Would I benefit from non surgical nose job? (Photo)

Question

I am 30 years old and have had two rhinoplasty procedures. Last one was in 2020. I see many groves and my nose is now asymmetrical. Can filler help with symmetry in my case? I want to campflaugh some of the scar tissue and have nostrils be more aligned.

Anna Chacon, MD, FAAD · Answer

After two prior rhinoplasty surgeries, it is very common to notice small grooves, irregular shadows, asymmetry, or scar-related contour changes that become more apparent over time. Revision surgery is not always necessary for these concerns, and in selected cases hyaluronic acid filler can be surprisingly effective for camouflage.

From your description, the issues seem to be:

Grooves or indentations
Asymmetry of the nasal contour
Visible scar tissue irregularities
Nostrils that appear misaligned
What Filler Can Potentially Improve

Filler works by adding volume, so it is most useful when there is a depression, hollow, or uneven contour. In post-rhinoplasty patients, small amounts of filler can sometimes:

Soften grooves along the bridge or sidewalls
Camouflage scar-related indentations
Create the illusion of better symmetry
Smooth transitions between different nasal subunits

This is often called camouflage rhinoplasty, and it can be very helpful when the problem is volume deficiency rather than excess tissue.

What It Is Less Likely to Fix

Filler is much less effective for nostril alignment. If one nostril sits higher, lower, wider, or has a different shape because of scar contracture, cartilage position, or structural changes from prior surgery, filler usually cannot fully correct that. In some cases, it can make the nostrils appear slightly more balanced from the front view, but it generally cannot truly realign them.

The Important Caution in Your Situation

A nose that has undergone two surgeries is considered a higher-risk area for filler treatment. Prior rhinoplasty can alter:

the blood supply,
the scar tissue planes,
and the predictability of filler placement.

For that reason, any filler used in a previously operated nose should be done very conservatively and with an experienced injector, because the risk of vascular complications is higher than in a nose that has never been operated on.

Looking at Your Concern Realistically

Based on your description, I think you could potentially benefit from a non-surgical rhinoplasty for the grooves and surface asymmetry, particularly if the irregularities are subtle depressions or uneven contours that bother you in certain lighting or photographs.

I would be less optimistic that filler alone would significantly correct nostril asymmetry, especially if the asymmetry has been present since the 2020 revision and is related to scar tissue contraction or underlying cartilage support.

My Overall Impression

At 30 years old, with a stable result for several years after your last surgery, you may be a reasonable candidate for a very conservative filler-based camouflage approach aimed at:

softening the grooves,
improving contour smoothness,
and enhancing overall symmetry rather than achieving perfect nostril alignment.

The key is to think of filler in your case as a tool for optical refinement and scar camouflage, not as a complete correction of all post-rhinoplasty asymmetry. Many patients with similar concerns are happiest when they approach it as a small refinement procedure that improves balance and smoothness rather than a dramatic reshaping of the nose.

Donald B. Yoo, MD, FACS · Answer

Fillers will not be able to adjust the symmetry of your nostrils, but with nonsurgical rhinoplasty you may be able to improve the contour of the tip of your nose. There is some risk involved to the blood supply of your skin given the history of previous surgeries, and it would only result in a temporary change. Though it's probably not the answer you're hoping to hear, the best option overall would be to improve the contour of the nose permanently with another revision rhinoplasty surgery. Your issue is commonly encountered during revision rhinoplasty, and significant improvement is a reasonable expectation.

Eric M. Joseph, MD · Answer

In our practice, we have expertise with microdroplet Silikon-1000 nasal injections for permanently improving the appearance of someone's nose. Done your photos, you appear to have very thin nasal skin, and you can see cartilaginous irregularities through this skin. Depending on your examination, microdroplet Silikon-1000 injections may be considered for camouflaging some of these edges of cartilage for a less operated nasal appearance. I hope this is helpful. Sincerely, Dr Joseph

Milan Shah, MD · Answer

Whether or not you would benefit from a non-surgical nose job, also known as a non-surgical rhinoplasty or liquid rhinoplasty, depends on your specific aesthetic goals, concerns, and the characteristics of your nose. Non-surgical nose job procedures involve the use of injectable fillers, such as hyaluronic acid-based dermal fillers, to reshape and enhance the appearance of the nose without surgery.Here are some factors to consider when determining if you would benefit from a non-surgical nose job:1. Desired Changes: Non-surgical nose job procedures are typically suited for individuals who wish to address minor imperfections or make subtle enhancements to the appearance of their nose. These may include correcting nasal asymmetry, smoothing out bumps or irregularities on the bridge of the nose, or enhancing the projection or definition of the nasal tip.2. Temporary Results: It's important to understand that the results of a non-surgical nose job are temporary, typically lasting anywhere from several months to a year or more, depending on the type of filler used and individual factors. If you're looking for long-lasting or permanent changes to the shape or structure of your nose, surgical rhinoplasty may be a more suitable option.3. Non-Invasive Procedure: Non-surgical nose job procedures are minimally invasive and require little to no downtime compared to surgical rhinoplasty. If you're seeking a non-invasive alternative to traditional nose surgery and prefer a quicker recovery with minimal risk of complications, a non-surgical approach may be appealing.4. Specific Concerns: Discuss your specific concerns and goals with a skilled injector who specializes in non-surgical rhinoplasty. They can assess your nasal anatomy, discuss your expectations, and recommend whether a non-surgical approach is appropriate for achieving your desired results.5. Limitations: It's important to recognize that non-surgical nose job procedures have limitations and may not be suitable for addressing certain nasal concerns, such as reducing the size of the nose, correcting significant structural deformities, or improving breathing problems. In such cases, surgical rhinoplasty may be necessary to achieve the desired outcome.Before undergoing any cosmetic procedure, it's essential to schedule a consultation with a skilled and experienced injector who can evaluate your individual needs and recommend the most appropriate treatment options for achieving your aesthetic goals. They can discuss the benefits, limitations, and potential risks of both surgical and non-surgical approaches to nose enhancement, allowing you to make an informed decision about your treatment plan.

Would I benefit from non surgical nose job? (Photo)

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