It’s no secret that a lot of us have grievances when it comes to our noses. Whether it’s too big, too crooked, too bumpy, too short, or presents any other slight deformity –– it can often be hard to take our eyes off of our noses when looking in the mirror. Some people have broken their noses in the past and now deal with the optical aftermath; others have always disliked the way their nose looks. In the past, people have turned to surgery to correct these deformities –– these surgeries are referred to as rhinoplasty, or nose jobs.

As popular as nose jobs have become, they do come with both health and aesthetic risks; surgical rhinoplasties are associated with some pretty major side effects, as well as permanently botched results if executed poorly. Some people also regret getting their nose jobs; they end up missing their old nose and wishing they could have the whole process reversed; unfortunately, surgical rhinoplasties are irreversible and a correction of a failed rhinoplasty poses an even greater risk, due to the cartilage and scar tissue surrounding the nasal cavity, making it nearly impossible to fix. In addition, there is no way to “get your nose back” – instead, each correctional surgery will take more away from it.

There is an easier, less costly, and more temporary option: non-surgical nose jobs with dermal fillers. Minor nasal imperfections can be fixed and smoothed over using injectable fillers. Patients with poorly proportioned nostrils, wide bridges, or downward facing, flat nasal tips can leave with a more balanced nose. While injectable fillers don’t completely restructure your nose and won’t make it smaller, they can result in a fuller, more defined, or more symmetrical appearance. All this works together to reinforce a more flattering facial profile. This treatment also comes with another major benefit over surgery: it’s not permanent, meaning that you don’t have to commit to anything.

Skinly Aesthetics in NYC is your one-stop-shop for nose fillers, and other non-invasive and minimally invasive procedures that can lead to a better you. Dr. Schwarzburg has administered numerous successful non-surgical nose jobs and can help you on your unique and personal aesthetic journey!

ACHIEVING A PERFECT NOSE JOB WITHOUT SURGERY

At one point or another, we’ve all seen a candid photo of us at a certain angle and thought, “Is that really what my nose looks like from the side?” For some of us, this dissatisfaction with our noses is a lifelong struggle. Whether it’s a squashed, flat or bumpy bridge, a sharp downward tilt, an asymmetrical protrusion, or any other complaint –– nasal flaws can cause a lot of insecurity. Your nose sits at the center of everything, and thus plays a major role in the overall perception of your face. Many of us are unhappy with our noses, but are not willing to take the dramatic measures or spend the cash necessary for a surgical rhinoplasty.

Dr. Schwarzburg, who is a leading cosmetic surgeon and one of the few experts on liquid rhinoplasty in NYC, notes that fortunately surgery isn’t always necessary or even the best option in the first place to improve the look of your nose. There are plenty of nasal revisions that can be made using a much simpler method: dermal fillers. 

Non-surgical rhinoplasties using injectable fillers first came on the scene in New York in 2006; even at its beginnings, this was a promising alternative to surgical nose corrections. In fact, 5 to 12% of patients who have had surgical nose jobs wish for additional, non-surgical revisions, and turn to injectable fillers and liquid rhinoplasties to help fix any errors.

Dermal fillers offer a long list of nasal improvements. If you have a flat or wide bridge, fillers can elevate it to create a more elegant and lifted profile.  Noses with unflattering indentations or humps on the bridge can be smoothed out by adding subtle surrounding volume. Carefully placed injections can also make a crooked or unbalanced nose more symmetrical. Overall, nasal imperfections can be evened out through liquid dermal fillers.

Per New York City cosmetic dermatologist Dr. Schwarzburg, there are a few different fillers that can be used for facial, and nasal, contouring. Radiesse is one of them; Restylane and Juvederm are also quite popular, given that they are hyaluronic acid-based. Hyaluronic acid-based fillers are particularly common for non-surgical nose enhancements because HA is safe, biocompatible, and generally well tolerated, as well as easy to sculpt and mold into place. It is also a non-immunogenic substance, meaning it doesn’t trigger an immune response. The main difference between Juvederm and Restylane is the thickness –– which filler is right for your desired changes can be discussed with your physician.

