Liquid Nose Jobs: All About Non-Surgical Rhinoplasty

The nose remodeling was the third most popular cosmetic surgery in the United States in 2017, according to the American Society of Plastic Surgeons. People are looking for jobs for the nose for various reasons both aesthetically and functionally, whether to get rid of the lump on their nose or straighten it out, or even to look to fix their problems respiratory.

In 2017, more than 215,000 nose remodeling procedures were performed. This number represents a 2% decrease from 2016. A contributing factor may be a fashionable nasal procedure that does not require surgery.

Enter into nonsurgical rhinoplasty, also called "liquid nose work" or non-surgical nose work. The procedure has generated an online craze in recent years. To learn more about this, we asked three plastic surgeons to share their expertise.

Nonsurgical rhinoplasty is a minimally invasive procedure that involves injecting loads into the nose to change the shape, nostrils, or height of the bridge, HuffPost, MD, Dr. Michelle Yagoda, a board-certified plastic surgeon, told HuffPost. administration.

She added that a nonsurgical rhinoplasty can accomplish many things that a surgical procedure can, although the results are temporary.

"The filler can also be used to change the tip of the nose," said Dr. Michael Dobryansky, a plastic surgeon certified by the Long Island Plastic Surgical Group's board of directors. "I'm using putty to inject the tip to make it sharper, lift it up and refine it to provide a more harmonious facial."

According to David L. Cangello, a certified plastic surgeon in New York, the plastic surgeon is a specialist in plastic surgery. However, Dobryansky said that hyaluronic acid fillers could sometimes be used in combination with a neurotoxin (such as Botox). In rare cases, only a neurotoxin could be used, he added.

The current procedure takes about 15 to 20 minutes, but could be slightly longer if an anesthetic cream is applied before, said Dobryansky. In general, anesthetic creams need 10 to 15 minutes.

Cangello said the process is fairly simple, although some patients may experience mild discomfort for a short time. Bruising is a possibility and swelling is likely, Dobryansky added.

In terms of the time to stop, there is not really any. Yagoda said that in less than an hour, a person would be able to continue as if nothing had happened.

Unlike a surgical rhinoplasty, the results of this nonsurgical procedure are temporary and last as long as the fillers, which can range from six to 12 months, said Dobryansky. Yagoda put the fork between 10 months and a year.

"The charge resolution is gradual," said Dobryansky. "It's something that dissipates over time. Some people notice the changes sooner and for others, it takes longer. "

As Dobryansky explains, a nonsurgical rhinoplasty does not reduce the nose. In fact, the fillers add volume to your nose, making it bigger. This may, however, make the hump less visible or refine the shape of the nose.

In his opinion, a good candidate for this procedure is a person whose nose "belongs to the small size and wishes to straighten the nose or modify the tip".

Patients who undergo nonsurgical rhinoplasty "must accept the fact that their nose will be bigger," Dobryansky added.

One of the benefits of non-surgical rhinoplasty, Yagoda said, "is that if someone hated it, it can be removed by an injection of an enzyme that dissolves the product." filling and you are back to where you started. "

The enzyme used to dissolve hyaluronic acid fillers is called hyaluronidase; If the fillers used were not based on hyaluronic acid, this enzyme would not break them down, said Cangello.

For starters, the three doctors agreed that, in general, the procedure should be considered a short-term solution that works best if it is used for relatively minor adjustments. It is not generally used to treat functional problems that could be treated – such as problems with the sinuses – while surgical rhinoplasty can, said Yagoda. (Dobryansky, however, said some doctors used injectables to treat problems such as enlarging the airways inside the nose to help with breathing.)

According to Cangello, although nonsurgical rhinoplasty can deliver the desired results right away, the fillers do not keep their shape forever. With repeated interventions, especially when trying to add volume along the back, he explained, the filler "spreads a little in the nasal tissue". As a result, the tissues could start to look a little thicker and the nose could end up looking like a larger one with time.

Cangello stated that he believed that the non-surgical procedure worked best when the person was looking for minor changes. For example, he said, fillers can fill slightly curved areas.

"Using the filling material to fill these gaps to strengthen the nose and make it look upright is preferable, because you do not ask this non-solid material to stand up and keep its place over time," he said. he declares. "You only fill small areas and create an illusion so that the nose looks upright."

Nonsurgical rhinoplasty can also be used to make "microscopic changes" that do not necessarily affect other parts of the nose over time, Yagoda added.

Some people also undergo nonsurgical rhinoplasty before surgery to give them an idea of ​​what they might look like if they chose to go under the knife, noted the doctors. That said, Yagoda suggested that if anyone knew that he ultimately wanted to be operated on, he should not undergo the nonsurgical procedure more than two or three times maximum. Excess filling in the face could make surgery more difficult, she said.

Another reason why non-surgical rhinoplasty might be preferable in the short term is the cost, which can range from $ 800 to $ 2,000 per visit. If a person undergoes this procedure regularly for several years, she may end up with an expense close to that she would have to undergo surgery.

If you are considering any type of medical procedure, nonsurgical rhinoplasty or whatever, you should always, always, consult a licensed physician who can help you choose what is best for you. You should also do your research: ask questions, ask other people about their experiences, and look at the before / after pictures of a doctor, like the ones below, to get a better idea of ​​their work.