Solutions for Nose Reshaping

Nonsurgical Nose Reshaping

Leesburg | Loudoun | Ashburn | Virginia

Nose-Illustrations

Reshaping the nose is the third most common plastic surgery procedure next to breast augmentation and liposuction. Most people thinking about the procedure think that they will need a surgical correction. This page describes the nonsurgical options to modifying the shape of the nose.  

Dr. Chang in Northern Virginia was one of the pioneers of the procedure over 20 years ago. He demonstrated that a large percentage of patients would rather choose a nonsurgical nose reshaping procedure if they had known it was available. This is particularly true for patients that need more height to the nasal profile or adding more projection and narrowing of the nasal tip as is commonly seen in Asian patients as well as patients of color. 

Dr. Chang made a name for him as a national expert in correcting nasal deformities after hundreds of nasal correction procedures. Many of these corrections can be performed using techniques for the nonsurgical rhinoplasty procedure. Filler can be molded and artistically sculpted with the nasal tissue to give beautiful and clean nasal contours.  

  • Liquid nose job
  • Nonsurgical nose job
  • Liquid rhinoplasty
  • Nonsurgical rhinoplasty
Rhinoplasty surgery is the medical term for reshaping the nose.  Nose Job is the more common way of referring to the reshaping of the nose. About 218,000 nose jobs were performed in 2017 according to the American Society of Plastic Surgeons database. 

  • 75% of nose jobs were performed in women. 
  • 14% of nose jobs were performed in patients between 13-19 years old. 
  • 50% were performed in patients between 30 and 40 years old. 

You are a good candidate for a nonsurgical nose job if you are over 16 years of age and otherwise healthy. Facial growth and maturity should be complete.

You can treat almost anything with a nonsurgical nose job that you can with a surgical nose job.  A nonsurgical nose job is however, mostly recommended for patients that have nasal features that are either too small or too flat. 

The best candidates for a nonsurgical nose job are those patients that are open to a procedure with a temporary result (about 2 years), who want more height to the nasal profile because the dorsum is too shallow, who want a more defined nasal tip because the tip cartilages are too wide or too flat, or who have minor nasal deformities that benefit from minor correction.

You are a candidate for a Nonsurgical Nose Job if:

  • You are open to a result that will last only 1-2 years
  • You have a flat nasal bridge or nasal profile ( as seen in Asians )
  • You have a broad or bulbous nasal tip
  • You have a cleft nasal tip ( separation of the nasal tip cartilages )
  • You have a “minor” nasal hump
  • You have a minor bend or depression of the nasal cartilage often seen after surgery

The dark circles under the lower eyelids are the result of many concurrent reasons.  

Nasal Tip

  • A wide nasal tip, also called a boxy nasal tip, is a commonly requested concern for patients.  The shape and size of the nasal tip is created by paired nasal cartilages that are individually wide and separated from each other.  The outline of your tip cartilage can often be better visualized by pushing the tip upward while looking at the tip cartilage in the mirror.
  • The treatment strategy is to narrow the front to back width of a wide tip cartilage in addition to joining the left and right nasal cartilages in the midline.  

Nasal Hump

  • The nasal hump is commonly seen more commonly in certain ethnicities including patients from the middle east and around the mediterranean.  Some patients refer to their features as a Roman Nose.
  • The nasal hump is composed of a tall nasal bone that is contiguous with a tall nasal cartilage.
  • The treatment strategy is to file down the bone and cartilage with a special filing instrument or chisel.  Filing down the nasal hump will sometimes result in a flat top surface to the nose, particularly if the hump is particularly tall.  Imagine taking off the top of a triangle.  If the top surface looks overly flat, the nasal bones are broken at the base of the triangle and pushed inwards to close the gap at the top.

Wide Nasal Bones

  • Wide nasal bones are addressed by breaking the nose and pushing the bony side walls inward.  Imagine pushing the sides of a triangle towards the midline of the triangle.

