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Aesthetics Practice Today

A Nose Job in 15 Minutes

Published April 12, 2016 9:25 AM by Mina Grasso
With the desire for aesthetic enhancement, there are many that have contemplated a surgical procedure called rhinoplasty. Rhinoplasty is one of the most popular plastic surgery procedures. However, some patients are not willing to undergo a surgical procedure with fear of pain and the downtime of redness, bruising and swelling. The cost of surgery prohibits others.

A non-surgical nose job, an alternative to surgery, is becoming more popular in the aesthetic world. Tissue fillers are used for nose augmentation to shape, reshape and enhance the appearance of a person's nose. It is an in-office procedure performed non-surgically with virtually no downtime. A non-surgical, non-invasive nose job or nose augmentation can take as little as 15 minutes and may last a year to two years or longer depending on the product used.

Some of the reasons patients present for a non-surgical nose job include:

  • Unhappy with the "hump" near the bridge of their nose
  • Desire to improve the shape and symmetry of their nose, trauma or genetics
  • Wants to avoid rhinoplasty or revision rhinoplasty
  • Feel their nose looks too big
  • Flat nasal bridge
  • Desire to have nasal tip raised or more defined

Just as other tissue fillers are used on various places on the face, variety of tissues have been used for nose reshaping. Tissue fillers used to augment the nose for non-surgical, non-invasive nose jobs include: Restylane, Resylane Lyft, Juvederm, Voluma - (hyaluronic acids), Radiesse (calcium hydroxyappetit), Bellafil (non-absorbable polymethylmethacrylate beads - PMMA microspheres) or a permanent product like Silicone.

When the undesired feature presents as "my nose looks too big now" or I want to get rid of the "hump" on my nose, adding volume to the nose or surrounding structures with tissue fillers can actually create a visual illusion of the nose appearing smaller. It's all about the golden ratio  - the proportions of beauty.

As noted above, many tissue filler options are available. I tend to favor the hyaluronic acid family particularly Restylane, Restylane Lyft or Voluma with their lifting and shaping properties. 

Another reason for favoring hyaluronic acid tissue fillers is that they are reversible with an enzyme called hyaluronidase. In cases where hyaluronidase is needed, results of the reversal can occur within minutes to a few hours. This is a critical factor; because many of the areas of the nose that are injected are adjacent to vascular structures that can create severe adverse complications if an intravascular injection were to occur. Therefore, it is important to seek a provider well trained and experienced in treating this area, taking all precautions to avoid complications and knows how to deal with complications urgently if they were ever to unfortunately to occur.

A topical anesthetic is applied prior to the procedure to reduce discomfort. The tissue filler is slowly injected into the area/s of concern and carefully molded.  Mild pressure is applied to reduce the risk of bruising followed by ice to reduce swelling. The results are instant. Patients are usually very pleased. There is minimal to no downtime. Mild swelling, tenderness or bruising may be experienced after the procedure. Patients can return to regular activities immediately.

Patients are usually amazed as to how quickly a non-surgical nose job can be performed and are excited about the results. Although it is temporary, they are very accepting of the need to return for maintenance in 9 -12 months or longer depending on the product used. In addition patents that may be ambivalent like the fact that the nose job can be reversed, and others view it as a stepping-stone to rhinoplasty.

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    Occupation: Physician Assistant/Nurse Practitioner
    Setting: Miami & Upland, Calif.
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