Non surgical rhinoplasty (injection of non-surgical rhinoplasty nose) is an option that is safe, effective, low cost, relatively low risk and easy to follow. This is not the right choice for every revision rhinoplasty, but certainly deserves consideration.Most of the time, is well qualified surgeons rhinoplasty surgery and the patient ends up in the aesthetic result is satisfactory. This article does not address such a situation.
Many patients believe that the only way to correct an unsatisfactory surgical outcome is more surgery. This is not necessarily the case. All surgery leaves some scarring, some of which are difficult to predict, even the best surgeon. There is always some element of risk that a non-surgical rhinoplasty is exactly the way it was designed. This risk is significantly higher revision surgery. The surgeon works in textiles and aircraft, which was changed and scarred. The procedure is much more complicated and risky, as it always has been revised. Sometimes, surgical revision is really the best option. Sometimes, however, a simple injection of the filler can not solve the problem.
The FDA has approved a series of excellent filler which can be corrected post-nasal cosmetic defects. These fillers are safe, relatively cheap and does not represent a long recovery period in which they are injected. Restylane or Juvederm are the most commonly used hyaluronic acid (HA) fillers. These can be injected under the skin of the nose meets the small asymmetry or indentations left after surgery. The advantage of these fillers is that hyaluronidase can be easily reversed if the patient is not satisfied. HA fillers are soft and natural look. The downside of using these fillers is that they have enough work to carry a lot of tension, if injected into the marked area. They should only be used if they are not a lot of scars and the correction needed is very small. Correction of HA fillers will last about 6-8 months.
Radiesse is a coating that contains particles of calcium hydroxyapatite. The material is fully biocompatible (no allergic reaction), because it is the same lime that is in the teeth and bones. Radiesse is injected deep into the skin of the nose and is strong enough to hold its shape, even when injected into areas of scar tissue. It is not reversible, but when used by a physician skilled and experienced Radiesse provides a much correction. It can be used in any area of the nose, the nostrils and the tip higher radix. Correction must be done in multiple sessions, be careful not to over-inject the skin has already been weakened by surgery. The danger of over-injection skin after rhinoplasty, particularly in the field of art, what is the responsibility of compromising the blood supply to the skin and cause damage. The aesthetic results of the Radiesse injections last from 10 to 14 months.
The other charge that is used in the nose that is now called Artefill. He is currently the only FDA approved permanent injectable filler. Because it is permanent, it must be used by more experienced injectors of the nose. Radiesse Artefill is injected similarly, but in several sessions. The best way to inject is in a superposition of progressive products of 4 or 5 months. Once the desired effect, the results are permanent. Artefill is composed of methy methacrylate in a bovine collagen support. Currently, skin tests are needed before injecting Artefill to ensure that the patient is not allergic to bovine collagen rare.
Non-surgical rhinoplasty revision options are available, and the right doctor can be a good solution. As always, make sure your doctor is an expert, ask to see before and after pictures of his work, and be sure you are connected to your concerns and aesthetic goals as clearly as possible. You should always feel comfortable that your doctor understands exactly what you want and do not want.
Alexander Rivkin MD is a format Yale facial cosmetic surgeon and professor at UCLA who has concentrated his practice if patients with recent non-invasive, non-ablative cosmetic treatments. It ‘was the first doctor in the country to offer non-surgical nose, his signature method for non-invasive cosmetic nose correction of irregularities. He has exhibited in shows such as Today Show, Tyra Banks Show, EXTRA, and numerous national publications for the innovative procedures he invented.