Rhinoplasty and Cosmetic Surgery

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"A woman shows the hump taken out of her nose in non-surgical rhinoplasty"

Permanent, Non-Surgical Rhinoplasty, before and after.

The backbone of a permanent, non-surgical rhinoplasty is a medical grade filler, Silikon 1000 that lasts for life.

Some have suggested, because that specific filler has not been tested by the FDA for use in permanent, non-surgical rhinoplasty, it should not be used.

Actually, when the FDA approved Silikon 1000 for use in the human eyeball to combat retinal detachment, it was approved as a “medical device.”

After a retina is surgically attached, Silikon 1000 oil is used to hold the retina in place. Medically, Silikon 1000 is known as a tamponade and is used as a type of plug to hold the retina in place while healing.

         (See some non-surgical rhinoplasty patients who needed revision after a failed nose job done elsewhere.)

Silikon 1000 is chemically inert.  It does not change its form, is not consumed by nor does it interact with the body like a drug.

And so it is up to the physician to use his or her best judgment to decide which treatment is appropriate for the needs of a patient.

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

Medical devices and drugs can be used in a time honored tradition of using those items “off label” which is entirely legal and very common.

The following link leads to a 1999 letter signed by then FDA official Eric Latish in the FDA’s Office of Compliance shows using Silikon 1000 as a permanent filler is fine.

(Click here for the article.)

Moreover, Silikon 1000 is a gold standard man-made material; the solid form is used for human replacement parts, like artificial heart valves and artificial joints. Every syringe needle is coated with the medical grade silicone for smooth passage through the skin which is why today’s needles are so sharp they are barely felt.

The ASDA (American Society of Dermatological Surgery) performed a special study on Silikon 1000 for use as a facial filler back in 1997.

Results? It concluded the micro-droplet technique, then already in use for fifty years, is not only safe, but works. Said the ASDA, “Injected correctly, liquid injectable silicone may meet many of the requirements for the ideal facial filler.”

          (Read a more current synopsis of Silikon 1000 as a facial filler.)

For your consideration: why get a temporary filler in non-surgical rhinoplasty when you can have permanent?

The woman below suffered an overdone rhinoplasty, done elsewhere that left her wanting a bridge correction which was received via permanent, non-surgical rhinoplasty. (Photo, Robert Kotler, M.D.)

"A lovely woman shows her profile before and after non-surgical rhinoplasty"



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