Due to its location in the middle of your face, the nose can have a profound effect on a person’s self-esteem. In the past, the only way to correct a nose that was misshapen or out of proportion was with a surgical rhinoplasty. Today, however, the appearance of your nose can be subtly improved without any incisions or significant downtime with a non-surgical rhinoplasty. This innovative procedure involves the precise placement of injectable fillers to camouflage a hump, improve asymmetry and/or make your nose appear somewhat smaller. Extremely effective in the right patient, the results of a non-surgical rhinoplasty are also immediate and long lasting. While this procedure is not the same as surgery, it is a nice way for someone to “try out” a new nose without having to commit to surgery.
Board Certified Plastic Surgeon, Dr. Sean Doherty, is proud to offer his Boston area patients a wide range of dermal fillers. For a non-surgical nose job, he always uses a hyaluronic acid (HA) based filler. Hyaluronic acid is a naturally occurring substance in the body that attracts and holds moisture. The advantage of a HA filler is that if, for any reason, you do not like your results, they can be reversed by dissolving the filler with hyaluronidase (an enzyme that breaks down filler). However, this is a rare occurrence for Dr. Doherty as he is an expert in dermal fillers. He even trains other plastic surgeons and dermatologists. Part of what makes him so good at his job is that he spends considerable time during the initial consultation working with you to determine the best treatment plan for your individual needs.
Non-Surgical Nose Job Consultation
When considering any kind of aesthetic procedure, whether surgical or non-surgical, it is vital that you be assessed in person. The reason is that the right procedure to deliver your goals is going to depend entirely on your unique anatomy. This means that what you read about online or even what worked for your friend or family member may not work for you.
During your non-surgical nose job consultation, Dr. Doherty will listen closely to what bothers you about your nose as well as what you hope to achieve. He will ask about your medical history, family history, and whether or not you have had any prior procedures. It is important to review any and all surgical and non-surgical procedures previously done to the nose and face. This includes Botox® and/or fillers. He will discuss your skin care regime, and perform a thorough physical examination to assess:
- Skin tone & texture
- Size of your nose in relation to the rest of your face
- Bridge bumps
- Asymmetry, if any
- Misshapen tip
- Angle of the tip of your nose
- Breathing pattern
Together, you will determine whether or not a non-surgical rhinoplasty is right for you.
Ideal Candidate for Non-Surgical Nose Job
The best candidate for a non-surgical rhinoplasty is any man or woman in good overall health who is bothered by:
- A bump on the bridge of the nose
- Nasal asymmetry
- Crooked nose
- Misshapen tip
- Angle of the tip
- Columella position
Properly placed filler is able to camouflage these appearance issues. This, in turn, improves the overall look and proportion of the nose. Although filler will not literally make your nose smaller, eliminating a bump, for example, can make it appear smaller.
A non-surgical nose job is not ideal for patients with extremely thick skin. Filler always needs to be molded after it is placed. This can be difficult in patients with thick skin. In a procedure such as this one where every millimeter of precision is paramount, the results may not be ideal. It’s also not the best choice for someone with an overly broad nasal profile or for someone who has had multiple nasal surgeries.
Pros and Cons of a Non-Surgical Rhinoplasty
There are so many benefits to a non-surgical nose job. It is:
- Relatively pain free
- Requires no incisions
- Immediate results
- No downtime for recovery
But there are also some cons. Though filler in the nose tends to last longer than filler in other areas since the nasal tissue doesn’t move a lot, this is not a permanent solution. It is also not able to address severe proportion or breathing issues. If your nose is overly large for your face, a non-surgical rhinoplasty may not deliver the kind of improvement that you want. But for someone who is unhappy with the look of his or her nose and/or does not yet want to commit to a surgical rhinoplasty, the non-surgical nose job is a fantastic alternative.
Non-Surgical Rhinoplasty: Juvéderm Vollure™ & Restylane Defyne®
One of the advantages of dermal fillers these days is that there are different fillers specifically designed to address different issues. In his non-surgical rhinoplasty procedures, Dr. Doherty likes to use Juvéderm Vollure™ and/or Restylane Defyne®. Each of these fillers provides structure without producing a large degree of swelling.
