to judge the possible outcome. A small amount of physiologic salt water is injected into the areas requiring treatment. Together I and the patient can then judge if the desired effect can be obtained. If the simple saline test indicates that a gratifying result is possible, I then treat with a hyaluronic acid filler, usually Juvederm.
Should the result prove less than optimal, hyaluronic acid fillers can be quickly and easily dissolved with hyaluronidase, and enzyme that dissoves hyaluronic acid, providing an enormous safety factor. If the result obtained is satisfactory, the next time treatment is required, usually about a year down the road when the filler has been metabolized away, I will then use a semipermanent filler, such as Radiesse, to provide a much longer-lasting result.
Performed in this manner, I have found that most patients can obtain results that improve the appearance of their noses in minutes without the need for surgery.