One of the challenges patients face during rhinoplasty recovery is trouble with breathing. This is due to post-operative swelling and the packing that is placed inside the nose. To solve these issues, Dr. Kotler invented the Kotler Nasal Airway. This patented, FDA-approved device is made of a pair of soft silicone tubes. When inserted into the nostrils after rhinoplasty or any other nose surgery, the airway allows the patient to easily breath immediately after the procedure. Dr. Kotler uses this device for every nose surgery he performs, which greatly improves patient comfort during recovery (especially during the first five days). This well-known device has been adopted by many surgeons internationally.
Patients who want to avoid surgery often opt for a non-surgical rhinoplasty with filler. But before making the final decision, most patients want to see what their expected results will look like. Many surgeons employ 3D imaging software for this purpose. Dr. Kotler takes it a step further by offering saline demonstrations as well. During the initial consultation, Dr. Kotler can inject a sterile saline solution into different parts of the patient’s nose to replicate what the final results will look like. Patients love being able to “test drive” their results before making the final decision. The saline solution is reabsorbed within about two hours.
Most plastic surgeons who offer non-surgical rhinoplasty perform the procedure using hyaluronic acid fillers. While these are a suitable choice, they don’t produce permanent results and require the patient to receive follow-up injections regularly. Dr. Kotler uses a permanent filler called Silikon 1000. Though many patients haven’t heard of it, this permanent filler has been used for decades. The filler’s unique formulation contains liquid medical grade silicone that makes it perfect for permanently enhancing the nose.