21 Jun 2017

Is Nonsurgical Rhinoplasty Right for Me? | Ask a Doctor

Nonsurgical rhinoplasty is a newly coined reference to a medical procedure in which a facial plastic surgeon uses fillers to reshape the nose without surgery. This is not a new procedure; however, the explosion of available off-the-shelf fillers has led to an increase in requests—and questions—from patients: What can this procedure correct? What are its benefits and risks? What types of fillers are used?

Read on to learn the answers and to find out if you may be a good candidate for nonsurgical rhinoplasty.

What Can Nonsurgical Rhinoplasty Correct?

Minor tweaks are possible with nonsurgical rhinoplasty, such as filling in divots or depressed areas, lifting the angle of the tip, and smoothing the appearance of a bump. Nonsurgical rhinoplasty adds volume; it cannot subtract it. Changing the structure of the nose is not possible without surgery. Nonsurgical rhinoplasty cannot correct functional concerns, such as a deviated septum or a breathing issue.

What are the Benefits?

Unlike with nose surgery, there is no general anesthesia required with nonsurgical rhinoplasty. The treatment is quick and has very little downtime. And while the results are subtler than you would see with nose surgery, they are immediate. You do not have to wait several weeks for any swelling to subside.

What are the Risks?

The risks associated with the procedure include swelling, bruising, and lumps under the surface; however, these are inherent in filler injections to all areas of the face. Make sure that your injector is familiar with nasal anatomy and how to treat a patient who may develop signs and symptoms of complications. Dr. Villano is a dual board-certified specialist of the head and neck and an expert in nasal anatomy and rhinoplasty.

Which Fillers are Used?

The most popular filler used is hyaluronic acid, such as Juvederm, Restylane, and Belotero. Hyaluronic acid is soft and has a very low risk of lumps; results can last 12 to 18 months, depending on where it is injected and patient individuality. Most importantly for first time recipients, hyaluronic acid can be dissolved with an injection of enzymes (hyaluronidase or wydase) in the event of a complication or any dissatisfaction with the cosmetic results.

Am I a Good Candidate?

The best way to determine whether you are an appropriate candidate for nonsurgical rhinoplasty is to schedule a consultation with Dr. Villano, where he can listen to your concerns and perform a thorough examination of your nose. Dr. Villano can then suggest the most appropriate procedure or combination of procedures to help you achieve the result you desire. Keep in mind, it is important that you have realistic expectations about what this procedure can and cannot do to address your cosmetic or functional concerns.

Questions to ask about nonsurgical rhinoplasty include:
What are the alternatives?
How many have you performed?
How long will the results last?
What are the risks?
Is there a way to reverse the effects if I am unhappy?
Why do you recommend this procedure?

Previously, the standard technique used by facial plastic surgeons was through a surgical procedure (rhinoplasty). Nonsurgical rhinoplasty is a breakthrough in facial plastic surgery for patients seeking a nonsurgical option to change the appearance of their nose.

Remember, to minimize any risks and maximize the benefits of nonsurgical rhinoplasty, only a skilled and experienced surgeon who has a thorough knowledge of the local anatomy of the nasal area and the potential complications and management should perform it.

Should I Have Rhinoplasty Instead?

Rhinoplasty (nose surgery) is the most requested facial plastic surgery among men and women of all ages year after year. The top five reasons that patients decide to have rhinoplasty are the following:

1. Reshape the nose following injury: Broken noses occur among little leaguers and weekend warriors. It is important to consult with a facial plastic surgeon after a serious injury to the nose to determine whether there is a break. There is an optimal window of time during which surgery can be performed to correct a nasal fracture.

2. Reconstruct to improve breathing: A deviated septum or nasal deformity may cause a person to snore or have trouble breathing. A rhinoplasty or septoplasty may be indicated to correct this problem to improve the functional aspects.

3. Revise to improve sinus issues: Chronic sinus infections and sinusitis may be caused by a deviated septum or another condition that requires surgical intervention. Your facial plastic surgeon will determine what treatments are available to relieve the sinus pain and infections once and for all.

4. Improve the quality of life: For individuals who are self-conscious about the size and shape of their nose, rhinoplasty can be a real confidence booster.

5. Reduce the signs of aging: Gravity pulls the tissue of your nose downward as you age, causing the tip to droop and become more bulbous. It may also tend to appear larger with age because facial volume depletes. Your cheeks lose definition and your nose may look bigger. Rhinoplasty can help to correct these issues by elevating the nasal tip for a more youthful profile.

If you have any further questions about nonsurgical rhinoplasty, or surgical rhinoplasty, and are ready to discuss your specific needs and goals with a qualified surgeon, we encourage you to schedule a complimentary consultation with Dr. Villano today. Dr. Villano is Central Oregon’s expert in facial plastic surgery, and he and his trained staff at Villano | MD are ready to help you achieve your own Timeless Beauty.

Call 541.312.FACE to get started today.


Dr. Villano is a board-certified facial plastic surgeon in Bend, Oregon. He provides surgical and non-surgical enhancements including Botox, Dysport, Restylane, microneedling, fotofacials, facelifts, eye lifts, nose surgery, cheek augmentation and much more. Schedule your consultation today.

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