Wide Nostrils

  • Wide nostrils are commonly seen in certain ethnicities including asians and patients of color.
  • The treatment strategy is to perform a “wier excision” that can decrease the circumference of the nostril.  Imagine the nostril as a circle where the base of the circle is located where the nostril joins the cheek.  A wier excision will remove a small wedge of the nostril at the base followed by closing up the smaller circle.  The scar is hidden in the crease between the nostril and cheek.

Flat Nasal profile

  • Flat nasal profile is the opposite of a nasal hump.  This finding is commonly seen in certain ethnicities including asians and patients of color.
  • The treatment strategy is to build up the nasal profile using facial fillers, cartilage grafts, or implants.  Adding facial fillers are the easiest option and an option that we perform daily because it does not require surgery.
  • Voluma, juvederm, or radiesse are common facial fillers.  These are injected in the office in a 10 minute procedure with no downtime
  • Patients having surgery for other cosmetic concerns will often opt for septal cartilage grafts or implants created for this purpose.

Juvederm Ultra–  Juvederm Ultra is a hyaluronic acid gel that will last up to 1 year.  This is an excellent filler for anywhere on the nose including the nasal bridge and the nasal tip

Voluma–  Voluma is a cousin of Juvederm Ultra.  It is a hyaluronic acid that will last up to 2 years.  This is an excellent filler for anywhere on the nose including the nasal bride and the nasal tip

Radiesse –  Radiesse was one of the original cosmetic fillers used for the nonsurgical nose job.  It is made of calcium hydroxyapatite gel.  It is an excellent choice for the nasal bridge as it resembles the structure of bone, but can cause granuloma formation at the nasal tip.  It can last up to 2 years if placed over the nasal bridge.

  • A Nonsurgical Nose Job (Also known as a liquid nose job)
  • Open Rhinoplasty
  • Closed Rhinoplasty
The choice of procedure depends on several factors including defining the features that you want to have addressed,  your willingness to have a less than permanent result, and your tolerance for the complications and recovery for surgery.  When you come in for your consultation, the first thing that we will do is discuss your cosmetic complaints.  The nature of the complaints will determine whether a nonsurgical option is possible.  And if it is, you will need to decide whether you would prefer to have a nonsurgical nose job or a surgical nose job. And if you would prefer to have a surgical nose job, we will discuss the benefits of whether you would benefit more from an open rhinoplasty or a closed rhinoplasty.

You have to be open to a result that will last only 1-2 years (fillers will last up to 2 years).

  • You have a flat nasal bridge.
  • You have a broad or bulbous nasal tip.
  • You have a cleft nasal tip.
  • You have a minor bend or depression of the nasal cartilage as is seen after some nasal surgeries.

You are NOT a candidate for a nonsurgical nose job if:

  • You are looking for a permanent solution to your cosmetic nose complaints
  • Your main complaint is a nasal hump or bump over the nasal bridge
  • Your main complain is a very broad or bulbous nasal tip
  • You are looking to narrow the nasal bones or nostrils

You are a better candidate for a surgical rhinoplasty than a nonsurgical rhinoplasty if:

  • You are looking for a permanent solution to your cosmetic nose complaints.
  • You are open to a recovery that will require you to be out of work for at least a week.
  • You are open to the surgical recovery and potential complications.
  • Your main complaint is a nasal hump or bump over the nasal bridge.
  • Your main complain is a very broad or bulbous nasal tip.
  • You are looking to narrow the nasal bones or nostrils.

You are a candidate for nose reshaping if:

  • You think you have a nasal hump
  • You think the nasal tip is too large or bulbous
  • You think the nasal bones are too wide
  • You think the nostrils are large or wide
  • You think your nose is crooked
  • You think your nose is too flat

Pain After Rhinoplasty

Recovery after a nose job depends on what kind of procedures were performed.  Contrary to popular belief, nose reshaping procedures are not particularly painful and most patients will need narcotic pain medication for more than a day or two.  If a nasal hump or osteotomy ( to narrow the nasal bones ) is performed, an external splint is on for 7-10 days.  If a septoplasty is performed, internal septal splints are placed for 7-10 days.  If a septoplasty is not performed, the nosed is packed with a non-stick dressing for 2-3 days.  Some minor bleeding is expected for 1-3 days.  

