Non-Surgical Rhinoplasty Guide

In a busy plastic surgery office we get several inquiries on dermal fillers and non-invasive treatments to replace the option of surgery every day. A lot of potential patients think “Oh! I can get the same result with just a needle or laser.” But this isn’t always the case. The results with a non-invasive treatments are usually more subtle, require a specific candidate and may take several visits to achieve the desired outcome. Why do people put their hopes up for the non-invasive procedures? There are many reasons, such as fear of surgery, financial aspects, and recovery time.

A treatment that has been inquired about a lot is Non-Surgical or Liquid Rhinoplasty. It’s very difficult to speak to patients over the phone about this treatment since it doesn’t have well-defined indications. For years, Dr. Zoran has used dermal fillers, fat grafts or diced ear cartilage to correct mild nose deformities. I decided to ask Dr. Zoran Potparic, Board Certified Plastic Surgeon of South Florida with extensive experience in different types of Rhinoplasty – more specifically, what does he think about and what is non-surgical rhinoplasty?

Dr. Zoran says he “would use this procedure mostly for mild corrections of depressions on the nose dorsum, side of the nose and in very selective patients with nose tip deformities. This correction is done with soft tissue fillers so no surgical procedure other than injection of filler is considered. I select different types of fillers, depending on the area of application, based on filler density and structure. For post-traumatic deformities and post-operative irregularities of the dorsum or nasal bones, I like to use Radiesse because of its structure and consistency; for mild soft tissue depressions and tip correction, I like to use hyaluronic acid based products like Restylane, Juvaderm, or Belotero.”

It has been reported that in places such as South Korea and Asia patients with small ethnic noses have rhinoplasty exclusively done with fillers. How do you explain this trend?

“Someone with small nose with low dorsum and wide tip, which is the common feature of Asian nose as well as some African American noses, may be a good candidate for non-surgical rhinoplasty. Major correction for these types of noses consists of augmentation and adding volume/height on the dorsum of the nose and tip, which will create slightly larger, Caucasian nose. Asian ethnic noses and noses with fine, thin skin may respond better to this correction compared to individuals who have larger noses and thick skin with weak cartilage support.”

Overall, a surgeon has to see the patient in-person to decide what sort of treatment or procedure is right for them as well to discuss patient’s goals and expectations. There is also new option of 3D simulation during a consultation with Dr Potparic. He uses Crisalix 3D Simulation software to demonstrate possible result after nose correction.

We advise our patients who are inquiring about non-surgical rhinoplasty to come for in-person consultation or send a set of specific photos for pre-consult evaluation and 3D simulation. Other options we have are skype consultations, sending in your photos to information@drzoran.com or through text at 954-715-1931.