When someone looks in the mirror and is unhappy with their nose, there may be several factors that may cause them dissatisfaction. It could be a bump on the nose, an indentation, a scar, an irregularity from a previous nose surgery, or a flattened tip. All these conditions can be improved with a non-surgical rhinoplasty with fillers (injectables).
Because of the massive amounts of fillers on the market, people can get confused by the difference between each injectable. Restylane®, Restylane® Lyft, and Juvéderm® are all gels made from hyaluronic acid, a natural sugar that binds water and creates fullness that lasts six to 12 months. Radiesse®, a more viscous filler, is made from tiny calcium particles in a solution, which also creates fullness that is less forgiving than the hyaluronic acid fillers, but can last one to two years. A non-surgical rhinoplasty can be performed on patients by utilizing the different fillers, depending on the concern.
Of course, there are limitations to what a non-surgical rhinoplasty can accomplish. It cannot make a nose smaller, but it can create a better balance between the bridge and the tip of the nose to make it more aesthetically pleasing. It cannot improve on breathing problems, and it cannot mask major septal deviations, which needs to be accomplished surgically. Furthermore, a non-surgical rhinoplasty is a temporary procedure lasting about six to 24 months, depending on the type and quantity of filler used. This may be repeated, or the patient may elect to have a surgical rhinoplasty for more permanent results.
Following appropriate consultation and consent, the patient is prepared in the treatment suite. The three anatomical points and injection areas are marked at the radix, either side of the dorsal hump and the tip. Topical anaesthesia creams may be used; however, be aware that there is a slightly higher incidence of swelling, irritation and bleeding at the site, which could obscure the subtle contours needing treatment.6
To avoid the need for additional anaesthetic pre-injections, which can distort and mask the fine nasal discrepancies, a HA with integral lidocaine is selected. The ideal filler should be a viscous, cross-linked hyaluronic acid that offers increased longevity and volumising capability.
The injection is performed in the least traumatic way possible with the minimum number of penetrations – ideally only three. As the 3-point technique refers to the three critical anatomical points on the nose that are addressed with this procedure, not the number of injections made, occasionally it may be necessary to re-inject at the same site if the correction is insufficient.
In non-surgical rhinoplasty, as with surgical techniques, the principle should be to inflict the least amount of damage to the soft tissues, thereby reducing pain, swelling and scarring. The preference therefore is to use a needle, directly injecting at discrete points.
An inert HA filler, which triggers minimum tissue reaction and has a low swelling profile should be used. Non-HA collagen stimulators or other bioactive semi-permanent fillers that could provoke increased collagen formation or scarring should be avoided in the nose.7 For this technique in particular, I always perform with a needle for direct injection at the critical points; there are other instances when cannula is necessary such as correction of a deviation. Overzealous cannula techniques should be avoided to reduce the amount of repetitive burrowing under the skin and minimise the amount of trauma and potential scarring to the soft tissues of the nasal dorsum.
The 3-point Rhino is extremely versatile and can be used to treat a wide array of patients. The ideal patient should have realistic expectations of the results that can be achieved following a non-surgical procedure.
A typical nose with a gentle dorsal convexity or hump, low radix and deficient tip projection is the ideal candidate for treatment with non-surgical correction techniques such as the described 3-point Rhino method. It is important to make the patient understand that by adding volume to what they might already perceive as their ‘big nose’, it will naturally become bigger, though this will not be obvious.
The improved balance and proportion, and the straightened profile and lifted tip, are much more noticeable and will make the nose more attractive and in harmony with the rest of the face.
A non-surgical nose job, also known as Injection Rhinoplasty or a “15 minute nose job” (it actually takes longer) is primarily a cosmetic procedure. It’s non-surgical but it’s still serious, and there are risks you’ll want to understand before proceeding.
The nose is SUCH an important facial feature, and the risks of injecting are such, that we believe you should NOT risk choosing an Injector based primarily on cost or discounted pricing. It’s just not worth it!
How much does a non-surgical nose job cost?
The cost of non-surgical nose enhancement depends on the volume of dermal filler required and starts from £500 for 1.0ml of Perlane. Unless the client has a very low nose bridge, we are able to resolve the majority of clients’ nose concerns with the £500 treatment.
How long does a nose enhancement last?
The duration of dermal filler is usually quoted as 6 – 12 months by the manufacturer. However, in our experience, the aesthetic benefit of a nose enhancement (e.g. masking a nose bump, lifting a nose tip, elevating a low bridge, straightening a bent nose, etc.) will be gone sooner even though filler remains. A typical pattern for nose enhancement clients is to have a nose enhancement 2 – 3 times in the first year, then 1 – 2 times/year thereafter. There are many factors that can shorten the duration of filler (e.g. fast metabolism, poor diet, smoking, lack of sleep, cardiovascular exercise, large muscle mass, etc.). We have no control over how long filler lasts once it is injected, and so can offer no warranty as to aesthetic duration. Once the body has got used to the filler, and we are working on an established foundation, then the aesthetic benefit starts to have a longer duration. For more information, please see this article: How long will my dermal filler last?
What does a non-surgical nose job involve?
A non-surgical nose job involves the injection of dermal fillers into the nose for the instant correction of many aesthetic nose issues including: small dorsal hump, drooping tip, low nose bridge, crooked nose, ski slope nose, etc. The injections take only 10 – 15 minutes, results are instant and the treatment can be reversed if you don’t like how it looks. The treatment is NOT appropriate for making very large noses smaller, reducing bulbous nose tips, making very wide nostrils smaller, etc. For those concerns, we perform surgical rhinoplasty procedures.
How long do I need to recover from bruising and swelling after a non-surgical nose job treatment?
It is normal to have some bruising and swelling following any dermal filler injection which can last several days. How obvious it is, and how quickly you recover, varies from person to person depending on underlying health and the extent to which you have followed our precare and aftercare advice. If you diligently avoid blood thinners and take arnica tablets PRIOR to treatment, and apply arnica cream, take acrivastine & bromelain and use HOT compresses AFTER treatment, you will recover as quickly as your body will allow. Follow this link for our nose enhancement precare and aftercare protocol.
Do you have a computer programme that can show me what my nose will look like after treatment?
No, we do not use such programmes because anything is possible using something like Photoshop, but that doesn’t mean it is physically possible to deliver that in a treatment. We prefer to show clients a range of actual client before and after photos improving similar concerns. That is a much more accurate representation of what is both possible and what can be delivered with the skill of the specialist.
Can a non-surgical nose job be financed?
Finance is available subject to status for treatments costing in excess of £600. However, the vast majority of our non-surgical nose jobs are with 1.0ml of Perlane, which is priced at £500 and therefore below the minimum financing threshold.
My nose wrinkles up and drops down when smiling/laughing. Is this something that could be corrected by a non surgical nose job?
A nose tip that droops or dips when smiling, laughing or talking is a very common complaint. It is caused by a muscle connected to the tip of the nose called the depressor septi nasi being too strong. During a surgical rhinoplasty we routinely disable this muscle. During a non-surgical nose job, we can provide support to the nose tip to reduce the drooping on animation.