Non-Surgical Nose Job

rhinoplasty-3Correcting aesthetic nasal flaws with Radiesse gives an option for patients not ready for nose job to surgeons and leads to a high level of individual satisfaction.

Until recently the only option open to individuals who needed to enhance the appearance of the nose was rhinoplasty, a process which requires general anaesthesia or intravenous sedation, up to two weeks of substantial expense, significant post-operative pain and downtime. The total results of the surgery might not be entirely understood for surgical hazards including scarring, infection, and anesthesia complications, and several months.

For patients with aesthetic nasal defects including bumps, bulges, dents, and asymmetry, it isn’t astonishing that making the choice to have rhinoplasty can be tough. Surgeons have an option that offers patients immediate, if temporary, help from a number of these bothersome imperfections for less than $1,000.

Seeing the effects of this temporary remedy can help some individuals make up their thoughts to put money into the long-term surgical remedy and offers others the ongoing alternative of correcting the defect on their agenda when it fits their needs.

Patient Choice and Preparation

The nose job that is non-surgical is one of my favorite procedures because it generates an exceptionally high degree of individual satisfaction. Patients find it difficult to believe that with just 15 minutes of basically painless, precise shots into side-wall, the bridge or point, we can recontour the nose to tackle several of their dislikes about its look.

While non-surgical correction cannot change the shape of the nostrils or reduce the size of a large nose, it’s perfect for patients with lumps or dents, sideways deviations or a droopy point in those who find themselves not emotionally or physically ready for surgery. Fillers can even be employed to refine even though patients with multiple rhinoplasties may possibly be at risk for skin necrosis due to changes in blood supply associated with surgical manipulation difficulties that remain after rhinoplasty.

Just prior to the process, we utilize an external mix of 6% lidocaine tetracaine to reduce pain. I indicate shot sites and the area is thoroughly cleansed with alcohol pads.


My preferred filler for nose jobs is Radiesse (BioForm Medical), a FDA-accepted dermal filler consisting of microspheres of calcium hydroxylapatite (CaHa) suspended in a carboxy-methylcellulose gel. It is ideal for this particular process for several reasons:

  • Correction with Radiesse lasts longer than correction with hyaluronan (HA) fillers – 6 to 10 months with CaHa compared to 3 to 6 months with HA.
  • It provides more volume compared to HA fillers; little amounts of Radiesse can result in differences.
  • Calcium hydroxylapatite, a mineral found in teeth and bones, fits the consistency of the nose better.
  • Radiesse is a paste like material, which is less likely to migrate compared to HA fillers and models easily, particularly in an area like the nose where the filler might be under some pressure as a result of limited capacity of the epidermis to enlarge.

The procedure usually takes 15 minutes or less. Using a 27-gauge, half-inch needle, I inject the filler into the subcutaneous tissues or periosteal plane and then mold it into form. The number of filler used ranges from 0.1cc to 0.5cc, based on the type of malformation. Nasal bridge construction on Asian or African-American noses can need up to 1.0cc of Radiesse.

We use ice right after the shots. Patients report small or no discomfort during the procedure.

Likely Results

Patients can return to work and common activities promptly and although there is no downtime, the nose can be bloated and slightly red, and the shot sites may be somewhat sore for 2 or a day. There is certainly a danger for epidermis necrosis as there is with any type of injection. I ask individuals not to reach the area for a week, maybe not to wear glasses (including shades) and to forgo contact sports for a week. Patients are instructed to reunite for follow-up in 2 weeks.

We now have struck no permanent side effects with this procedure, and the amount of patient satisfaction is not exceptionally low. The non-surgical nose job is a straightforward, minimally invasive technique for sufferers who have an interest in improving the appearance of their nose without experiencing rhinoplasty.