Non Surgical Nose Job Before Rhinoplasty?

Question

I am planning to have nose job next year because I can't afford it now.  Can I have a  non surgical nose job before true rhinoplasty surgery, or will a non surgical nose job prevent me from being able to have a rhinoplasty next year?

Ozge Ergun, MD · Answer

Based on your photos rhinoplasty will be better option for you. Instead of having the two operations performed separately at different times, you should consult a board certified surgeon and decide on the procedure and operation. Then everything will be better for you.

Steve Laverson, MD, FACS · Answer

Non-surgical will not prevent surgical rhinoplasty, but may affect procedure planning and your result if the injected product is still present at time of consultation.  If procedure is planned and performed with filler still in place, then filler dissipates months after the rhinoplasty, this will obviously affect your outcome.

	Hard to anticipate exactly how long some injected products last.  I've seen Restylane and Juvederm, which are only supposed to last six months or so, still be present two years (and longer) after placement.

Thomas Fiala, MD, FACS, FRCSC · Answer

Judging by your photo, your nasal profile is straight, and doesn't have an obvious "bump" (dorsal hump).  There is really nothing that filler injection (the non-surgical rhinoplasty) would be able to offer you as an improvement.

	Your nose is a little long, and some tip rotation at the time of surgery would be a key part of improving the appearance.

	My advice:  wait for the real thing.

Babak Azizzadeh, MD · Answer

Not everyone is a candidate for non-surgical nose job, so you need to get evaluated by an expert in surgical and nonsurgical rhinoplasty so they can determine what is best for you. Sometimes it is better NOT to have anything done (ie putting fillers into your nose that may or may not improve the aesthetics). If you are planning to have a rhinoplasty next year I would hold off putting anything in your nose until that time, as fillers can remain in your nose for a long period of time.

Oakley Smith, MD, FRCSC · Answer

Sure it can be done. But looking at your picture I'm not sure you need it. However your examining surgeon is better situated to make the call. Its best and safest to stage the two such that the tissue filler has completely absorbed before surgery. It will allow for more exact surgery by no longer distorting the tissues.

Corey S. Maas, MD · Answer

Fillers can be considered to address mild deformities (particularly mild depressions or asymmetries). It is best to use a hyaluronic product (ie. Restylane, Juvederm, etc) rather than a filler that lasts very long (ie Radiesse), especially since you are planning on a formal rhinoplasty in the near future. It is best to have your nose evaluated by a surgeon because the best option may likely be simply pursue surgery when you're ready because fillers may not be the answer for your concerns.

Otto Joseph Placik, MD · Answer

Given the appearance of your nose, it is not likely that a nonsurgical nose job can really achieve any significant change in your nose.
Depending on what you want to achieve, fillers may be an option but as the other physicians have suggested, I would recommend hyaluronic agents i.e., restylane or juvederm and NOT radiesse if you are contemplating a surgical rhinoplasty. The hyaluronic acid can be enzymatically removed prior to surgery.

Michael A. Persky, MD · Answer

Hi Afsi,
Your picture looks great.  What are your nose concerns?  
The placement of temporary filler in your nose will likely be gone a year from now.  I would advise you to leave it alone until you have your surgery.  
If your nose is bothering you so much that you just have to do something, you should find your rhinoplastic surgeon first.  Have your pictures taken, then have that same surgeon place whatever filler he/she decides to place.  Then you can wait until it is time for your surgery.
Good luck and be well.
Dr. P

Toby Mayer, MD · Answer

If you are sure that you will not have surgery for at least 1 year, then you can use a filler such as Juviderm. Radiesse lasts up to 1 and a half years.

Paul L. Leong, MD, FACS · Answer

A filler such as Restylane, Juvederm or Perlane can last up to 8 months in the nose. With that being said, I would not recommend having a Non-Surgical Rhinoplasty so close to your anticipated surgical date. During your consultation, your doctor will be assessing your nose and determining the surgical procedures that will address your issues. He/she will not be able to accurately determine your problems if there is still filler left. Once you have waited for all the filler to dissolve, I recommend finding a board certified facial plastic surgeon or plastic surgeon who understands your goals and has the expertise to get you the result you want. I hope this information helps!

Non Surgical Nose Job Before Rhinoplasty?

Answers (19)