New Jersey Non-Surgical Nose Job (Rhinoplasty)

Non-surgical nose job (non-surgical rhinoplasty) is performed using injectable fillers and botulinum toxin to restore a more symmetric look to your nose. The results are instantaneous and there is essentially no recovery, unlike surgery. The most common fillers used are hyaluronic acid based fillers such as Restylane and Juvederm, or Radiesse®, which is made up of calcium hydroxyl appetite crystals that are very similar to the mineral found in the bones of the nose.

The are several ways the nose can be reshaped with fillers. The most common way is to camouflage the appearance of irregular bumps (commonly the result of trauma or prior nasal surgery) or dorsal hump. By injecting the bridge above and/or below the bump, it makes the dorsum appear straighter and uniform. However, while this creates a straighter nose it does not make it smaller. To create a smaller nose and remove the excess bridge a rhinoplasty (nose job) surgery is required.

In patients with a flat nasal bridge, Dr. Ovchinsky may use fillers to augment the dorsum. This procedure is commonly requested by Asian and African American patients who often have flatter noses. This treatment can give results similar to rhinoplasty surgery. The difference between surgery and the non-surgical approach is simply that surgery gives a long-lasting result that does not require repeat treatments.

The nose can be further reshaped by filling dents, hollows or indentations. In those who have had a prior rhinoplasty surgery and have irregularities, using a filler can be a welcome alternative to undergoing a more complex revision rhinoplasty surgery. This is especially true if the imperfections after surgery are minor (like small depressions in areas around the tip and bridge) and small refinements are only necessary.

Many patients want the droopiness of their nasal tip to be lifted with injections. A droopy tip of the nose can be cause by an overactive depressor septi muscle that pulls down the nasal tip, especially when smiling or articulating. Botulinum toxin can be injected in between the nostrils to relax this muscle and create a more upturned nose. This will usually last 3 to 5 months at a time, the duration Botulinum toxin effect. Fillers can be further added where the nose meets the lip to support the tip at its base. Using both of these techniques together gives the best results, but the reality is that it lifts the tip by 2 to 3 mm in the best cases which is not very much. Because of this, the non-surgical approach is best reserved for patients who only require a small amount of lifting of the tip. For those patients with heavy or droopier tips rhinoplasty surgery is usually a better option.