Return to Work After Nose Job Surgery

Most patients will  :

  • Most patients will be “mentally capable” of work in 3-5 days
  • External splint ( if needed ) is removed in 7-10 days
  • Internal splint ( if needed ) is removed in 7-10 days
  • Nasal packing is removed in 2-3 days
  • External sutures are removed in 7-10 days
  • Internal sutures are absorbable by may need to be addressed in 7-10 days
  • Clean suture line with peroxide IF there is crusting and then apply ointment 2-3x per day

Non-surgical rhinoplasty  – Non-surgical rhinoplasty is a technique that Dr. Chang pioneered in Virginia in 2001.  He is an expert injector who has treated thousands of patients using this technique.  It is ideal for patients with flat nasal bones, small nasal humps, small depressions, and wide nasal tips.  The procedure is performed by strategically injecting fillers and provides immediate results that can last up to 2 years.  In many patients, this procedure allows patients with minor issues to avoid the time, risk, and expense of surgery

Closed Rhinoplasty –  The two major surgical techniques for performing a nose reshaping procedure are the closed and the open rhinoplasty techniques.  aDr. Chang performs both depending on the nature of your issues.  Closed procedures have no visible external scars.  An incision is placed inside the nose and all the work is performed using this incision.  This procedure is ideal for patients who do NOT need work on their nasal tip cartilages.  It is ideal for patients who only need work to either reduce a nasal hump or narrow the nasal bones

Open Rhinoplasty  –   The two major surgical techniques for performing a nose reshaping procedure are the closed and the open rhinoplasty techniques.  Open rhinoplasty procedures are performed using incisions inside the nose that extends to an surface incision at the bottom of the nose on the columella.  This incision is used for patients who require work on their nasal tip cartilages, either to refine the tip, narrow the tip, or to make it smaller.  The nasal bones can also be addressed through this incision.

Nostril Narrowing ( Wier Excision ) –   This procedure is performed to make smaller a large or flaring nostril

Septoplasty –  A septoplasty is a procedure to fix a deviated septum.  The septum is the cartilage the separates the two nasal cavities.  The septum is naturally straight but it can deviate with time or after a traumatic injury.  The deviation can sometimes result in closing off of one of the nasal cavities, making it difficult to breath.   A septoplasty can be performed to remove the part of the septum that is curved or causing the breathing problems at the same time of your rhinoplasty.

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Nonsurgical Nose Job

Starts at $1200

Popular Additions

Other Names for a Nonsurgical Nose Reshaping Procedure 

  • Liquid nose job
  • Nonsurgical nose job
  • Liquid rhinoplasty
  • Nonsurgical rhinoplasty

You are a candidate for a Nonsurgical Nose Job if:

  • You are open to a result that will last only 1-2 years
  • You have a flat nasal bridge or nasal profile ( as seen in Asians )
  • You have a broad or bulbous nasal tip
  • You have a cleft nasal tip ( separation of the nasal tip cartilages )
  • You have a “minor” nasal hump
  • You have a minor bend or depression of the nasal cartilage often seen after surgery

How Do You Treat The Different
Areas Of The Nose?

Nasal Bridge

Raising the height of the nasal bridge is one of the most common nonsurgical rhinoplasty procedures. You can use any of the 3 cosmetic fillers including Juvederm, Voluma, and Radiesse. Our preference is to use Voluma as it will provide a good result for up to 2 years. You can also add some of the filler to the nasal tip if there is anything left. The filler is added through a very small facial filler needle directly to the nasal dorsum. You can actually immediately and directly see the nasal bridge get higher as the filler is injected. The filler has numbing lidocaine in it so the procedure is not painful

Increase The Projection Of The Nasal Tip

Increasing the projection of a flat nasal tip is the second most common use case for the nonsurgical rhinoplasty procedure. Radiesse is not used in the nasal tip as it can cause small granulomas. We have never granulomas or other product related complications from Juvederm or Voluma. Our preference is Voluma as it will provide a good result for up to 2 years. The filler is added through a very small facial filler needle directly to the nasal Tip. You can actually immediately and directly see the nasal tip get higher as the filler is injected.  The filler has numbing lidocaine in it so the procedure is not too painful. Antibiotic is also usually added.