Other fillers, like Radiesse, are made of calcium hydroxylapatite gel (CaHA). CaHA is also FDA approved, nonimmunogenic, and naturally occurring in the body. The main advantage of CaHA over HA filler is that it’s more predictable, as it is less likely to give too much volume. All these fillers are effective in building volume in the nose where it’s needed.

In addition to fillers, Botox can also be applied to gently smooth out surrounding imperfections for the ultimate nasal revision. Pesky bunny lines on top of, and frown lines above the nose bridge can be relieved for a fresher, more youthful appearance.

Nose Filler Rhinoplasty

HOW IS FILLER INJECTED INTO THE NOSE FOR A NON SURGICAL RHINOPLASTY?

Dermal fillers for non-surgical rhinoplasty are inserted using either a thin, sharp needle or a blunt cannula –– which one is used is determined by the physician based on the injection site. Injections are delivered into the deep plane of the nose, meaning the supraperichondrial or supraperiosteal areas. The amount of insertions with the needle is kept to a minimum to avoid any filler being extruded through previous injection points, and to avoid high pressure injections. The needle is usually advanced through all skin layers until it reaches the periosteum, and this is where the filler is deposited in small aliquots in retrograde fashion. Careful attention is paid to keep the injections strictly along the midline as any deviations can result in aesthetic disbalance or serious side effects. When there are multiple insertion points along the nose, they will usually be in this order: radix, rhinion, then tip, meaning top to bottom of the nose.

Different approaches will be used for different issues. For example, a wide, flat nose can be treated by applying filler to the midline of the dorsum for the effect of a more lifted, slender nose. In contrast, lateral augmentation of the dorsum, or bridge, can widen the nose. Dr. Schwarzburg reminds that this is a highly advanced procedure and its success directly depends on the proficiency of your doctor. Dr. Schwarzburg sees a lot of patients from New York and surrounding Tristate region, and is uniquely qualified to perform non-surgical rhinoplasties with accuracy and precision. 

LIQUID RHINOPLASTY VS. SURGICAL RHINOPLASTY IN NYC

Surgical rhinoplasties are often necessary for greater changes in the nose’s structure and function. However, they involve significant recovery periods, in which a nasal splint needs to be worn, and the use of anesthesia, whether it be general or local. Surgeries can take several hours, and may sometimes require an overnight stay at the hospital, though not always.

The surgery entails cuts being made either in the nostrils or across the entire base of the nose; from then on, the shape of the nasal cartilage and bone is altered. This allows the surgeon to significantly change the contour or size of your nose. In some cases, cartilage from certain areas of your nose, ear, or even bone from other parts of your body are added in a surgical rhinoplasty. For nose reduction, cartilage and bone may be removed. Cartilage can also be rearranged. The septum, which is the wall in the middle of the nose, can be corrected by surgery for better breathing.

Surgery is a permanent change. That means you will experience irreversible transformation, whether it be good or bad. Many find rhinoplasties to be worth it; others prefer to go for liquid rhinoplasties, as they are more temporary and involve less risk. They can also be performed quicker and have little to no downtime associated with them. For smaller changes, you can achieve great effects with a liquid nose job alone.

WHAT IS THE LONGEVITY OF NON-SURGICAL RHINOPLASTY?

While some may be dismayed that a non-surgical nose job isn’t as permanent as a surgical one, others see great advantage in this –– you can treat it as a trial for minor changes, seeing if you prefer to make nasal corrections without over committing yourself to them. But that doesn’t mean you won’t get good mileage out of the treatment. Through cross-linking, many HA-based fillers are able to exhibit more longevity than others. That means you can enjoy the effects of your liquid rhinoplasty for between 9 to 18 months, or, in some cases, even longer.

