Non-Surgical Rhinoplasty (Liquid Nose Job)

Why have a Non-Surgical Rhinoplasty?

Written by Dr. Julian De Silva

A non-surgical rhinoplasty utilises a filler material to alter the shape and position of the nose. The principal advantage of the technique is that it avoids a surgical procedure, however by definition the treatment is not permanent. A non-surgical nose job can be effectively used to correct these nasal appearances: a nose with a small hump, nose that has a depression along the bridge (termed saddle nose deformity), nasal collapse from previous trauma, droopy nasal tip, beak-shaped nasal bridge (termed pollybeak). Non-surgical nose job can also be used to improve certain features of a patient’s nose who is not yet ready for a surgical rhinoplasty and to refine or augment the appearance of a person’s nose who has previously undergone rhinoplasty.

Woman's face, Before and After Non-Surgical Rhinoplasty Treatment, right side view, patient 1

Patient 1: “Liquid nose job” In patients with a mild or modest hump at the bridge of their nose, a non-surgical nose job can be used to enhance their appearance without the use of rhinoplasty.

*Results may vary

A Non-Surgical Rhinoplasty can be used for:

  • A mild to moderate Bump on the bridge of the nose
  • A Small nose that has a Low Bridge
  • A slightly Crooked nose
  • Hook shaped noses that would like straightening
  • A mild to moderate drooping of nasal tip
  • A minor imperfection after surgical rhinoplasty
  • Unevenness in patients with very Thin skin
  • Noses that would like more height and definition

Precautions are required in non-surgical rhinoplasty, as the nose is an intricate structure with important anatomy that must be preserved. There are important blood vessels in the nose that need to be avoided with non-surgical rhinoplasty and these techniques should ideally be performed by a surgeon who is also experienced in surgical rhinoplasty with knowledge of the underlying anatomy. Caution is also required to ensure a sterile environment is used to maximise rapid recovery and reduce the risk of infection. The most common filler used is a type of hyaluronic acid that naturally dissipates, most results typically last up for over one year. Carefully placed filler treatments add volume to specific points on the nose. At The Centre we use dermal fillers designed to augment shape and show instant results that last 12 to 18 months.

What does a Liquid Nose Job involve at The Centre?

Dr. De Silva and his team will use a numbing local anaesthesia cream to reduce discomfort from the procedure. The numbing cream is specially made for Dr. De Silva and was designed in Beverley Hills and manufactured in Germany. After this a small anaesthetic injection is applied in the already numb area. The Dermal Filler is then used to augment the cheeks. At The Centre we used ‘Fast-Healing’ techniques that utilize a Cannula to administer the filler for most patients, this results in less swelling and bruising than older needle based techniques. Additionally, dermal fillers can be used on other facial areas at the same time as on the cheeks to give an enhanced natural result. At The Centre we specialize in ‘Natural Looking Results’, common areas for filler enhancement include the chin & jaw line, nasolabial folds, eye area (termed tear trough), the nose, and lip enhancement.

When will I see the Results from Non-Surgical Rhinoplasty?

At The Centre you can expect to see relatively ‘Instant Results’ with our filler treatments. There will be minor swelling after filler treatment that for most patients resolves over night, more rarely there can be mild swelling for 5-days (in approximately 5%). There is a small possibility, <2% of a minor bruise, this will resolve over a few days. We use the latest in technology to enhance recovery such as ‘No-Needle” Cannula techniques that enhance recovery. For most patients, the final results of nasal fillers will be evident approximately 5-days after the swelling subsides. With our techniques (Cannula based technique, application of filler at deeper levels) and filler choice will last 12 – 18months, although results may vary from patient to patient.

Woman's face, Before and After Non-Surgical Rhinoplasty Treatment, front, left side and oblique view, patient 2

Patient 2: Irregularities in the bridge, characterized by slightly crooked nose or unevenness in patients with thin skin, can be smoothened out and enhanced with a non-surgical rhinoplasty.

*Results may vary

Will I Look Natural with Non-Surgical Rhinoplasty?

At The Centre, we specialise in Natural Looking Results. We believe in a natural augmentation of the Cheek Area. Dr. De Silva has pioneered research in the area of facial beauty and this has been published in the mainstream media and multiple TV Channels. Dr. De Silva developed the application of the Phi Golden Ratio (used in the many of the most famous Renaissance paintings of Leonardo Da Vinci) to the human face and has multiple trained specialists at The Centre to apply the principles of this facial Balance and Beautification. At The Centre we have treated many Celebrities and A-Listers with these techniques to enhance natural beauty, a term we describe as Beautification of the Face, enhancing the natural Phi Golden Ratio Lines. Of Key importance with Filler rejuvenation is avoiding excessive filler use as this no longer looks natural or beautiful, Key is application of filler in specific areas of the face that differ on each individual’s facial characteristics. The application of Nose Filler is different in Masculine and Feminine Face, in women is focused along the Phi Golden Ratio lines and a softer feminine shape, in men is focused along a straighter nose profile. If you have already had treatment that has been excessive it may be necessary to dissolve the existing filler or wait for the filler to resolve. For some patients adding filler to the nose will potentially unbalance the nose by increasing its size. For these patients we are able to advise a surgical rhinoplasty that complements your facial appearance. At The Centre we specialise in Natural Looking Results.

