What is an injection rhinoplasty and how does it work? What makes it different from a regular rhinoplasty?
How Does Injection Rhinoplasty Work?
Doctor Answers 20
Injection or Non-Surgical Rhinoplasty
An injection or non-surgical rhinoplasty refers to the placement of injectable fillers in the nose to change its shape. This procedure can be completed in the office in 10-15 minutes, quite comfortable after the placement of anesthetic cream to numb the skin. It works well for small contour irregularities in the nose, either in lieu of or following surgery. A curved nose may be made to appear straighter and a hump can be made less prominent. As you can imagine, placing filler in the nose does have limitations in the degree to which the nasal shape can be changed. Making a nose smaller or changing its shape dramatically requires traditional (surgical) rhinoplasty surgery.
I would offer two pieces of advice in regards to "nonsurgical" rhinoplasty. The first would be to avoid having anything permanent, such as silicone, injected in the nose. Silicone injections can be extremely problematic in causing permanent lumps, irregularities, or compromise of the blood supply to the skin. Stick to temporary fillers such as Restylane, Juvederm, or Radiesse.
Secondly, be sure to consult with a physician who performs both surgical and nonsurgical rhinoplasty, as you should know all of your options in changing the shape of your nose. The use of computer imaging during your consultation is helpful in giving you a "sneak preview" of what can be achieved with each approach.
Injection Rhinoplasty For Small Temporary Changes
Injection Rhinoplasty uses injectable fillers (like Radiesse or Juvederm) to fill in or add to nasal contours.
The uses are inherently very limited and short-lived.
Injections can reshape the nose
Many patients come to my office with questions about a non surgical approach to nose reshaping (rhinoplasty). Nose reshaping is a complex operation. It requires both technical expertise and artistic skill to balance the nose in an aesthetically pleasing contour. Traditionally this has been done with cutting and using various tissues to graft or augment the nasal anatomy as needed.
Recently, some new filler materials have become available that have shown some promise in achieving improvements to nasal appearance without cutting. The non surgical rhinoplasty usually involves injecting a filler material, usually a derivative of hyaluronic acid into the nose. Based on the placement of the material nasal shape may be improved.
The benefits of this procedure are numerous. It is usually less costly than a traditional rhinoplasty. It can be frequently performed in an office setting without general anesthetic. The procedure is much quicker and may be less painful than traditional surgery. There is less downtime after the procedure, and patients frequently return to their normal activities right after the procedure. The material is not permanent, so if the result is not what the patient had hoped, it will eventually disappear. An injectable material to help dissolve the product is also available to immediately remove product if needed.
There are limitations to the procedure. Not all patients are good candidates for this technique. If you have significant deformities or nasal obstruction, a traditional surgical approach may be the best option. If the material becomes infected, there is a risk of skin damage and loss over the nose which may be difficult if not impossible to correct. The procedure is new so no one has a ten year experience with the technique, some unexpected problems may arise in the future. Injecting the product into the nose may cause scarring in the nasal tissues making a subsequent surgical rhinoplasty more difficult.
The non surgical nose job is a good procedure for some patients. It is best to discuss this with your nasal surgeon to find out if this is the right procedure for you.
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A dermal filler procedure involves minimal pain, and mild/no bruising or swelling, and you can see the results as the procedure is being done.
The procedure is considered safe if performed by an expert and experienced physician injector.
Non surgical rhinoplasty
The non surgical rhinoplasty uses fillers to create correction of certain deformities of the nose. Sometimes it is better to do this then to do another rhinoplasty.
Injection rhinoplasty does work, but it is temporizing for one or two years at the most. It is good to do if you want to see instant results, but it is not permanent and you will not have the finesse of a full rhinoplasty. It is useful sometimes in patients who are not sure if they want a full rhinoplasty.
Rhinoplasty and Radiesse rhinoplasty
An injection rhinoplasty can correct slight irregularities of the nasal bridge and tip. More aggressive repairs or corrections can only be performed with a traditional surgical rhinoplasty.
Injection Rhinoplasty: Minor Procedure with Minor Results
An "injection rhinoplasty" utilizes fillers, such as Restylane and Juvederm, and Botox to create subtle changes in the nose. This procedure is not without complications (irregularities, skin loss, etc.) and if real changes in the nose are sought, a rhinoplasty should be considered.
Jeffrey Weinzweig, MD
Injection rhinoplasty is a temporary fix for minor contour problems of the nose.
Injectible therapy works well for minor contour irregularities of the nose before or after surgery. The results are temporary but can be redone as with all facial fillers. The advantage is that it avoids surgery and if the patients dislikes the result, it will go away in time.
Injectables have no role in rhinoplasty
This is an opinion. I feel that injectables have no role in rhinoplasty. The risk of skin necrosis, cellulitis, and scarring is too great. You change the shape of the nose with surgery. Injectables work well for other places on the face, just not in the nose.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.