If you are happy with your newly contoured nose and want to keep it that way, you can always have a follow-up session to recreate the effects. On the other hand, if you want to reverse the changes, your physician can use hyaluronidase to dissolve HA-based fillers. Dr. Schwarzburg who practices in New York explains that one of the reasons nose fillers in NYC last such a long time is because the dorsum of the nose is completely immobile with limited blood supply across the midline. As such, the rate at which the fillers degrade is very slow and usually takes at least 1 year for 50% of the product to be gone. 

WHO CAN GET A LIQUID RHINOPLASTY IN NYC?

A lot of us wish to define our nose or hide small irregularities without having to go under the knife. There are plenty of small adjustments you can make to your nose to increase your confidence using only fillers. If you wish to even out or elevate the nose bridge, disguise bumps or deformities, define the shape of your nose, fill nasal depressions, or lengthen the nose tip, all of this can be achieved through dermal filler injections. However, if you feel like your nose is too big or has an internal functional issue, this cannot be solved through filler –– surgical rhinoplasty may be a better option.

When patients come to Skinly Aesthetics in NYC they discuss with Dr. Schwarzburg their health and background, including any allergies or hypersensitivities that could pose an issue with their non-surgical nose fillers. If you are pregnant, breastfeeding, underage, or are in any way immunocompromised, you should avoid or postpone this treatment. The use of certain drugs, like interferon, may also bar you from the procedure.

Non Surgical Rhinoplasty

WHAT IS THE PROCEDURE LIKE FOR A NON-SURGICAL NOSE JOB?

So you’ve spent enough time hyper-analyzing your side profile and scrunching up your nose in the mirror, and you have finally decided that a minimally invasive, non-surgical nose job is what you want. To get started with your nose correction, you can book a personal consultation with Dr. Schwarzburg at his private clinic in NYC. This is the time to address all your hopes for the treatment, air out any concerns, and define what your perfect vision for your nose looks like. Dr. Schwarzburg will also use this session to offer up advice and make sure that you are an eligible candidate with no possible contraindications.

Once you have had this discussion, you can refer to the front desk to schedule an appointment for your injections. Alternatively, if you’re eager to get going and get closer to seeing the results of your new and improved nose, you may be able to get your liquid rhinoplasty following the consultation.

As for the injection process itself, it’s a fairly brief and easy procedure. The session generally doesn’t go beyond 20 or 30 minutes in length. Before administering the filler, Dr. Schwarzburg will clean the targeted area. The chosen fillers will be injected via a needle or a cannula, but don’t worry –– you shouldn’t feel anything beyond a slight pinching sensation or mild discomfort.

Nose fillers are delivered into the deep fatty layer of the nose, which sits right above the periosteum and perichondrium. When injected into this area of the bony-cartilaginous framework, filler can change the shape of the nose, but any any more superficial than this and you will develop a lot of swelling and redness that obscure the new contour of your nose. 

Most patients find the process fairly tolerable. Any pain you feel after the injection, as well as swelling or bruising, will be eased with a cold compress or ice pack following the procedure. Any bruising that you may observe following the treatment can similarly be treated with a cool or warm compress.

The swelling and edema should recede within 2 or 3 days post-procedure, after which you will be left with the final results of your non-surgical rhinoplasty. Whether you have had your bridge elevated, nose tip lengthened, or unwanted grooves straightened out, you will be able to see a more symmetrical and well proportioned nose. You will likely have a follow-up appointment one week after your treatment to check in with Dr. Schwarzburg at his medical office in Manhattah, NY regarding your satisfaction with the outcome of liquid rhinoplasty and the healing process.

AFTER CARE AND RECOVERY FOLLOWING A NON-SURGICAL RHINOPLASTY 

If you’ve ever seen the aftermath of someone who just got a nose job, including the heavy bandages and obvious “raccoon-like” bruising, you may be nervous about what’s in store after your non-surgical rhinoplasty. Fortunately, liquid nose jobs are much more subtle; you are mostly free to return to your daily life after your session, and shouldn’t expect more than very temporary, minimal bruising.

