Non-Surgical Rhinoplasty

Conveniently located to serve the areas of New Jersey and New York

Shot of a beautiful young woman standing with her eyes closed

Non-surgical nose job (non-surgical rhinoplasty) is performed using injectable fillers 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 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.

Before and After Photos

How is Non-Surgical Rhinoplasty Performed?

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.

Beauty image of a womans lower face

The nose can be further reshaped by filling dents, hollows, or indentations. In those who have had 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 caused by an overactive depressor septi muscle that pulls down the nasal tip, especially when smiling or articulating. DYSPORT® or Xeomin are 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. 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.

Ideal Candidate

If you have cosmetic issues with your nose that you want to have corrected without a highly invasive surgical procedure, non-surgical rhinoplasty is the solution you’ve been looking for. This treatment is ideal for patients who require minimal corrections to their noses to achieve their desired look. If you are in good health and have realistic expectations about the possibilities of the treatment, then you will make a good candidate for the procedure.

Cost

The price is $900+ for a non-surgical nose job. As with most cosmetic procedures, the cost of a non-surgical rhinoplasty will vary from patient to patient depending on their individual needs. We’ll assess the current state of your nose and develop a customized treatment plan to assist in bringing out the look of your dreams. Once we have decided on the proper course of action, we’ll discuss the details and price of the procedure in more depth.

Contact

At Plastic Surgery of Short Hills, we’re dedicated to helping you correct the flaws and signs of aging that you aren’t happy with, using customized cosmetic treatments tailored to your specific needs. If you’re interested in learning more about non-surgical rhinoplasty with double board-certified plastic surgeon, Dr. Alexander Ovchinsky, contact our office to schedule your consultation today.

FAQ

What do I need to avoid before surgery?

If you are on “blood thinners,” you will be asked to stop them approximately one week prior to surgery. We also ask that you avoid certain over-the-counter medications. If you are taking some herbal supplements, you should stop those as well as they may contain blood thinning substances. Also, you have to completely quit smoking at least two weeks before surgery.

What about my daily medications before surgery?

You will have a preoperative appointment well in advance of your surgery when we will review all mediations with you. If you are on “blood thinners,” you will be asked to stop them approximately one week prior to surgery. We also ask that you avoid certain over-the-counter medications. You may continue taking most routine medications up until the morning of surgery with a small sip of water.

What happens after surgery?

You will go to the recovery room for a few hours until you are fully recovered from anesthesia. Once you are stable you will be taken home (or to a hotel) by your family member or a friend. You will want to stay relaxed for the first few days. You will need to keep your head elevated when in bed to help with faster resolution of swelling. You should begin to start walking, eating, and using the restroom the day after surgery. Your activity can slowly increase each day but it will take up to 2 weeks before you start to feel like your old self again. You should avoid any strenuous activity for 4 weeks. You will need to take medication prescribed to you by Dr. Ovchinsky, which usually include antibiotics, pain medicine, antibiotic ointment for the incisions, and occasionally anti-nausea medications.

Are there any dietary restrictions following surgery?

No. Patients can eat whatever they want. Advance your diet from liquids (fruit juice, milk shake, etc.) to soft food (pudding, macaroni and cheese, mashed potatoes and gravy, oatmeal, pasta) to solids as tolerated. To prevent dehydration, please drink as much juices and nutritional fluid as possible.

When will my stitches be taken out?

Stitches are normally removed five to six days after your surgery.

How soon will I be able to exercise?

Dr. Ovchinsky recommends that patients do not return to exercise for three weeks after their procedure.

When will I be able to see the results?

You may see the difference right away, and more so once the swelling goes down within the first one to two weeks. As with any surgical procedure, it takes anywhere from 6 to 12 months for the results to become final.

What is special about the way Dr. Ovchinsky does the surgery?

Dr. Ovchinsky tailors his surgical technique to an individual patient rather than using the same “run of the mill” surgery on everybody. The technique he uses causes minimal pain, has natural results, and is long-lasting. The vast majority of patients are quite surprised afterward at how little discomfort they have and how quickly they return to normal activity. Most patients have minimal bruising. Finally, with Dr. Ovchinsky technique and attention to details during skin closure, scars are typically minimal and are often difficult to see once they have fully matured.