Non-surgical Rhinoplasty: Use of fillers
Can a rhinoplasty be done without surgery? Well, the simple answer is no. Non- surgical rhinoplasty, or liquid rhinoplasty, has become somewhat of a marketing catch phrase used mainly by those who may not perform actual rhinoplasty surgeries. The fillers used are most commonly hyaluronic acid (HA) injectables such as Restylane or Juvederm, or longer lasting fillers such as Radiesse. While there are reversing agents for the HA fillers, there is no reversal agent for Radiesse and it should therefore be used with extreme caution.
The non-surgical rhinoplasty can be used to make changes in the profile of the nose by placing filler around an existing hump to create a straighter nose profile. However, in my practice, fillers are used in the nose mostly to address subtle contour abnormalities following primary or revision rhinoplasty.
These tend to be scenarios in which the soft tissue or skin of the nose does not adapt adequately to the underlying structural framework (bone and cartilage) the way it should have. This can be due to thick skin, scar tissue, or in rare cases skin laxity. Some of the risks associated with filler placement into the nose include poor result, contour abnormalities, and skin necrosis. They should therefore be done by an experienced provider capable of addressing such complications should they occur.
Rhinoplasty involves meticulous surgical planning and technique to address issues associated with the bridge of the nose, nasal tip, nostrils and potentially any deviation associated with the septum cartilage or nasal bones. These cannot be addresses with fillers which is why the term non-surgical rhinoplasty can be misleading.