Although it is not intended to replace surgery or make definitive corrections, nonsurgical rhinoplasty can significantly change the appearance of the nasal pyramid at the level of the dorsum (it may hide the dorsal hump, it may straighten the saddle nose) and the tip (it may elongate and may “sharpen” a flattened nose).
For patients who can’t benefit from surgery for medical or personal reasons, nonsurgical rhinoplasty may offer them the opportunity to achieve the desired nasal correction. Also, patients considering a surgical rhinoplasty can “test” the appearance before making the final decision to operate. And last but not least, the method is useful for patients who have already been operated, but the results do not coincide with preoperative expectations. It should be stressed that non-surgical rhinoplasty can’t solve functional and breathing problems and severe deviations.
The office-based procedure involves injecting hyaluronic acid, is short in duration, is generally comfortable and presents a low degree of risk. Although it can be done without anesthesia, topical anesthetic can be used for patients with a low pain threshold. The results are immediately visible, the procedure doesn’t require any recovery period and no scarring occurs.
The contraindications of non-surgical rhinoplasty are the same as for any hyaluronic acid injections: acute or chronic skin infections, allergies to fillers, pregnancy and breastfeeding. Patients who have undergone nasal pyramid surgery should be evaluated with utmost of care and treated with caution.
Every procedure can have side effects and complications. They are usually minor and common – bruising and moderate edema for a few days. Hyaluronic acid injected in high volumes can be visible or palpable under the skin, in which case we can try a light massage or we can “melt” excess product with hyaluronidase. The most severe risk is blindness, an extraordinarily rare but serious complication that all patients need to be informed about prior to injection. Blindness occurs as a consequence of intra-arterial injection of hyaluronic acid, so it is extremely important that you only contact a specialist physician with extensive experience and a perfect knowledge of local anatomy.