For unwanted bumps or nasal asymmetry, fillers or neurotoxins can often provide a temporary fix. For example, filler injections, like Restylane, Juvéderm, or Radiesse will add volume to smooth and camouflage a bump, while neurotoxin injections like Botox or Dysport can be used to lift the tip of the nose slightly.

The “non-surgical” aspect refers to the lack of general anesthesia and to the fact that the surgeon does not use a scalpel to make changes. In fact, it is not a surgery at all, but rather a cosmetic procedure using a hypodermic syringe filled with a sterile, hypoallergenic filler to enhance the facial appearance of the patient.

What To Expect From A Temporary Nose Job

The procedure itself typically lasts fifteen minutes and normally has absolutely no downtime afterward. However, because non-surgical rhinoplasty only uses injections, it is purely an augmentative procedure.

For noses that require narrowing or reduction, non-surgical rhinoplasty will not be effective.

Furthermore, it is important to note that this procedure cannot correct any breathing difficulties or other nasal problems caused by structural deformities. For broken or crooked noses, a deviated septum, and more significant changes to the nose, surgical rhinoplasty must be performed.

Rhinoplasty is a plastic surgery procedure that requires an expert facial plastic surgeon, like Dr. Rizk, who can safely and significantly improve the appearance of the nose by either reducing or reshaping it.

Be Careful Of Being Blindsided

In 2016, a botched procedure in China cast light on the potential dangers of non-surgical nose jobs. According to state news agency China News Service, a 21-year-old woman from the eastern province of Jiangsu was blinded in one eye after receiving “micro-plastic surgery injections” aimed at reshaping her nose.

The woman, identified only by her last name, Song, spent approximately $1,500 on a total of four injections administered by a group advertising its services on the messaging app WeChat. Tragically, Song was blinded in her right eye when the fourth injection hit a nerve in her face.

As neither the person administering the injection nor the couple running the service were licensed medical professionals, according to the news agency, they were arrested and charged with operating an illegal medical practice as well as selling counterfeit drugs.

The case has reminded facial plastic surgeons to stress the importance of thoroughly researching any treatment you are considering, not to mention the person(s) providing it.

Potential Complications Of A Non-Surgical Nose Job

It should be noted that when administered to enhance the appearance of the nose, these products are being used “off-label,” because they are not FDA-approved for this use.

In Song’s case, the so-called non-surgical nose job was performed through hyaluronic acid-based injections. Hyaluronic acid is a naturally occurring substance that is already present in the body. It is not harmful when administered properly, but when administered improperly it can be very harmful. This is what happened in Song’s case.

Unfortunately, this is hardly an isolated incident. Minimally-invasive cosmetic treatments, including the injectables used in non-surgical nose jobs, are hugely popular — not just in China but worldwide — and this demand has encouraged fraudsters and snake oil salesmen to come up with their own fake products. Cosmetic injection services are now widely advertised across a number of social media platforms, some of which make it all too easy to set up a “store” and pawn dangerous wares.

Even when administered properly, using fillers in lieu of a surgical rhinoplasty procedure is madness, because the results are always temporary. So if by chance you are considering this route, you should reconsider; over time you will spend far more money because you will have to get so many repeat treatments.

Risks Associated With Filler Injections

While filler rhinoplasty is non-surgical, it still involves some risks namely swelling, bruising, infection,and lumps or bumps under the surface. (These risks tend to be seen with filler injections anywhere on the face.) Specific complications for filler rhinoplasty may include deformity, skin necrosis (death), and rarely, blindness. There is also a potential risk of compromising blood supply to the nose.

Choosing a skilled plastic surgeon who knows a great deal about the anatomy of the nose like Dr. Rizk is the best way to minimize the risks associated with filler rhinoplasty and maximize the aesthetic benefits. Rhinoplasty experts also know how to treat any vascular compromise from fillers if they should arise.

Advice From Dr. Rizk

“Non-surgical rhinoplasty can make a big difference in how a person looks and feels about themselves. Only skilled and experienced surgeons who have a thorough knowledge of the nasal anatomy and who are schooled on the management of potential complications should perform filler rhinoplasty.

Make sure to ask your surgeon about their credentials as well as how many filler rhinoplasty procedures they have performed in the past before scheduling yours.

When a patient asks me if filler injections in rhinoplasty procedures are safe, I tell them that non-surgical does not necessarily mean safe or risk-free. In sum, filler rhinoplasty is only safe when it’s performed by the right surgeon, for the right reasons in the right patient with the right fillers and the right experience needed to avoid or troubleshoot any complications that arise.”

Why Surgical Rhinoplasty Is Better

A non-surgical nose job cannot reduce the size of the nose, alter its structure, make a large tip small or a wide nose narrower — nor can it address functional nasal issues such as breathing problems. For all of these reasons, traditional rhinoplasty, which alters the structures of the nose, is a far more effective procedure.

Any of the following are possible — often in combination — during surgical rhinoplasty:

  • Altering the shape of the tip
  • Straightening the nose
  • Adding or removing cartilage
  • Adjusting internal structures (e.g., the turbinates and/or septum)
  • Inserting nasal grafts
  • Fixing breathing problems

To learn more about rhinoplasty and the other services Dr. Rizk offers, contact his NYC office today.

Sam Rizk, MD

By Dr. Sam S. Rizk, M.D., FACS.

Dr. Rizk is a double board-certified facial plastic surgeon who specializes in rhinoplasty surgery and a recognized expert on the latest advances in facial plastic surgery techniques. He performs a range of facial plastic surgeries at his New York practice.

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