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Liquid Rhinoplasty

A liquid rhinoplasty is done using off-label injections of hyaluronic acid (HA) filler to change the overall shape and character of the nose. Though liquid nose jobs appear simple and the injection-based approach makes it seem like the kind of procedure that patients could take lightly, only a medical doctor should perform a liquid nose job to avoid complications.

What it is

A Liquid Rhinoplasty is a non-surgical treatment that changes the shape of the nose using injectable fillers. A Liquid Rhinoplasty can improve the shape, size, and in some situations, the position of the nasal tip, straighten the nose and hide a bump. A Liquid Rhinoplasty is not for everyone since it can only be used to fill hollows or depressions. A Liquid Rhinoplasty does not make a nose smaller and it does not remove bumps. A consultation and an examination are needed to determine if you are a candidate for a Liquid Rhinoplasty.

What They Can Do

 

Liquid nose jobs are performed to correct a dorsal hump, to raise a drooping tip, to fill in contour irregularities (usually from a previous rhinoplasty), and to correct minor nasal asymmetries or crookedness. The technique also allows for:

  • the augmentation of a flat nasal bridge (depressed dorsum)

  • the added projection of the nasal tip

  • correction of the retracted columella

  • a small reduction of nostril size

  • the perceptual diminution of a nasal hump

  • filling a nasal sidewall depression

  • enhancing a retracted anterior nasal spine

  • the enhancement of a retracted maxilla lateral to the pyriform (pear-shaped) aperture to displace the anterior plane

  • the elevation of a saddle nose deformity caused by a failed primary rhinoplasty

  • traumatic injury

As with other aesthetic procedures, possible complications of the procedure can include infection, hematoma, discomfort, anatomic asymmetry, or foreign body reaction (called granulomas). Granulomas are extremely rare and are mostly seen with impure silicone and some of the early non-modern versions of methyl-methacrylate (Artecoll or Arteplast, though not Artefill).

What They Can Not Do

Injections cannot narrow the nasal tip or bring the nostrils in to slim the width of the nose at its base. Additionally, injections cannot decrease nasal projection.

Products Used

Restylane, Perlane, Juvederm, and Radiesse can all be used for a Liquid Rhinoplasty. The Hyaluronic Acid fillers (Restylane, Perlane, and Juvederm) are the preferred injectable formula for a Liquid Rhinoplasty:

Procedure​


The preferred anesthesia for non-surgical rhinoplasty is topical cream (topical anesthesia). Some physicians use local anesthesia (i.e. lidocaine injections), but that can obscure the area being injected. The physician injector uses a sterile syringe, prepackaged with filler and a hypodermic needle (e.g. 27-G, 25 mm) to inject the material under the nasal skin, most commonly in the deep subcutaneous tissues, immediately above the periosteum.

The procedure for injecting and placing the soft-tissue filler typically take 10 to 30 minutes to perform in the surgeon's consultation room, after an initial 15 minutes of numbing. After the procedure, the patient can typically resume normal life activities immediately.

Cost

As with most cosmetic procedures and services, this cost can vary from one clinic to another, but prospective patients should expect to pay somewhere within the range of $1,000to $1,500 for a non-surgical nose job. 

Possible Risks

Some degree of risk and the potential for complications is associated with any kind of cosmetic procedure, whether surgical or non-surgical. It is important that you are aware of these before you decide to undergo the procedure in question. Choosing a qualified practitioner who is trained in administering injectables is vital to the success and longevity of your treatment results.

The below outlines some of the general complications that may occur as a result of a non-surgical rhinoplasty:

  • Redness is one of the most common complications and is to be expected for a few days following a non-surgical rhinoplasty.

  • Bruising and swelling may occur soon after the treatment and will begin to subside slowly thereafter, allowing you to see the results.

  • Tenderness of the nose is commonly experienced.

  • Infection is a rare albeit more severe complication and results in redness, swelling and in and around the nose that does not subside after a few days (times may vary according to the extent of the treatment and fillers used). If you suspect that you may have an infection then your doctor will need to examine you, clean the area and possibly put you on a course of antibiotics if necessary.

  • Damage to the nasal skin as result of the injections may be minimal after the treatment, however, severe damage that is clearly visible should be discussed with your doctor.

  • An asymmetrical or lumpy end result may lead to an unsatisfactory outcome, this is often due to the procedure being performed by a practitioner that is lacking in training and experience.

Some forms of silicone injectables may migrate, this refers to when the silicone that is injected into the nose moves to another area of the face which may increase your risk of granulomas (tissue masses) forming.

Long Term Results

Results can last between 9 months and 2 years depending on the anatomy of the nose, the issue being addressed, and the type of filler used.