AESTHETICA

Dr. Phillip Chang M.D.

Everything You Need to Know About Non-Surgical Nose Reshaping

From one of Northern Virginia's Premier Plastic Surgeons For the Cosmetic Appearance of Your Nose

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 article 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.  

Other Names for a Nonsurgical Nose Reshaping Procedure 

  • 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. 

Approach To Cosmetic Nose Reshaping

This section describes my strategy for treating a cosmetic nose

Nose-Illustrations

The goals of a nose job is to reshape the nose to give a more pleasing appearance. This can be performed non-surgically using injectable fillers or surgically through either an open rhinoplasty technique or a closed rhinoplasty technique. Most surgical procedures are performed at the surgery center under general anesthesia. 

Some minor issues can be treated in the office under local anesthesia. Close to 50 percent of patients may not actually “need” surgery. Their cosmetic concerns can be addressed using a nonsurgical nose job using fillers. 

What Nasal Features Can be Changed With a Nonsurgical Rhinoplasty?

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

Before Nonsurgical Rhinoplasty in NoVa

After Nonsurgical Rhinoplasty in Virginia

You Are NOT A Good Candidate For Non-Surgical Rhinoplasty If:

  • You are looking for a permanent solution to your cosmetic nose complaints.
  • Your main complaint is a large 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 Good Candidate For Surgical 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 nostril.

Cosmetic Options To Address The Appearance Of Your Nose:

This article describes the nonsurgical option for nose reshaping. The surgical options for nose reshaping are described in the first part of this article. That page describes the surgical techniques and indications including closed rhinoplasty, open rhinoplasty, and nostril narrowing, 

Choosing The Filler Most Appropriate For You:

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.

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. 

Examples of Dr. Chang's Work

Before Nonsurgical Rhinoplasty

After Nonsurgical Rhinoplasty

Before Nonsurgical Rhinoplasty

After Nonsurgical 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 Nonsurgical Rhinoplasty

After Nonsurgical Rhinoplasty

32 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. Her surgical rhinoplasty resulted in a scooped nasal profile where too much bone and cartilage were removed from the nasal bridge.  

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 using Voluma. 

Before Nonsurgical Rhinoplasty Virginia

Before Asian Nonsurgical Rhinoplasty

After Nonsurgical Rhinoplasty

After Nonsurgical 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 Nonsurgical Rhinoplasty

After Nonsurgical 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.

Why Dr. Chang and Aesthetica

Dr. Chang Is Nationally Recognized As One Of The Best Plastic Surgeons By The Washington Post And Loudoun Times Mirror

  • Voted Top Doctor and Best Plastic Surgeon in Northern Virginia
  • Lectures on Facial Aging and Mini Facelift Techniques
  • Published and contributor to New Beauty Magazine
  • Board Certified by the American Board of Plastic Surgeons

Ask Dr. Chang About Nonsurgical Rhinoplasty

The cost of a nonsurgical rhinoplasty depends on the filler that is used and the nature of the deformity.  The procedure runs between 1200 to 1500 dollars

A nonsurgical rhinoplasty is considered a cosmetic procedure and is therefore not covered by insurance.  You may, however, inquire with your business administrator whether it might be covered by your HSA if you have one.

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.  

More Pages On Facial Rejuvenation Topics

Forehead and Temple Lift

Forehead and Temple Lift

Forehead and Temple Lift procedures are designed to elevate the brows.  Falling brows contribute to the heavy feeling in the upper eyelids which may also close off the eyelids

Neck Liposuction

Neck Lift

Neck lift surgery elevates the neck.  Common concerns include the extra skin below the chin, the platysma muscle bands that split in the front of the neck, and neck fat.  The procedure is commonly, but does not have to be, performed with a facelift surgery

Nose Reshaping

Nose Reshaping

Nose reshaping is often called a nose job.  The medical term for nose job is a rhinoplasty.  The the nose can be reshaped surgically or may often be performed with facial fillers.  Common concerns include the nasal hump and a large nasal tip

Beautiful woman hiding plastic surgery

Facial Fillers

Facial fillers are injection products that can add volume to areas that are lost with aging.  Common options include Juvederm, Voluma, Sculptra, Radiesse, or your own fat for transfer.

Are you ready to talk about your nose?

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Finding The Best Plastic Surgeon in Virginia

Aesthetica Staff

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 believes combining attentive care and minimally invasive techniques is the best avenue for achieving beautiful, natural-looking results.

Visit his office in Leesburg, Virginia in Loudoun County or fill out the contact form below for more information on how we can help you with your plastic surgery plans.

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