Narrow A Broad Or Bulbous Nasal Tip

Because adding filler is actually an additive process, the filler can not actually narrow a broad or bubous nasal tip. The effect is actually an optical illusion. By increasing the tip projection (see above), the nasal tip will actually appear to narrow. Obviously, if the nose is too broad, the effect will be limited.  This will be determined during your consultation.

Decrease The Appearance Of A Small Nasal Hump

Because adding filler is actually an additive process, the filler can not actually decrease the height of the nasal hump. The strategy, in smaller nasal humps, is to add filler above the hump toward the top of the head and below the hump toward the nasal tip. An illusion is created that makes the nose look straight. Obviously, if the hump is too big, the effect will be limited. This will be determined during your consultation

Correct Minor Deformities Seen After A Surgical Rhinoplasty

Minor irregularities in the nasal bridge as well as the nasal tip cartilages are common after surgical rhinoplasty procedures. Some estimate that they are present in up to 20% of surgical patients. Dr. Chang made a name for him as a national expert in correcting nasal deformities after hundreds of nasal correction procedures. Many of these corrections can be performed using techniques for the nonsurgical rhinoplasty procedure. Filler can be molded and artistically sculpted with the nasal tissue to give beautiful and clean nasal contours. 

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Rhinoplasty: Surgical vs Nonsurgical

The reasons why people want a nose job, also known as rhinoplasty, are many. Some may simply want to improve their ability to breathe with their mouths closed. A deviated septum, resulting from facial trauma while playing high-school sports, may make it harder to breathe through the nose.

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Rhinoplasty Benefits: It’s Not Just About Being Beautiful

It can be easy to assume that all rhinoplasties (or nose jobs) take place for purely aesthetic purposes, but it is also a nose reconstruction process used to repair nasal damage or scarring resulting from burns, injuries, or genetic defects.

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Before and After Nonsurgical Rhinoplasty Images

Before Rhinoplasty

After Rhinoplasty

23 year old female nurse from Virginia who came in for general consultation after she had a surgical rhinoplasty. She came to consult with Dr. Chang because of his expertise in correcting complications of previous rhinoplasties as well as his reputation for performing an elegant nose reshaping procedures. Her surgical rhinoplasty left her with severe deformities of her nasal tip cartilages. Some cartilage was bent, others were missing. The nostrils her also deformed. Finally the nasal bridge was taken down too far.  

Her options included complicated nasal reconstruction which would have required taking cartilage grafts from her ribs with no guarantees of success. We opted to perform a 15 minute non-surgical rhinoplasty procedure that build up her nasal bridge and sculpted a nice and smooth nasal tip. We used Radiesse at the time because Juvederm was not yet invented. Today, we would have used Juvederm or Voluma.

Before Rhinoplasty

After Rhinoplasty

30 year old female with a scooped nasal deformity after a surgical rhinoplasty from another surgeon.  Voluma and radiesse were used to build up the nasal bridge as well as to correct minor imperfections of the nasal tip.

Before Nonsurgical Rhinoplasty Virginia

Before Rhinoplasty

After Nonsurgical Rhinoplasty

After Rhinoplasty

22 year old Asian female from Virginia who came in for a liquid rhinoplasty consultation. She had a characteristic Asian nose with a flat and broad nasal bridge and tip. She was a perfect candidate for a liquid rhinoplasty. Her 15 minute procedure including building up her nasal bridge and adding projection to her broad and flat nasal tip. You can see that her profile was significantly improved. The procedure was performed using Juvederm for the nasal tip and Voluma for the nasal bridge.

Before Rhinoplasty

After Rhinoplasty

36 year old female who came in for general consultation about her nose looking for options. She had a previous surgical rhinoplasty that left caused her with a deformed nasal tip. Surgical revision or correction would have required cartilage grafting with cartilage obtained from her nasal septum or ear cartilage. She elected for a nonsurgical option. We injected the nasal tip with Voluma. You can see in her after picture which was taken immediately after (still red at the injection site) that the cartilage deformity was complete fixed in a 15 minute procedure in the office.

