Saturday, May 7, 2011

THE NON-SURGICAL "NOSE JOB"

At COSMETIC LASER MD, we often come across patients who ask about “non surgical nose jobs,” “injectable rhinoplasty,” or “liquid rhinoplasty.” In the last ten years, we have seen explosive growth in minimally invasive and non surgical procedures. There are many reasons that people are opting against “the knife:”

One of Dr. Tanne's recent patients


• Little or no downtime
• Much less expensive
• Little of no discomfort
• No anesthesia
• The ability to refine the area exactly the way you would like it to be

As a result, the various fillers have seen an enormous increase in their utilization. And today, we use these various fillers to achieve younger, more symmetric appearances not just by filling in wrinkles but also by restoring lost volume (the liquid face lift). More recently some of these fillers, which have only been approved by the FDA for use in the nasolabial fold, are increasingly being used for an ever wider array of “off- label” procedures including reshaping the jawline and chin, filling the cheeks, and more recently to reshape the nose, i.e. the “non-surgical” nose job, “liquid rhinoplasty,” and “injectable rhinoplasty.”

The Non Surgical Nose Job is an alternative to surgical rhinoplasty for many individuals who wish to alter the shape of their nose or restore symmetry to their nose. The treatment takes only about fifteen to thirty minutes to perform, unlike traditional rhinoplasty which is done under IV sedation or general anesthesia with several weeks of down time, a relatively painful recovery, and severe bruised for several weeks. The non-surgical nose job only requires the application of local numbing cream for about 20 minutes.

Unlike a rhinoplasty where the patient is unconscious, with this procedure, the patient is an active participant in the procedure. The patient has a mirror in his or her hand and can help guide the procedure.

Radiesse (Dr. Tanne's usual filler of choice for the nose) is injected to fill depressions, smooth out sharp angles, or change the angle of the tip of the nose, restoring symmetry and making your nose appear smaller and more attractive. With Radiesse there is no need for allergy testing. Radiesse stays exactly where you place it. In other words, it does not migrate like some hyaluronic acid based fillers. This is extremely important for injection into the nose. Radiesse lasts about 1 year which is twice as long as most other fillers.

One of Dr. Tanne's recent patients

Botox can also be used as part of a nonsurgical nose job to relax the muscle that pulls the tip downward, creating a more upturned appearance, or to soften the "bunny lines" on the sides near the top of your nose.

Dr. Tanne likes to use Radiesse for simultaneous chin augmentation. This is a complementary procedure to the non-surgical nose job. Radiesse is FDA approved for injecting into laugh lines and restoring volume to the face. Other uses include injection into marionette lines, and augmenting your cheek bone structure to restore a more youthful look. Some refer to this as the non-surgical face lift.

Dr. Tanne has performed literally hundreds of “non-surgical facelifts” and is one of the experts in this growing field. In addition, she has had many patients specifically asking for “non-surgical nose jobs” and is quickly becoming the area leader in this procedure as well. The before and after photos above, are two of Dr. Tanne’s recent patients.

Ideal Candidate for the Non Surgical "Nose Job"

• Patients who wish to diminish the appearance of bumps on their nose.
• Patients who have dents, hollowness or indentations, or have noses which look asymmetric.
• Patients who have a flat nasal bridge, and wish to create a bridge or augment their original bridge. This is a very common request in the Asian and African American population.
• Patients with droopy tips or downward appearing tips who wish to raise the tip of the nose.
• Patients who have had surgical nose jobs in the past and are unhappy with the appearance of their noses.

A commonly asked question is whether this procedure can actually make one’s nose look bigger. By taking away nasal irregularities and creating more symmetry through nasal contouring, the nose actually looks smaller and more proportional to one’s face. The nose serves as a central focal point when we look at a person’s face. When you restore symmetry back to this important structure in the middle of the face it actually looks smaller. If you create a taller nasal bridge, the nose appears much thinner.

If you have always desired to have a smoother profile but have been apprehensive of surgery due to risks, pain and down time, then consider this non-surgical 15 minute nose job as an alternative procedure. As always, consultations are complimentary. Even if you are an existing patient and have some questions about a new procedure, or would like to discuss your short and long term aesthetic goals, Dr. Tanne and her staff would love to see you here so that we can put together a customized plan. Please call us at 973-716-9000 to schedule your consultation with Dr. Tanne, and find out if the non-surgical (15 minute) nose job is right for you. 

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