rhinoplasty, sydney, surgery

Non-Surgical Rhinoplasty

… the lunchtime ‘nose job’ using Dermal Fillers!

  • No Surgery!
  • No Downtime!
  • Experience Counts!

NonSurgical Rhinoplasty is a medical procedure in which injectable Dermal Fillers are used to alter the shape of a person’s nose and thereby avoid invasive surgery.

What can it correct?

A Dermal Filler can fill out bumps and irregularities of shape to create a more normal shape without surgery.  These include:

  • hiding a nasal hump (the most common)
  • correction of a flat nasal bridge
  • adding projection to the nasal tip
  • filling nasal wall depressions
  • correction of a crooked nose from past injury or surgery

Types of Dermal Fillers available in Australia

The Dermal Fillers available in Australia can be broadly divided into two categories according to how long the correction should last:

  1.  Non-Permanent (9-18 months or longer depending on the type and brand of filler)
  2.  Permanent

1.  In the Non-Permanent category, the most popular Dermal Fillers contain as their active ingredient, the identical polysaccharide (a complex sugar chain) present in all human and animal skin.

We believe that this group of Dermal Fillers has important advantages because they:

  • provide excellent correction
  • have a proven safety record
  • are not of animal origin
  • require no pre-treatment testing for allergy
  • deliver a worthwhile duration of correction 

Unfortunately, however, even though these products are very well known to the public by name, current Australian Government regulations prevent us from mentioning them. However, we are allowed to forward you printed information on them, including their names, if you contact us and personally request them.

2.  ‘Permanent’ & ‘Semi-Permanent’ Fillers of various brand names are the other type of Dermal Filler on the market.  The active ingredients of these Fillers work initially by delivering volume but then have an ongoing effect of stimulating the production of new collagen (neo-collagenesis).  Based on the very way in which these fillers work, they do have a higher propensity to cause Foreign Body Granulomas (hard red lumps) which would then require cortisone injections and possibly surgical excision.

However, based on both anecdotal and published reports of permanent complications with this group of fillers (Report: American Journal of Cosmetic Surgery Vol. 23, No3, 2006) we do not recommend these fillers as our first choice.  Although tempting for some patients in terms of convenience and the perceived long-term cost advantages of a single or fewer treatments, the increased risk of adverse reactions compels us to advise patients to exercise considerable caution when considering their use.

Which type of Dermal Fillers do we recommend?

The only Dermal Fillers we recommend for Non-Surgical Rhinoplasty are those in the Non-Permanent category for the following reasons:

  • they all contain a polysaccharide (complex sugar chain) which is chemically identical to that found in all human and animal skin.  In skin, this polysaccharide creates volume and forms an important component of the ‘ground substance’ – the medium in which the skin’s collagen and elastin fibres lay.
  • these fillers do NOT have an animal origin.  The polysaccharide is manufactured synthetically but is still identical to that found in animal skin.
  • the risk of allergy is so negligible that no pre-treatment skin testing is required.
  • the Dermal Filler can be easily dissolved if you ever need to return the shape of the nose to its former shape prior to having a Surgical Rhinoplasty so that your surgeon can accurately assess what needs to be done.

How long will the correction last?

Usually 9 – 18 months depending on the specific brand and type of Dermal Filler you choose.  At your consultation, our doctor will give you a list of Fillers and their expected duration from which you can choose.

How is it done?

A treatment takes about 20-30 minutes depending on what needs to be corrected. Most of the Dermal Fillers we use contain a local anaesthetic which makes treatment comfortable.

Following the treatment, you may experience some mild puffiness in and adjacent to the injected areas but this usually settles within 72 hours.  Discolouration from light bruising is possible but very uncommon.

When are treatments contra-indicated?

  • In the presence of any active nasal skin infection e.g. active acne
  • During pregnancy or lactation

 

Before and After photos

Click on Images to Enlarge
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