Non-surgical liquid rhinoplasty is a procedure that helps change the aesthetics and shape of the nose without surgery. The nose can be reshaped using injectable liquid cosmetics like facial fillers. Dr. Linkov is a top-rated plastic surgeon in New York City who performs non-surgical rhinoplasty. City Facial Plastics, located in Manhattan NYC, takes into consideration your lifestyle and goals.
What Is a Non-Surgical Liquid Rhinoplasty?
A non-surgical rhinoplasty (liquid rhinoplasty) involves the use of injectables to make specific changes to the nose. The most commonly used injectable is hyaluronic acid-based fillers, such as Restylane Lyft. Neurotoxins, such as Botox, can also be used to make changes to the position of the nasal tip. A non-surgical rhinoplasty does not involve general anesthesia, it is relatively pain-free, and is an alternative to a surgical rhinoplasty.
The nose is the central feature of the face. Historically, the only option to mold and enhance the nose was with surgery. Surgical rhinoplasty requires general anesthesia and usually takes several hours to perform. The recovery then takes weeks with a cast on the nose for one week. These days, however, a non-surgical rhinoplasty, or “liquid rhinoplasty,” option exists and adds to the armamentarium that doctors have to alter the nose.
Who Is a Good Candidate for a Non-Surgical Liquid Rhinoplasty?
A good candidate for a nose liquid rhinoplasty procedure may be similar to someone seeking a surgical rhinoplasty and these indications include:
- Hump on the nose (dorsal convexity)
- Scooped nose (saddle nose, dorsal concavity)
- Wide tip or deprojected tip
- Crooked nose (deviated dorsum, asymmetric)
Who Is Not a Good Candidate for a Non-Surgical Liquid Rhinoplasty?
Patients who may not qualify for non-surgical rhinoplasty include those with:
- High dorsal hump – No room to fill above the hump. If filled above a high hump can create an appearance of the nose starting at the forehead, called a “roman nose.”
- Prior surgical rhinoplasty – A prior rhinoplasty causes a disruption in the native blood supply making the liquid nose job injection less reliable and potentially more dangerous.
- Nasal defects in danger zones – Certain areas of the nose (described below) have named blood vessels that can cause problems if injected. However tempting it might be, injections in these areas should be avoided.
- Large and broad nose – Liquid rhinoplasty involves adding material when sometimes a surgical approach to remove material might be best.
How Is a Non-Surgical Liquid Rhinoplasty Done?
A liquid rhinoplasty primarily involves the use of nose fillers. However, neurotoxins can also be used in strategic ways. The following are the currently available modalities and how they are used.
Filler is used to restore volume. The most common types of filler used today are made of hyaluronic acid, which is a naturally occurring substance. Examples include Restylane and Juvederm. Dr.Linkov, as the professional plastic surgeon, prefers Restylane Lyft for most of his liquid rhinoplasty patients. When injected into different parts of the face it lasts 6 months to 2 years. The nose tends to hold filler for more than a year, and sometimes longer than even 2 years. Hyaluronic acid-based fillers are reversible which is an added benefit.
Popular areas to fill include:
- Dorsum (bridge)
Other parts of the nose can be filled for a desired effect, such as the alar rims for improved symmetry of the nostrils, but are not advised due to their increased risk of complications during non-surgical rhinoplasty.
Neurotoxins, such as Botox and Jeuveau, can provide improvement in the nasal area due to their ability to paralyze muscle. For example, it can be placed into the base of the nose, where the muscle that controls the droop of the nose upon smiling resides (depressor septi). This can help control the dynamic position of the nose. The bunny lines of the nose can also be treated with strategic injections. The results can last up to 3-6 months. The exact type of neurotoxin used to achieve the best non-surgical liquid rhinoplasty depends on patient and doctor preferences.
How to Prepare for the Non-Surgical Liquid Rhinoplasty?
Ahead of your non-surgical rhinoplasty, it is best to avoid certain medications and supplements that may thin the blood and cause increased bruising, such as:
- NSAIDS – ibuprofen (Motrin) and naproxen
- Vitamin E
- Garlic, Ginger, Ginseng, St. John’s Wort, Ginkgo, Black Cohosh
What to Expect on the Day of the Procedure?
