Rhinoplasty is one of the most sought-after plastic surgery procedures for patients of all ages, genders and ethnicities. There are very good reasons for its popularity — the nose isn’t just one of the most prominent physical features on the face, it also plays a significant role in defining the overall facial aesthetic. Nose reshaping surgery can dramatically improve the shape, size and symmetry of the nose, as well as the balance and harmony of the entire face. However, not everyone is interested in, or a candidate for, surgical correction. Non-surgical rhinoplasty offers an alternative. Also called the “15-minute nose job” or liquid rhinoplasty, this minimally invasive approach can improve the appearance of your nose in a short time using injectable dermal fillers. Dr. Hooman Khorasani has extensive experience performing nonsurgical rhinoplasty at his Manhattan practice in New York City. Contact Dr. Khorasani to schedule a consultation and find out if you’re a good candidate for nonsurgical rhinoplasty.
Dermal fillers are commonly used to diminish facial lines, reshape the lips and restore volume to the cheeks or temples. The same products can also be used off-label to reshape the nose. Rather than sculpting the underlying nasal structures with a scalpel, Dr. Khorasani strategically injects dermal fillers to enhance the shape and proportions of the nose. Non-surgical rhinoplasty can be performed in minutes, requires no downtime and is relatively painless. Although the results are temporary, they are immediate and can make a significant difference in patients’ appearance and confidence.
Non-surgical rhinoplasty is quite effective, but it can’t achieve all the results that are possible through surgical rhinoplasty. For example, it can’t repair a deviated septum or reduce the physical size of your nose.
Artistic use of dermal fillers can subtly or substantially correct some of the most common nose concerns:
Bump on the Bridge: Our Manhattan patients often come to us because they are unhappy with a bump along the bridge of their nose. By carefully injecting dermal fillers in the area around the bump, Dr. Khorasani can minimize the appearance of the bump and give the nose a straighter, smoother bridge. The nose looks smaller even though volume is being added, because of its improved profile.
Crooked Nose: The same technique is used to improve the symmetry of a crooked nose. Strategically filling in certain areas can correct sharp angles, making the nose look straighter and more centered on the face.
Tip of the Nose: A disproportionate nasal tip is another common complaint. Fillers can be used to lift the tip of a nose, change the angle if the tip bends or diminish the appearance of a bulbous tip.
Depressions: Conspicuous scarring, indentations or a low, flat bridge can be resolved by placing fillers in areas that are recessed or undersized.
Improve Prior Surgery: If you had surgical rhinoplasty and are not happy with the outcome, Dr. Khorasani may be able to use fillers to recontour your nose and refine your result.
Depending on your goals, Dr. Khorasani offers several different types of dermal fillers that can be used to shape the nose.
Hyaluronic Acid Fillers
These fillers are among the most popular cosmetic injectables used today. Hyaluronic acid is a natural sugar found in the body, making these products quite safe and well-tolerated. When injected, hyaluronic acid adds volume to the targeted area. The effect lasts until the product is absorbed by the body. Restylane® Lyft lasts up to a year, while results from Juvéderm Voluma® XC can last up to two years. What’s great about hyaluronic acid-based dermal fillers is that they can be dissolved by injecting the enzyme hyaluronidase. This means that if you don’t like the result, it can be dissolved in minutes.
Bellafill® is a filler that contains bovine collagen and microspheres made from a surgical-grade plastic (polymethylmethacrylate or PMMA). After injection, Bellafill plumps the area immediately while also stimulating the body’s production of collagen for improvements that last up to five years. Bellafill is considered semi-permanent and, unlike hyaluronic acid fillers, it is not reversible. First-time patients must have a skin test to be sure they are not allergic to the collagen component before proceeding with treatment. Dr. Khorasani recommends that patients try a non-permanent filler first, and once the desired outcome has been established, graduate to a semi-permanent filler such as Bellafill.
Before your non-surgical rhinoplasty begins, you will have an in-office consultation. Dr. Khorasani will evaluate your nose and face to determine what improvements can be achieved. It takes an artistic eye to understand how the facial features affect each other and should work in harmony to enhance the face. Once Dr. Khorasani understands your concerns and goals and has confirmed that dermal fillers can help, we take photos for your medical records so you can see before and after images.
Next, a topical numbing cream is applied and left on for about 30 minutes. Dr. Khorasani then uses a cannula (not a needle) to reshape the nose with filler. The entire procedure takes about 15 to 30 minutes. Because there are no negative effects of general anesthesia or sedation to recover from, you can return to your normal routine the same day.
For more details about the procedure click on the video below:
*Individual results may vary
Even a minimally invasive procedure can lead to bruising, swelling or redness. In the case of non-surgical rhinoplasty, these effects are typically mild and should resolve within two weeks. Most patients can resume their regular activities directly after treatment. Dr. Khorasani suggests that patients avoid drinking alcohol on the night before and the day of their appointment to reduce their chances of bruising. Patients are also advised to temporarily cease the use of medications known to thin the blood, avoid exercising or participating in strenuous activities the same day, and keep their head elevated while sleeping to reduce swelling. Non-surgical rhinoplasty requires extensive knowledge of the vascular anatomy of the nose. When treated by inexperienced hands, you are at a much greater risk of side effects such as vascular obstruction and/or necrosis of the skin. Rest assured, this procedure is very safe and well tolerated when performed by an experienced surgeon.
The results of a non-surgical rhinoplasty are immediate. As soon as dermal fillers are injected into the skin, Dr. Khorasani can gently sculpt them to smooth bumps, fill depressions, correct asymmetries and improve other irregularities. The longevity of your results will depend on which filler is used and how quickly your body metabolizes the product. Restylane and Juvéderm last one to two years, respectively, and Bellafill can last up to five years. Regardless of which filler is chosen, treatment will likely need to be regularly repeated to maintain your results long-term.
Non-surgical rhinoplasty is quite effective, but it can’t achieve all the results that are possible through surgical rhinoplasty. For example, it can’t repair a deviated septum, alleviate breathing issues or reduce the physical size of your nose. Patients who are looking for dramatic changes or internal correction may find that non-surgical rhinoplasty is not able to meet their needs. Surgical rhinoplasty involves anesthesia, incisions, downtime and a greater initial financial investment, but its results are permanent. For some patients, a permanent procedure is preferable. For others, a temporary but minimally invasive treatment is more appealing. Non-surgical rhinoplasty can also be an excellent way to envision the outcome of traditional rhinoplasty before committing to surgery.
Although this is a non-surgical procedure, there are considerations that must be taken into account before choosing filler injections. Dermal fillers should not be used in patients with a known sensitivity to any of the product’s ingredients, or in women who are pregnant or breastfeeding. The best candidates are seeking correction for mild to moderate cosmetic concerns — more advanced concerns and functional issues are better addressed with surgery. An in-person consultation is required to determine your candidacy.
Please visit our Non-Surgical Rhinoplasty Before and After Gallery
In capable hands, non-surgical rhinoplasty can achieve transformative results. Dr. Khorasani is the Chief, Division of Dermatologic and Cosmetic Surgery at the Icahn School of Medicine at Mount Sinai and a triple board-certified, fellowship-trained cosmetic surgeon. He has honed his medical technique and artistic craft for a decade, consistently achieving natural-looking and stunning results for patients in New York City and beyond. If you are interested in finding out if non-surgical rhinoplasty is right for you, we invite you to connect with us at 347-574-8500.