If you are experiencing swelling or pain, apply a cool or warm compress. Avoid any prolonged pressure with your nose after getting this treatment, this includes heavy glasses for about two weeks.

IS IT SAFE TO GET A NON-SURGICAL RHINOPLASTY?

Liquid rhinoplasty is considered a high-end, very complex procedure. An experienced and board-certified physician who has an extensive background in performing filler injections should know how to deliver injections to avoid potential risks and adverse effects.

Dr. Schwarzburg focuses on many different factors to ensure the procedure is safe and tolerable. This includes preventing overcorrection when too much filler is injected and the nose looks overdone and unnatural; skin envelope thinning; skin necrosis secondary to intravascular injection, and nodularity because of the wrong filler selection. 

Dr. Schwarzburg also takes extreme care to avoid the location of the nasal branches connected to the branches of the facial and angular arteries. Specifically, the vascular territories that are covered by the dorsal and lateral nasal arteries must be avoided to prevent skin necrosis and potential retrograde displacement of the filler into the ophthalmic artery. Injecting filler into the midline and deep locations of the subcutaneous layer is critical to prevent the above-mentioned risks. The different layers of the nose must be carefully considered; apart from just the skin and subcutaneous fat, this includes the nasal superficial musculoaponeurotic system (including deep fatty tissue, perichondrium, and periosteum). Knowledge of nasal anatomy also informs the physician of which filler to use based on the thickness of skin, which is thinner at the top half of the nose, and thicker at the tip.

Dr. Schwarzburg considers it’s really important for his patients to follow up at his medical office in NYC after the procedure to check for any side effects or complications.

SIDE EFFECTS ASSOCIATED WITH A LIQUID NOSE JOB

When properly done, the side effects associated with liquid nose jobs are usually minor and resolve on their own in a relatively small amount of time. The most common side effects include some slight pain, redness (erythema), and swelling for which you can employ NSAIDs or ice to soothe any of these symptoms.

That being said, this is still an intricate procedure that should be approached with utmost care and expertise. With Dr. Schwarzburg being your attending physician you will rest assured that he knows the delicate anatomy of the nose and will do his absolute best to avoid complications as he is keenly aware of the complex network of blood vessels located below the skin.

Less frequent but more serious side effects, such as infection, nodules, skin necrosis, or even blindness, do crop up, however they are extremely rare. However, it should be noted that injectable fillers are still a safer alternative to surgery. Improperly placed fillers by inexperienced injectors are more likely to cause complications. The most common side effects of botched nose fillers include asymmetry and superficial filler placement resulting in swollen and uneven skin contour and intense erythema secondary to irritation from the filler. Intravascular injections, intra-arterial injections, or superficial injections can all lead to more serious side effects –– they can be avoided by keeping filler depositions below the nasal SMAS. Compression of the terminal vessels is often the culprit of blindness or soft tissue necrosis.

CAN I FIX A CROOKED NOSE WITH NON-SURGICAL RHINOPLASTY?

Having a crooked nose can feel like a burden. Using face-altering apps in photos or make-up contour can only get you so far. One of the major indications of attractiveness is facial symmetry, so it can be frustrating to feel like your nose is asymmetrical.

The good news is: a slightly crooked or asymmetrical nose can be balanced out using properly placed dermal fillers. By adding the right amount of volume in the ideal location, Dr. Schwarzburg can even out your nose, effectively camouflaging any inconsistencies, irregularities or unevenness. Patients who undergo non-surgical nose jobs in NYC are generally highly satisfied with the outcome, rating their post-treatment experience a 75 on the Rhinoplasty Outcome Evaluation scale (to be compared with an average of 18 pre-treatment). 

A nose that appears crooked due to a dorsal hump (or a bump on the bridge) can be fixed by filling in the radix area –– this is the spot on the nose bridge just between the eyes. Filler can also be added to the nasal dorsum or tip for a straighter nose.

