I love my nose but just want a subtle change. Can this be achieved with non-surgical rhinoplasty? (Photo)
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Doctor Answers 3
Scarless Rhinoplasty - Scarless Nose Job
Hello! As a Board Certified Nose Surgeon who specializes in Nose Surgery day in and day out, i notice that injectables in the nose are taken very lightly but are filled with complication risks. I never recommend permanent fillers like Radiesse or Sculptra ever in the nose as the risk is too high. I usually use Voluma (one of the thickest types of hyaluronic acid based products) to build the bridge of the nose. The nose is a interesting area for fillers as the fillers can last anywhere from 1-5 years depending on how much hyaluronidase (the natural enzyme in your body that breaks up the filler) is in your nasal tissues - this varies from person to person. Also if surgery in the future is ever a consideration, you wouldn't want a permanent product in there - so stick to Voluma and it should be placed in a sub-SMAS plane deep to the muscles of the nose so it lifts the natural tissues up to build the bridge smoothly.
All the best,
Dr. Deepak Dugar
Nonsurgical nose job
After reviewing your photos, I can say that it is a firm maybe. It depends on how stretchable your tip skin is. You need a small amount of filler in the middle of the tip to create a new highpoint and thus make the nose look smaller. Some of your morphs are a little over optimistic with regards to how much narrowing can be achieved. It will leave you with a more asian, rounded tip that is highest in the middle as opposed to two separate tip defining points.
Nonsurgical Rhinoplasty (Nose Job)
Please see an expert injector who has significant experience in nasal contouring as this area is anatomically complex.
Best of luck,
Suneel Chilukuri, M.D.
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