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Nose Job in Northern Virginia

Dr. Phillip Chang Plastic Surgeon in Loudoun VA

Dr. Phillip Chang is a leading plastic surgeon in Loudoun County who specializes in surgical and nonsurgical cosmetic procedures for the breast, body, face, and skin. He is board certified in plastic surgery by the American Board of Plastic Surgery and is the founder of Aesthetica Cosmetic Surgery & Laser Center in Leesburg, VA. Dr. Chang is dedicated to providing high-quality service that concentrates on the unique needs and concerns of his patients. He believes combining attentive care and minimally invasive techniques is the best avenue for achieving beautiful, natural-looking results. Dr. Chang is thrilled to be serving the greater northwest area of Washington, D.C. with top cosmetic care that is dependable and trustworthy.

Interested in learning more about Dr. Chang? Click here.

We are based in Leesburg, VA. Located as part of the Lansdowne medical complex, you have access to our 24-7 state-of-the-art facility as well as access to Lansdowne hospital. We are based directly across the road from INOVA hospital. There is ample parking, elevators to bring you to our third floor offices, and welcoming staff to sign you in.

We are proud of our surgeries and cosmetic procedures and love that our patients are happy too. They like to shout it out on Google, Yell, Facebook, and right here on our website. Check out our reviews here.

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All potential patients receive either a phone, virtual, or in-consultation for free.

During the consultation we will discuss your treatment wishes and expectations. This is the time to ask us lots of questions to really understand what is involved, what the costs will be, and what is expected of you. This is also a great time to get to know Dr. Chang.

Aesthetica has received numerous awards from the Loudoun County Chamber of Commerce, New Beauty, Best of Loudoun, Posh 7 Top Picks, and Dr. Chang is internationally known for his lectures and advances in precise surgical technique as demonstrated through his unique mini-facelift procedure.

We have three execeptionally talents cosmetic nurses:

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Solutions for the Nose Job

More Rhinoplasty FAQs

Leesburg | Loudoun | Ashburn | Virginia

Nose-Illustration

The cost of rhinoplasty varies based on what technique is used and how complex your procedure is. Before estimating costs, Dr. Chang will listen to your concerns and goals to help develop your custom treatment plan. When this is done, he can discuss costs for the facility, anesthesia, and more. For your best results, it’s important to focus on selecting an experienced surgeon, like Dr. Chang, instead of the lowest cost. To help make your surgery easy to afford, Aesthetica Cosmetic Surgery & Laser Center accepts several payment methods and our office can help you find low-interest financing.

The cost of a plastic surgery after nose job surgery depends on the type of surgery.  Cost should be only a small factor in choosing the plastic surgeon.  The prices listed below are subject to change.  Combined procedures ar often discounted dramatically.  Facility center fees are only estimates

  • Surgeon’s fee – Open rhinoplasty – $7,500.
  • Surgeon’s fee –  Closed rhinoplasty  – $6,500
  • Surgeon’s fee – Nostril reduction  – $2,000
  • Surgeon’s fee – Cartilage graft from the ear – $2,000
  • Surgeon’s fee – Septoplasty  – $2,000
  • Surgery Center Fees –   $ 2,000ish
  • Combined procedures are usually discounted
  • VIP Members may have a discounted rate

Although rhinoplasty for cosmetic reasons is not paid by insurance, functional rhinoplasty that is medically necessary to improve your breathing may be covered. If you may be applying for reimbursement from your insurance, please tell Dr. Chang in your consultation. We can help you submit any needed information and paperwork to your insurance to process your claim.

If you want to smooth lumps and bumps on your nose, a wrinkle filler (like Restylane or Juvéderm) might be an option. A filler can temporarily improve minor imperfections, which might help you decide to get a rhinoplasty. Nose surgery is better for larger changes, long-lasting results, and to adjust the internal structure for better function. At your consultation, Dr. Chang can tell you more about nonsurgical nose reshaping.

Ethnic rhinoplasty is about improving the nose while still keeping your cultural identity. This is often a concern if you are African-American, Asian, or Middle Eastern. In your consultation with Dr. Chang, you can talk about what you want to keep and what you want to change. This will allow him to personalize your treatment plan to give you your best results.

