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November 20, 2008

The non-surgical rhinoplasty

With the advances in the world of injectable fillers, a concept known as the non-surgical rhinoplasty is beginning to become popular. Initially performed to disguise minor contour problems after a standard rhinoplasty, this technique uses Restylane or Juvederm to fill in divots or build up contours selected areas of the nose. When this is carefully done, it can sometimes save the patient from having to undergo a difficult secondary rhinoplasty procedure.

In addition, adding a small dose of Botox to reduce the activity of the small depressor septi nasi muscle can reduce the "plunging tip" effect that we sometimes see when people smile.

I've recently seen some pretty interesting results published by a group of cosmetic dermatologists, where they disguised a prominent nasal hump by building up the parts of the nasal profile immediately adjacent to the bump with fillers. While I applaud their skill with fillers, in my opinion, it makes more sense to actually perform a rhinoplasty in these cases, as reducing a prominent nasal hump surgically usually works out pretty well.

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