Camouflaging bumps and humps of the nasal bridge was the very first indication for nonsurgical nose jobs back when I first started performing them well over fifteen years ago. At that time, Radiesse, a calcium-based volumizing filler was the injectable of choice for this purpose. Over the years, the uses of nonsurgical rhinoplasty expanded rapidly to include the treatment of bumps and irregularities along the "spine:" of the nose left by surgical rhinoplasty, treatment of asymmetries to the side walls of the nose, filling nasal tip clefts, masking hanging columellas, and elevating drooping nasal tips. With the explosion in the number of natural and hyaluronic acid fillers, in many cases, these have replaced Radiesse as the filler of choice owing to the fact that, unlike Radiesse, the latter fillers may be dissolved quickly and easily with the use of the enzyme hyaluronidase, should the need ever arise. Restylane Lyft is my current filler of choice in my Manhattan office and Hyabell Deep in my Israel satellite facility, where a far greater number of regulatory agency approved injectable fillers are available. Drooping tips may also be helped supplementally by the injection of one or two microdroplets of Botox (or Dysport or Xeomin) at the very center of the base of the nose. If , before actuallygoing ahead with treatment, you wish to get a real world idea of how your results will look on you, your physician may inject a small amount of saline or diluted anesthetic solution into the appropriate area as a five minute "try-out." You would do well to seek consultation and treatment by a board certified aesthetic physician with experience and expertise in performing nonsurgical nose jobs and make certain to ask to see his/her before and after photos before agreeing to proceed. Best of luck.
