Originally at a 2007 meeting of the American Academy of Facial Plastic Surgery, Alexander Rivcin, MD, presented results on a new procedure, "the non-surgical nose job". This paper highlighted the 370 patients on whom he preformed the new procedure over the course of 3 and one-half years. The procedure developed by Dr. Rivcin used injections of Radiesse to disguise nasal deformities like bumps or deviations, boost underdeveloped nasal bridges, and raise or straiten drooping tips. The results of this procedure last for about a year, at the end of which patients have the option of using permanent filler like ArteFill.
Recent developments have demonstrated a use for filers to help refine the final outcomes in rhinoplasty surgery.
Imperfections following rhinoplasty are common. As a result some surgeons turn to injectable fillers. They use the filler to smooth out irregularities and asymmetries that remain after the initial surgery. An article in a recent issue of Aesthetic Surgery Journal, a publication of the American Society for Aesthetic Plastic Surgery (ASAPS), discussed the potential benefits and risks of soft tissue fillers as an adjunct to surgical reshaping of the nose.
However, as with the initial surgery, the skill of the surgeon is critical to success. The fillers work best on the top and sides of the nose. It does not work as well near the base or the tip of the nose where there is soft tissue. Also, placing the fillers at the proper depth in the skin is important to minimize complications. Problems include bumpy appearance, soft tissue damage, or compromising of the blood vessels in the nose.
Soft tissue fillers can be an effective treatment for certain post-surgical deformities. But they are generally not recommended as a first-line option for nasal reshaping. Neither are they recommended for patients considering revision surgery, since persistent material in the nose may complicate a future procedure.
Despite the opportunities that fillers provide for both temporary reshaping of the nose and refining surgical outcomes doctors do caution that surgeons must continue to strive for perfection in the operating room.
"Injecting fillers into the nose requires a high level of skill as well as a thorough understanding of nasal structures and soft tissues," says ASAPS President Renato Saltz, MD. "To minimize the risk of poor results or serious complications, patients should seek treatment only by a board-certified physician with relevant training and experience."