Rhinoplasty and Cosmetic Surgery

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"a lovely woman asks questions about non-surgical rhinoplasty and silicone injections"While many revision rhinoplasty patients ask about permanent, non-surgical rhinoplasty, more are asking about the silicone filler used in the procedure. Many first nose job patients also inquire about both.

Q: What is injectable silicone filler?

A: A clear, colorless liquid injected into shallow areas of the skin to plump up flesh. Universal in today’s medical world, silicone in solid form is found in heart valves, artificial finger joints and many internal catheters and tubes. All syringe needles are coated with liquid silicone so almost everybody has had some contact with it.

Q: When is it used?

A: When patients have marks, grooves, gouges or pits on the outside of their nose.

Q: How does silicone create plumping?

A: The body has a natural, automatic reaction to foreign materials: it surrounds that material with the body’s own collagen and walls it off in five to six weeks. The technique works because tiny micro-droplets are used. Pools of silicone should never be used. The walling off action creates the plumping.

Q: Must silicone injections be repeated like common facial fillers?

A: Depending on the marks on the nose, a second or third injection is often required. Sequential injections in a layering technique are wise to avoid over-correction. But once the plumping action is complete, the result is permanent.

(Watch a video of a non-surgical rhinoplasty patient being treated.)

Q: Are silicone injections painful?

A:  There is minimal discomfort. An anesthetic ointment is put on the nose skin in the treatment areas half an hour before starting. The injection needle is one of the finest, making the procedure very tolerable.

Q: How long does the plumping last?

A: The improvement is permanent. Rarely, in older age, nose tissue will shrink but additional injections can be done. (Continued below.)

The patient below traveled from Texas to Beverly Hills for non-surgical rhinoplasty to repair a disfigurement known as “Saddle Nose.” No invasive nose surgery was used. Read more about cosmetic saddle nose repair.  (Robert Kotler, M.D. photo.)

"A gentleman is shown in profie before and after non-surgical rhinoplasty"

Before & After Non-surgical Rhinoplasty

(Continued.)Q: Is skin testing required?

A: Skin testing is not routinely done because cases of sensitivity are uncommon. However, skin testing can be done if you wish.

(Look at before and after non-surgical rhinoplasty pictures.)

Q: How often does a granuloma (a ball-like nodule under the skin) form with silicone?

A: Granulomas after silicone have been reported, but almost always occur in the cheeks, lips or other structures that move. Because the nose is fixed, it’s the ideal location for placing silicone. Moreover, hydrocortisone injections are used to shrink nodules. But our practice has not seen one in 35 years of performing non-surgical rhinoplasty.

Q: Are there any restrictions after an injection?

A: None. Patients return to all activities without redness, bruising, soreness or swelling.

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