The surgical modification of the shape and function of the nose is known as rhinoplasty, or, more commonly a “nose job.” This procedure can be used for purely cosmetic changes, functional improvements, or both. For some people, only very subtle changes to the external contour are desired. These patients may be candidates for a non-surgical rhinoplasty. Some common rhinoplasty goals include removal of a “bump” on the bridge of the nose, changes to the shape of the nasal tip, and lifting a droopy or down-turned nose. In non-surgical rhinoplasty, small, carefully planned injections of soft-tissue fillers are used to change the shape of the nose.
Non-surgical rhinoplasty is most often performed with Radiesse®. Radiesse® is made of biocompatible calcium hydroxyapatite – a normal part of bones and connective tissue. This filler is relatively firm and therefore provides a good match for the strength and feel of the nasal tissues. Radiesse® injections last between 12 and 18 months for most patients, though there is some variability depending on each patient’s unique anatomy and metabolism.Using subtle additions of filler, the overall contour of the nose can be dramatically improved (especially the profile). Common techniques include camouflage of a dorsal hump by placement of the filler material above and below the hump and lifting of a droopy nose by addition of filler at the base of the nose (where the nose meets the upper lip). In some cases, subtle changes of the tip shape can be achieved with filler. It is important to remember, however, that the filler will not make the nose smaller. Rather, non-surgical rhinoplasty changes the lines and contours of different parts of the nose.
For all injectable filler treatments, Dr. Ransom and his staff strive to provide the most comfortable experience possible. This includes use of topical numbing creams, addition of local anesthetics to all types of injectable fillers, and provision of icepacks to be used immediately after treatment.
Am I a candidate?
Anyone who desires subtle changes to the external contour of the nose may be a candidate for non-surgical rhinoplasty. Non-surgical rhinoplasty may be performed as a stand-alone procedure, or combined with other aesthetic treatments such as Botox® injections or non-surgical chin-augmentation. Non-surgical rhinoplasty does not change the internal structure of the nose and cannot be used to make improvements in nasal breathing; patients interested in such changes should have a consultation for rhinoplasty surgery (functional and/or cosmetic). The key to any cosmetic procedure is defining your aesthetic goals and the most appropriate and comfortable way to achieve them. Dr. Ransom will work closely with you throughout this process, helping you achieve your goals while maintain a natural, refreshed look.
Frequently Asked Questions
Q: What happens to the fillers over time?
A: Soft tissue fillers are slowly broken down by the body over time. The duration of effect is dependent on the type of filler used. Dr. Ransom prefers to use longer-lasting and thicker fillers, like Radiesse®, for non-surgical rhinoplasty. This gives a more reliable effect and has a better match to the existing nasal tissues.
Q: What procedures are commonly performed along with non-surgical rhinoplasty?
A: Many different injectable treatments are frequently combined with non-surgical rhinoplasty. The most common of these is non-surgical chin augmentation. For patients who have issues with their profile – particularly a relatively small chin when compared to the nose – this procedure helps to improve the harmony of the face. Adding some volume or projection to the chin can make the nose appear smaller and may dramatically improve the entire face in just a few minutes!
Q: If I decide later that I no longer like the non-surgical rhinoplasty, what can be done?
A: This depends on the type of filler used. Hyaluronic acid fillers (HA, such as Juvederm® and Perlane®)can be dissolved with small doses of an enzyme called hyaluronidase (Vitrase or Wydase). With Raidesse® injections, the body slowly dissolves the filler material over time. There is not an injectable enzyme to dissolve this product, but other techniques can be used to speed up the absorption process.
Q: If I decide that I want a more permanent solution, what are my options?
A: If you have undergone a non-surgical rhinoplasty and like the results, but would prefer not to undergo repeated treatments, there is a more permanent option. This would be rhinoplasty surgery (sometimes called a “nose job”). There are multiple approaches and techniques that can be used to change the shape and function of the nose. A detailed consultation with Dr. Ransom will help you decide on the best approach for you and your nose. During your consultation, computer imaging can be used to simulate different changes to the nose. In all cases, Dr. Ransom seeks to improve both the form and function of the nose, while maintaining a natural, non-operated look.