Watch Video: Non Surgical Nose Job
Non Surgical Nose Job

*Results May Vary

Will I experience any discomfort or pain?

We use a combination of treatments to minimise discomfort, these include the use of a powerful numbing local anaesthetic cream that is specially made for The Centre. We use State-of-The-Art Cannula (no needle) technique to minimise discomfort.

We use fillers that have incorporated anaesthetic into the injectable fillers to increase patient comfort.
At The Centre we use additional numbing and vibration devises that use the Nobel Prize winning research on ‘The Gate Control Theory of Pain” to minimise discomfort.
At The Centre, we take the above measures to ensure most patients only experience minor discomfort.

Woman's face, Before and After Non-Surgical Rhinoplasty Treatment, left side oblique view, patient 3

*Results may vary

Are there any Risks or Complications?

Studies on safety of fillers have reported filler treatments as relatively safe with few side effects when completed by trained specialists. Recorded adverse events are usually minor including temporary injection site redness for less than three days. Patients may occasionally report temporary symptoms of redness, swelling, discomfort, lumps-bumpy changes, bruising, itching or change in colour. Infection is very rare however it is important that the treatment is completed in a CQC registered site (Care Quality Commission) and sterile precautions when having filler treatments. At The Centre all treatments are completed in our specialist Facial Centre on Harley Street. Serious side effects such as damage to skin (termed Necrosis) or damage to vision have very rarely been reported. Dr. De Silva has pioneered the teaching of other doctors to avoid these serious issues in both National and International Conferences since 2012. Fillers are currently lacking from regulation, which remains a controversy in the UK. Precautions can be taken with competent practitioners to avoid these serious complications. Dr. De Silva has trained his team at The Centre to avoid these unfortunate issues by utilising modern safe and newer techniques.

Watch Video: Non- Surgical Rhinoplasty (after)
Non- Surgical Rhinoplasty

*Results May Vary

What treatments are best avoided in the Nose?

We use a combination of treatments to focus on a natural rejuvenation that is both safe, long lasting and safe. Over the last 5-years fillers have become more and more popular as both the quality of the filler product has reached new levels of quality and safety, in addition our techniques and skills at using them has matured with experience, Dr. De Silva has been using non-surgical treatments for patients for over ten years. At The Centre we believe that it is important to avoid potential issues, we believe that there are certain products that are associate with higher risks of issues, including non-HA products, as in some patients this can result in serious long-term issues. The Centre we specialise in facial treatments and only advocate ‘Gold-Standard products with established record of safety. Some patients may have characteristics of their nose that are unsuited to filler treatment, and these patients are better suited to a surgical Rhinoplasty correction. At The Centre, Dr. De Silva a Specialist Facial Cosmetic & Plastic Surgeon is able to offer both Surgical and Non-Surgical treatments. Most clinics are only able to offer non-surgical treatment.

Non-Surgical Rhinoplasty Filler Overview

  • Why? Rejuvenate natural loss of volume & Increased Beautification of your face
  • How? Longer acting HA-Fillers, Apply Phi Golden Ratio to give Natural results
  • Safety? Gold Standard FDA-Approved fillers, Cannula ‘No-Needle Technique’ Facial Specialist Expertise
  • Duration? 12-18months (exact duration varies from person to person)
  • Cost? Quantity dependent, Average quantity 1-2 vials of Filler
  • Pain? Special topical Anaesthesia, Cannula Technique, Minimal discomfort
  • Risks? Mild redness, swelling (1-5days), occasional bruising
  • Recovery? Most patients normal activity next day
  • Complimentary Techniques? Fillers to Chin & Lips
  • Alternative? Alternative Long-term solutions (Rhinoplasty)

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CENTRE FOR ADVANCED FACIAL COSMETIC & PLASTIC SURGERY - Julian De Silva M.B.B.S, M.D.

Covid-19 Update

Through the new phase of restrictions in the United Kingdom, The Centre London will remain open for patients. We are proud to offer our services in a CQC registered clinical environment, with strict COVID hygiene and safety protocols. Our Team will contact you should your appointment need to be changed, otherwise, we look forward to seeing you at 23 Harley Street.