Dear Ffcx in Germany;
recently returned from Berlin and found that some physicians are aware of our
current techniques in the United States for non-surgical rhinoplasty. Regarding the use of rib cartilage or
ear cartilage: you're correct in being concerned about warping and other
unforeseen consequences. I have been an advocate of using non-surgical injection techniques to
correct deformities such as yours. Using
a filler, particularly a permanent filler, is not appropriate for everyone and
is often used for non-surgical revision rhinoplasty. For you, it might make sense.The illustration certainly fortifies the
concept with respect to raising the bridge.
Non-surgical rhinoplasty works because tiny drops of Silikon
1000 are injected just under the nasal skin. Over time, the body walls off
those drops with new tissue which provides the plumping action and fills in
divots or marks in the nose. The same effect can happen with plain salt water
to provide a preview how the nose will look on completion of treatment. The
Kotler Saline Demo lasts perhaps two hours, but long enough to take a photo of
what the finished nose will look like.