Non-surgical rhinoplasty is performed with the patient awake. A topical anesthetic ointment or injectable local anesthetic such as lidocaine is used to numb the area in preparation for the treatment. Treatment time is anywhere from 10 minutes for neurotoxin injections up to 45 minutes for filler. You will be watched closely for at least 15 minutes after your injection to watch for any signs of vascular occlusion.
What Is the Recovery From Non-Surgical Liquid Rhinoplasty?
Redness, bruising and swelling are possibilities and can last from hours to 2 weeks, though typically only mild swelling is present for a few days. Pain is usually minimal and resolves within minutes to hours. Applying ice to the treated areas may help minimize swelling. If after the swelling settles some of the fill effect is lost, an additional filler can be added.
Is a Non-Surgical Liquid Rhinoplasty Permanent?
A liquid nose job is not permanent. It can, however, last for several years in some patients. A permanent solution to changing the appearance of the nose is surgical rhinoplasty.
What Are the Risks and Complications of Non-Surgical Liquid Rhinoplasty?
The risks and complications of non-surgical rhinoplasty can be summarized as:
- Nasal distortion (“Roman nose”)
- Skin damage
- Vision changes
The dreaded complication of vascular occlusion is when the filler gets inside of a blood vessel upon injection and can cause skin damage and vision change (including blindness). This can be avoided with proper technique, avoiding danger zones, and avoiding injecting patients who have had a rhinoplasty previously. The safest area to inject for a liquid rhinoplasty is the dorsum (bridge) as long as the plane of injection is accurate. All other areas carry more risk, including the nasal tip and the side walls.
Even though it is “non-surgical,” there is potential for serious complications when dealing with the face. Do not be fooled into thinking that nothing bad can happen. Just as you would consider surgical risks, please consider the real risk of non-surgical rhinoplasty when making a treatment decision.
Having had a liquid rhinoplasty may make assessing a patient for a more permanent surgical rhinoplasty more challenging. Often the filler needs to be dissolved in order to provide an accurate assessment and make recommendations.
What Are the Alternatives to Non-Surgical Liquid Rhinoplasty?
The alternative to a non-surgical rhinoplasty is a surgical rhinoplasty. Surgery carries more downtime but results in a longer-lasting result. Surgery is more appropriate for patients with a large nose that needs to be reduced and a large hump that starts high on the nose.
What Is the Cost of Non-Surgical Liquid Rhinoplasty in New York?
The cost of a non-surgical liquid rhinoplasty in Manhattan’s Upper East Side varies by treatment type. Below is a table of treatment and cost range of non-surgical nose job in NYC:
|Non-Surgical Liquid Rhinoplasty Modality||Cost Range NYC|
|Filler||$540 – $1680 per syringe|
|Neurotoxin||$8 – $30 per unit or $250 – $850 per area|
Who Is the Best Non-Surgical Liquid Rhinoplasty Specialist in NYC?
Patients often search for the best, top-rated doctor for non-surgical rhinoplasty. Dr. Gary Linkov is a board-certified facial plastic surgeon in Manhattan, NY specializing in non-surgical and surgical facial aesthetics. Dr. Linkov has taught facial injectables to many other doctors through courses in NYC under the face training centers organization in Chelsea.
Dr. Linkov delivers safe, consistent, and natural results to each one of his facial injectable patients. Dr. Linkov, at City Facial Plastics in UES, Manhattan, is also an accomplished rhinoplasty surgeon which gives him a unique perspective in tailoring the best non-surgical or surgical nasal treatment to meet your needs.
You can view before and after photos of Dr. Linkov’s patients below:
Non-Surgical Liquid Rhinoplasty Before and After
If you are ready to explore the opportunity to change the appearance of your nose through non-surgical liquid rhinoplasty, contact City Facial Plastics in Midtown, Manhattan today. Schedule your first consultation with an internationally recognized facial plastic surgeon in New York Dr. Linkov to discuss if liquid rhinoplasty is the right option to improve your appearance and confidence.