How does a non-surgical nose job work?

Traditionally, corrections to aesthetic problems of the nose are made through rhinoplasty or rhinoseptoplasty. These procedures, with highly satisfying results, are based on the remodeling of the nasal bone and cartilage to achieve a change in the shape of the nose. On the contrary, rhinomodelation, or a non-surgical rhinoplasty, is a procedure in which injectable filler materials are used to modify the nose shape without invasive surgery. This technique is commonly referred to as a non-surgical nose job.

In recent years, Michigan plastic surgeons have found an increasing number of patients looking for aesthetic improvement of their nose without having to undergo a surgical rhinoplasty. Although surgery is recommended for most, a non-surgical nose job is often considered by many patients as it allows the surgeon to eliminate irregularities and asymmetries of the nose with an apparently simple procedure. In addition, this technique at a lower cost in Michigan it can be done under local anesthesia, and the recovery time is much shorter.

Pros and cons of a non-surgical nose job

The main areas that can be improved by rhinomodelation include the nasal dorsum, radix, deformities of nasal walls, projection, and rotation of the nasal tip, nasolabial angle, and certain nasal asymmetries. The nasal tip is an area where great results can be seen with injectable fillers.

Non-surgical nose jobs have been performed for several years, however, it is important to consider several factors related to their effectiveness. The human nose has a particular intolerance to synthetic materials used in nasal fillers. Initially, they tolerate the fillers well, but over the years they usually present problems and often need to be withdrawn (if possible). Injectable synthetic fillers can be especially dangerous because many of them cannot be removed and can lead to the deformation and destruction of tissue.

A non-surgical nose job is particularly useful to correct deformations in the back and tip of the nose, however, most require modifications of the bone and/or cartilaginous structure of the nose. In this sense, there is a very low percentage of patients who can be effectively modeled without surgery.

The best candidates for non-surgical rhinoplasty Michigan are patients who want a rhinoplasty that does not distort their facial profile and patients with excessively thin nasal skin. Some secondary rhinoplasties can also be performed with this method.

Filling materials used in non-surgical rhinoplasty

The most important characteristics to take into account when choosing a filling for the nasal contour are the viscosity, elasticity and hydrophilic capacity of the material. Viscosity refers to the ability of a material to resist the applied force; that is, it does not easily migrate from the place where it was placed.

The elasticity is the resistance to deformation when pressure is applied; If it is more elastic, it will provide more support and require less volume. On the other hand, if a filling is very hydrophilic, it can be a disadvantage, since the expansion that occurs with the influx of water to the tissues increases the potential risk of compressing vessels or overcorrecting structures.

Remember, when you schedule a consultation for rhinoplasty Michigan, you will meet with a surgeon who will explain the pros and cons of each filler and help you decide which is best for you.

The facial fillers can be permanent or temporary and are classified into three categories: Collagen, hyaluronic acid and biosynthetic polymers (poly-L-lactic acid, calcium hydroxylapatite, polymethylmethacrylate, polyacrylamide gel).

Polymethylmethacrylate: Polymethylmethacrylate (PMMA) is a permanent filler material that consists of nonabsorbable PMMA microspheres suspended in an aqueous carrier solution of bovine collagen. Once injected, the collagen is replaced and the microspheres act as a constant stimulus for tissue regeneration. PMMA requires allergy testing prior to infiltration.

Polyacrylamide: Polyacrylamide is a permanent filling material formed by a non-resorbable hydrogel containing 2.5% polyacrylamide and 97.5% water.

Hyaluronic Acid: Hyaluronic Acid is a natural and biodegradable polysaccharide. It has great biological compatibility, so it is not necessary to perform allergy tests. It was approved by the FDA in 2003, and is today the most used filler.

Calcium Hydroxyapatite: Calcium Hydroxyapatite (CaHA) is a temporary, injectable soft tissue filler, composed of CaHA microspheres suspended in an aqueous carboxymethyl cellulose gel support. After 2-3 months the carboxymethylcellulose is reabsorbed and the CaHA forms a scaffold in which the cells of the dermis aggregate and produce collagen. CaHA is biocompatible, therefore it does not need allergy tests prior to its use. The duration of this filling is 12-14 months.

Collagen: Collagen is a resorbable filler whose duration varies between 4 to 6 months. There are two types of collagen approved for use in rhinomodelation. the first one is of animal origin, with which it is obligatory to carry out an allergic test one month before its use and then 15 days after the procedure. However, despite these precautions, allergic reactions continue to be reported between 1 and 2% of patients.

In 2003, collagen of human origin began to be commercialized in the United States and used during Michigan rhinoplasty procedures. This material can be implanted without the need for allergy tests; but the way it is obtained and the need for screening to avoid viral and bacterial diseases, make it more expensive than collagen of animal origin. Its relative rapid reabsorption, together with the obligatory allergy tests, or the price factor derived from its processing, make this filling material little used at present.

Final thoughts and choosing a surgeon

When undergoing any cosmetic procedure it is critical that your surgeon is highly experienced and hold a strong track record for success. An inexperienced surgeon can leave you feeling extremely self-conscious about your results, and or even worse off than before. Rhinoplasty surgery, either for aesthetic reasons or out of medical necessity is both a procedure and an art. Properly designing a symmetrical yet natural looking nose is something surgeons can often struggle with, making it a job best done by an expert.

Looking for the best rhinoplasty surgeon in Michigan? At SurgeonGate, we connect people just like you with heavily experienced and highly trained surgeons. Request a consultation today and a local rhinoplasty specialist will reach out to you as soon as possible, ensuring you leave feeling happy, confident and fully expressive. Check out our nose reshaping blog for more useful articles!

The post How does a non-surgical nose job work? appeared first on SurgeonGate.

source https://umassmedicalschool.com/2019/02/19/how-does-a-non-surgical-nose-job-work/