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  • Writer's pictureDr. Waterman

Behind the Scenes: Non-Surgical Rhinoplasty (Filler Nose Job)

Updated: Sep 23, 2019

Lately, I've received a large volume of questions pertaining to non-surgical rhinoplasty, or Filler Nose Jobs, as they are more commonly known. In order to best address the conceptual and procedural aspects of Non-Surgical Rhinoplasty, I thought I would share with you this behind-the-scenes look into one of my Non-Surgical Rhinoplasty cases from this summer.

Let's start with the basics.

SEATTLE, WA - Rhinoplasty Expert Non-surgical nose job
These pictures are immediately before- and after- a patient's non-surgical rhinoplasty.

What is a Filler Nose Job?

Non-Surgical Rhinoplasty uses dermal fillers (While filler nose-jobs are currently an off-label use, we only use FDA-approved HA dermal fillers) to add volume to areas of the nose, changing its shape and size. Because fillers have an immediate effect, you will notice a powerful difference right away. Results continue to develop as they refine during the week following injection. Typically, results last 6-months to a year or longer.

Seattle, WA - Filler Nose Job A young woman before non-surgical rhinoplasty
This patient was a good candidate for non-surgical rhinoplasty. Her aesthetic goals were to improve her symmetry, raise her droopy tip, and even out her dorsal hump.

Is a Non-Surgical Rhinoplasty right for me?

Non-Surgical Rhinoplasty can be an effective treatment for many aesthetic nose problems, from droopy tip to a dorsal hump, and even varying degrees of asymmetry and torsion. Non-surgical rhinoplasty may not be sufficient for correcting some aesthetic goals, and the results are not permanent, so you should consult with a surgeon to identify all your options before committing to a treatment plan. If you are curious whether you are a good candidate for non-surgical rhinoplasty, contact us today to arrange your consultation.

Before your Filler Nose Job

SEATTLE, WA - Rhinoplasty Expert Dr. Waterman performs Non-Surgical Rhinoplasty in Seattle, WA.
Dr. Waterman wipes away excess numbing cream and cleans the skin with alcohol before starting injections.

Right before I perform your non-surgical rhinoplasty, you will apply a numbing topical ointment to the nose, in order to reduce your discomfort during the injections. You'll have to wait about ten minutes while it takes effect. I recommend bringing earbuds or headphones, so you can listen to your favorite music and relax. During the week or so leading up to your procedure, avoid taking aspirin, NSAIDs like ibuprofen, herbs like ginko biloba, and anything that is considered as blood-thinning, as these may increase the likelihood or severity of bruising, bleeding, and swelling at injection sites. Some patients report that oral and topical arnica oil is helpful to reduce bruising and swelling associated with cosmetic injections.

Shaping your nose

SEATTLE, WA - Rhinoplasty Expert Dr. Waterman performs non-surgical rhinoplasty in Seattle.
Dr. Waterman redefines the contours of the nose by adding volume where it's needed.

I use a fine needle to inject dermal filler precisely where it needs to go. With years of surgical experience and training in dermal injection techniques, I have no problem identifying the proper layers of tissue where filler should be placed, while avoiding sensitive nerves and blood vessels. Adding volume to various areas of the nose redefines the contours and shapes of the nose, improving the overall symmetry and appearance.

What to expect afterward

SEATTLE, WA - Rhinoplasty Expert A young woman who has had a non surgical nose job.
Immediately after injections, some light bleeding or discoloration is normal.

Many injections are performed during the 10- to 20-minute procedure, which may leave some blood spotting or temporary bruising. This is normal for most patients, and some bleeding and discoloration can be expected. While you will see results immediately after injections, as the Dermal Filler continues to set in your skin, the results should continue to improve. Dermal fillers swell during the first several days after injection, and may cause some discomfort for the patient during that time.

Follow-up Care

Filler Nose Jobs typically last from 6-18 months, depending on the volume of filler used, where it was injected, and other factors such as metabolism. Because fillers are temporary, it is reasonable to expect to have your nose touched up in the future. We recommend touching base with us six-months following your non-surgical rhinoplasty, so we can evaluate your nose and determine the best plan for you. Whether you choose to schedule a touch-up or an evaluation for a surgical rhinoplasty, we will help you get the most out of your results. We want all our clients to be completely satisfied with their results, no matter what.

Voila! Instant nose job!

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