Some patients think about combining rhinoplasty with another procedure, like cheek or chin augmentation. Having multiple surgeries for a dramatic result can be reviewed during your consultation with Dr. Chang. Once he understands your goals, he can help you choose which procedures will be in your custom plan. Rhinoplasty can help your whole face appear more balanced, so you should wait to see your results before getting another procedure.

“Rhino” means nose, and “plasty” means to shape, mold or form. So rhinoplasty is a procedure that reshapes the nose to improve facial balance and appearance.

The two major surgical techniques for performing a nose reshaping procedure are the closed and the open rhinoplasty techniques.  The scars or incision are placed inside the nose and all the work is performed using this incision. Closed procedures therefore have no visible external scars. This procedure is ideal for patients who do NOT need work on their nasal tip cartilages. It is ideal for patients who only need work to either reduce a nasal hump or narrow the nasal bones

An open rhinoplasty is most appropriate for patients looking to change the appearance of the nasal tip.  This would be true for patients wanting to address a “bulbous” nasal time or tip that is too pointed or crooked.  The procedure uses the internal incisions used for the closed rhinoplasty but that are joined in the middle under the columella.  This very small incision allows the surgeon complete and dramatic visualization that is not possible with a closed rhinoplasty.  As mentioned above, a closed rhinoplasty is mostly a “blind” procedure mostly performed by touch and feel.

Direct visualization of the nasal framework allows maximum diagnostic accuracy as well as precision for modification. This approach is especially useful for patients who require complex changes or those with challenging anatomy such as revision rhinoplasty where the tissues have been previously altered.  The trade-off is that open rhinoplasties require longer healing times as the nasal tip will swell for longer.

As you can see, both procedures have their pros and cons.  Dr. Chang performs both procedure depending on your exact needs.  

As with any surgery, there are associated risks. Only you can decide whether a plastic surgery after nose job can achieve your goals and whether the recovery and risk profile are acceptable to you. National statistics show that revisions after nose reshaping is required in 10-20 percent of all patients. Fortunately, most revisions are minor. The most common complications are problems with delayed healing, infection from the stitches, minor tissue loss in areas of delayed healing, and widened or thickened scars and the need for more surgery.

Although infrequent, the risks and complications of plastic surgery after nose job can include

Bleeding, hematoma, or bruising
Asymmetry
Infection particularly from the absorbable sutures
Change in sensation
Widened or thickened scar especially in patients of color
Delayed wound healing or tissue necrosis
Under-correction or Over-correction
Unsatisfactory results that may require additional procedures. Patients are responsible for any associated facility fees.

Although patients will look presentable almost immediately, final results of nose reshaping are not usually seen for at least 6 months to a year. This is particularly true of the nasal tip. The nose will continue to change until the tip cartilage feels soft to the touch.

Moderate swelling for up to 3 months
Mild swelling for 6-12 months
Revisions are NEVER performed except under special circumstances performed until 12 month

Recovery after rhinoplasty surgery or nose reshaping surgery comes in different stages.   The elements include:

  • Most patients will be “mentally capable” of work in 3-5 days
  • External splint ( if needed ) is removed in 7-10 days
  • Internal splint ( if needed ) is removed in 7-10 days
  • Nasal packing is removed in 2-3 days
  • External sutures are removed in 7-10 days
  • Internal sutures are absorbable by may need to be addressed in 7-10 days
  • Clean suture line with peroxide IF there is crusting and then apply ointment 2-3x per day

Recovery after a nose job depends on what kind of procedures were performed. Contrary to popular belief, nose reshaping procedures are not particularly painful and most patients will need narcotic pain medication for more than a day or two.

  • If a nasal hump or osteotomy ( to narrow the nasal bones ) is performed, an external splint is on for 7-10 days.
  • If a septoplasty is performed, internal septal splints are placed for 7-10 days.
  • If a septoplasty is not performed, the nosed is packed with a non-stick dressing for 2-3 days.
  • Some minor bleeding is expected for 1-3 days.

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