A saddle nose, which appears squashed, is often related to the collapse or perforation of the septum. While some small corrections can be made with filler, major restructuring is only possible through surgery. Similarly, concavities in the nasal sidewall, which make the nose look asymmetrical, can be filled in through filler to the supraperichondiral plane; however, there are limitations to what filler can do. Larger deformities can often only be addressed through surgical rhinoplasty

Crooked noses are often due to deviated septums, in which the nasal pyramid is off from the median line of the nose, creating a C or S shape. This can cause not only aesthetic, but functional issues, as breathing through the nose becomes difficult. If your nose is severely crooked, fillers may not be able to achieve the dramatic transformation you’re looking for, especially if the issues are functional –– in that case, you may need surgery. Sometimes the septum needs to be reshaped. This is why it’s important to have a consultation first.

Other complaints, such as a downwards nose tip, can be addressed with minimally invasive rhinoplasty. The depressor septi nasi muscle can be targeted with filler for a more upturned nose. The nasal sidewall, which sits on the upper side of the bridge, can be expanded with minimal injections of HA filler. 

HOW OLD DO I HAVE TO BE TO GET A LIQUID RHINOPLASTY IN NEW YORK?

Although liquid rhinoplasties are reversible, making the decision to alter your appearance should always be done with careful forethought and consideration. A lot of young people want to leap into physical alterations as soon as possible to look good for their yearbook photos or college graduation. Legally, a person living in New York is not able to make the decision to get dermal fillers before they are 18 years of age; some NYC clinics may even push their age requirement up to 21, although exceptions are sometimes made with parental approval. Just as your maturity and decision making skills develop as you age, so does your body –– your face could still be changing well into your 20s.

NON-SURGICAL RHINOPLASTY COST IN NYC

You may be interested in getting a nose augmentation, but are hesitant about how it fits into your personal budget. The pricing of a non-surgical nose job can look very different depending on where you get it done, how much filler is used, how extensive the augmentation is, and how much experience and acclaim your doctor has. Taking all of these factors into account, one treatment in New York City can be as little as $900 or as much as $1600, depending on your unique case. If this sounds pricey, compare it to the average cost of a surgical rhinoplasty: those can chalk up to around $15,000 in NYC.

WHY SHOULD YOU GET A LIQUID NOSE JOB? WHAT ARE THE ADVANTAGES?

There’s no need to go through life feeling upset about all the tiny flaws in your nose. It’s also unnecessary to turn to surgery when liquid nose jobs can offer a much easier fix. A wonky bridge or flat nose tip, for example, can easily be corrected in just 20-30 minutes using filler. These injections bring about minor, reversible changes that nevertheless can create a striking, yet subtle difference in your appearance –– and thus your self-esteem. By foregoing surgery, you save on money, pain, and downtime, all while avoiding a lot of major risks and side effects.

Non-surgical, minimally invasive rhinoplasty can also serve as a precursor for a more dramatic surgery, if you only wish to see some of the possible changes in a temporary light. On the other hand, if you have already received surgery and are unhappy with the results, you can possibly fix some surgical defects using filler. In the end, you are left with a well-defined, aesthetically pleasing nasal region which will complement your face better than before.

WHERE SHOULD I GO TO GET A LIQUID RHINOPLASTY?

If you live in the NYC area, you don’t have to go far to get the nose of your dreams. Skinly Aesthetics, run and operated by Dr. Schwarzburg, sits conveniently on the Upper East Side of Manhattan, NY. Back by many years of experience and highly satisfied patients, Dr. Schwarzburg offers non-surgical liquid nose jobs, as well as a list of other non-invasive and minimally invasive procedures aimed at creating confidence-boosting and appearance-enhancing change.

If you still have questions or want to discuss the possibility of a liquid nose job, schedule a consultation with Skinly Aesthetics by calling or texting (212) 774-4264, or emailing us at info@skinlyaesthetics.com.