Vollure™ is a medium weight HA filler that uses Juvéderm’s proprietary Vycross technology. Most HA fillers consist of 100% high molecular weights of hyaluronic acid. What is different about Vycross is that it combines both high and low molecular weights in one filler. This enables Vollure™ to be adept at providing long lasting structure without your results looking over puffed or “done”. Restylane Defyne® uses its own proprietary technology, XpresHAn, to achieve the same thing. They are both able to support, fill and smooth without impairing your ability to make facial expressions. Furthermore, these fillers produce less swelling since 90% of their HA molecules are not high weight or large.
Non-Surgical Nose Job Procedure & Recovery
The non-surgical rhinoplasty procedure is basically the same as a facial fillers procedure. Dr. Doherty or a trusted member of his staff will first apply a topical numbing cream to your nose. He may also have you apply ice. Once the area is numb, he will use a very fine needle to inject filler into the areas of concern on your nose. The procedure can take anywhere from 20 minutes to a half hour depending on what is being done.
The nose is sensitive. So, while most patients wouldn’t describe this procedure as painful, it can get mildly uncomfortable. There is some numbing medication mixed in with the filler which helps alleviate potential discomfort. Once the procedure is over, any discomfort quickly fades. There may be some red “pinprick” marks at the injection sites, but these tend to fade within a couple of hours. You can expect to be slightly swollen after your non-surgical nose job. There may possibly be some bruising, but this is rare. Furthermore, both will resolve on their own within a week or so. As there is no downtime with a non-surgical rhinoplasty, you are free to return to your daily routine immediately after your procedure. Dr. Doherty asks his injection patients to hold off on exercising until the next day in order to minimize swelling. Though it varies from patient to patient, the results from fillers to the nose can last anywhere from 10-18 months or longer.
So, if your nose is making you feel less than fantastic, come in and speak with us about a non-surgical nose job. It’s an easy way to “try on” a new nose without having to commit to it for life.
To find out more about a non-surgical nose job with Dr. Sean Doherty at his Boston or Brookline office, contact us today or call (617) 450-0070 to schedule a consultation.
Is a non-surgical nose job expensive?
Costs are going to vary by plastic surgeon, region, and how much filler is needed to address your issues. However, it is definitely going to be less money than a surgical rhinoplasty. Also, keep in mind, that you need to amortize this cost over the 10-18 month period that your results last. This can actually make a non-surgical nose job a really economical method for improving the appearance of your nose. The range of costs for this procedure is around $750 – $950.
I have a bump on my bridge that drives me nuts. Would a non-surgical rhinoplasty be able to fix this?
Yes. Fillers are great at camouflaging a bump so a non-surgical nose job could be ideal for you. It will allow you to get a preview of what you would look like without the bump. Then, you can decide whether or not to have it surgically shaved down at a later time. Some bumps are easier to hide than others. I suggest that all patients be evaluated before considering any procedure, particularly something such as a non-surgical nose job.
How can fillers make my nose look smaller?
It really comes down to light and shadow. Smoothing out “lumps and bumps” on your nose alters the shadows thrown by your nose. This can actually make it appear smaller. It doesn’t necessarily work for everyone, but it’s definitely worth exploring. My advice would be for you to schedule an in-person consultation with a board-certified plastic surgeon in your area who does a lot of non-surgical rhinoplasty procedures. As with everything, experience matters.
Does a nose job with fillers hurt?
Every patient experiences pain differently. And the nose is sensitive. But the area will be numb, and the needles that I use for fillers are incredibly thin. Most patients describe a non-surgical rhinoplasty as uncomfortable but very tolerable. The great thing, though, is that once the procedure is over so is any discomfort.
How do I know if a non-surgical nose job is the right choice for me?
You don’t. That is my job. Every patient’s anatomy is unique. This is why you really must be assessed in person by a skilled plastic surgeon. It is the only way to know exactly what any given procedure can or cannot deliver for you. Personally, I am always extremely honest with my patients about what a procedure can do. In my experience, a happy outcome only occurs when the patient’s results match his or her expectations.