One can choose between non-permanent and permanent.
The veteran permanent filler is Silikon-1000, medical grade silicone, which is FDA-approved for use inside the eye to reposition a detached retina. However, a long-used, off label employment has been to " rescue" overdone rhinoplasties. This product has been used for over 50 years in the US for this purpose.
Before you decide as to which filler to have, consider the " saline test". Sterile salt water can be injected to show you the predicted result. It will disappear in a couple of hours but you will have had an excellent opportunity to " Try before you buy".
This process is discussed in my latest book, THE ESSENTIAL COSMETIC SURGERY COMPANION. Available at all bookstores and on-line.
-Robert Kotler, MD, FACS
Author, SECRETS OF A BEVERLY HILLS COSMETIC SURGEON.
A nonsurgical rhinoplasty can be used to fill in shadow defects, to straighten a crooked nose, to flatten a hump, or fill an indentation. It can also be used to make the tip more symmetric and raise the tip.
We use Radiesse, Perlane, and Voluma in the nose as they have the longest lasting potential. Perlane and Radiesse tend to last 10-15 months in the nose where as Voluma can last 12-20 months. Thicker skin types, such as African American and Asian skin, do better with Radiesse and Perlane as they do a better job of resisting the counter tension from the nasal skin that has been elevated to create a higher dorsum or bridge.
Using long-lasting hyaluronic acids like Voluma, the
result should last a good 18 months before another injection is needed. If you were thinking of saving money in the long term, it might save you more to get the surgical rhinoplasty.
We do not recommend fillers placed in the nose. The fillers tend to last 6-12 months when placed in Other facial locations. Rhinoplasty is a surgical procedure to alter the shape of the nasal cartilages and bones permanently. Virtual rhinoplasty software as available on the link below along with our rhinoplasty photo gallery, to give you an idea what can be accomplished with the surgical procedure.
The non surgical Rhinoplasty is a procedure that describes using fillers like Restylane, Juvederm, Perlane or Radiesse in the nose to create a more attractive, natural shape. The results last as long as the filler stays in the nasal tissues. Restylane, Juvederm would last about 6-8 months, Perlane 8-9 months and Radiesse up to a year.
Non-surgical rhinoplasty involves injecting filler to straighten a nasal profile, lift a droopy tip, smooth out visible bumps or add height and projection along the nasal bridge.
For patients looking to correct mild imperfections in the aesthetic appearance of their nose, non-surgical rhinoplasty is becoming an attractive alternative to surgery.
The advantage of this technique is that it doesn't involve surgery, there is minimal swelling and bruising, and it allows for the ability to shape and mold the filler for a more natural look. However, a non-surgical nose job cannot make a larger nose appear smaller or improve breathing, so it may not be for everyone.
The results last as long as the filler exists in the nasal tissues. Depending on the filler used, the results can last anywhere from six months to two years or more.
nose job is typically performed by injecting a hyaluronic acid filler
(hyaluronic acid is very safe and is a substance already found in our bodies).
Common hyaluronic acid injectable fillers include Juvederm, Restylane and
Teosyal products. This method is definitely less expensive than a rhinoplasty, with
the average price for one vial of injectable filler being $500-$600. The
results should last between 9-12months, depending on how quickly your body
metabolizes the product. You will need to continue to re-inject the nose along
those timelines to maintain your look, however, it is a great option for some
people who do not want surgery and who have the desire for the aesthetic look
that an injectable filler in the nose can create.
The wonderful thing about hyaluronic acid fillers is that the results can be reversed quickly and easily using a product called hyaluronidaise.
A non-surgical rhinoplasty utilises a
filler material to alter the shape and position of the nose. The principal
advantage of the technique is that it avoids a surgical procedure, however by
definition the treatment is not permanent. A non-surgical nose job can be
effectively used to correct these nasal appearances: a nose with a small hump,
nose that has a depression along the bridge (termed saddle nose deformity), nasal
collapse from previous trauma, droopy nasal tip, beak-shaped nasal bridge
(termed pollybeak). Non-surgical nose job can also be used to improve certain
features of a patient’s nose who is not yet ready for a surgical rhinoplasty.
The two procedures are very different and can not be compared.
A rhinoplasty is an operation performed under anesthesia and is capable of altering many aspects if an undesirable nose.
Non-surgical nose procedures are nothing but an injection of fillers in the office to correct indentations of the nose.
These fillers are mainly Hyaluronic acids such as Restylane and Juvederm. They generally last up to a year and can be reverted earlier with enzymes if you are unhappy with your results.
The answer is simple, depending on the product you used. Hyauronic acids such as Restylane and Juvederm can last between 6 months to 2 years. Other products such as ArteFill, Sculptra, and Radiesse will be more permanent, however, I do not recommend them becauseof the high rate of complications associated with the use of these products as fillers in the nose.