The Piazza Center for Plastic Surgery and Advanced Skin Care
5920 W. William Cannon Drive, Mesa Oaks Building Seven, Suite 200
Austin, TX 78749
Phone: (512) 288-8200
Monday–Thursday: 8 a.m.–5 p.m.
Friday: 8 a.m.–2:30 p.m.
Over the past decade, there have been significant advances in nonsurgical aesthetic treatments with fillers to improve and enhance facial features. A great option for women and men who are interested in changing the appearance of their nose without surgery is liquid rhinoplasty, also known as nonsurgical rhinoplasty, at our Austin practice. People from San Antonio and nearby communities visit us for this quick office procedure that involves the placement of fillers into the nose to balance the nasal proportions. Liquid rhinoplasty requires no downtime, and results can be seen immediately.
Liquid Rhinoplasty vs. Surgical Rhinoplasty: Understanding the Differences
Both liquid and surgical rhinoplasty procedures are designed to improve the shape of the nose, but they have completely different approaches, which are important to understand.
Liquid (Nonsurgical) Rhinoplasty
Liquid rhinoplasty relies on adding injectable fillers to key strategic regions of the nose and, in that way, addresses cosmetic irregularities. It is important to understand that liquid rhinoplasty is performed by adding volume and, therefore, will not make the nose smaller. The key concept, however, is that by adding the filler in certain key areas of the nose, the nose can appear more refined and delicate, despite actually being plumped up.
Liquid rhinoplasty can:
- Improve the appearance of a crooked nose
- Reduce the appearance of a dorsal hump on a profile view of the nose
- Refine a rounded nasal tip
- Lift a droopy nasal tip
- Give the bridge more height (in someone who has a flat nasal bridge)
- Camouflage irregularities of the nose (either congenital or caused by previous rhinoplasty or other procedures)
A surgical procedure that changes the structural framework of the nose (bones and cartilages) to improve the aesthetics and, oftentimes, the function of the nose.
Surgical rhinoplasty may be recommended for patients who exhibit any of the following:
- Structural irregularities
- A deviated septum
- A nose that is too wide
- A dorsal hump that is too high
- Aesthetic issues that will require a reduction in the size of the nose to achieve improvement
Ideal Candidates for Liquid Rhinoplasty
Although most patients are candidates for dermal fillers, liquid rhinoplasty is best for patients who have the following concerns:
- Small to medium dorsal hump
- Flat or short nasal bridge
- Slightly crooked nasal dorsum
- Irregularities along the bridge of the nose
Patients who complain of a poorly defined, rounded nasal tip or a droopy nasal tip can, in certain cases, also benefit from nonsurgical rhinoplasty. Some patients who have had a surgical rhinoplasty in the past can also benefit if there are minor irregularities that occurred during the healing process.
For the right candidate, a liquid rhinoplasty can be a simple procedure to improve the appearance of the nose with no downtime. Many patients consider a liquid rhinoplasty as a “practice run” for a traditional surgical rhinoplasty.
During the procedure, your nose will be numbed with a topical anesthetic cream and ice. After that, using very delicate needles and cannulas, hyaluronic acid-based dermal fillers like Restylane®, JUVÉDERM®, or JUVÉDERM® VOLUMA are injected into the nose to improve its shape. It is remarkable that by adding volume to the nose, we can often make the nose appear more refined and smaller.
There is usually no downtime with a liquid rhinoplasty. Typically, patients have only minimal swelling, if any at all. Bruising is rare. Results are instant, and most people go back to work immediately afterward.
Following the procedure, we will instruct you not to push on, massage, or apply pressure to your nose or wear heavy sunglasses for the first 3 to 4 days. After one week, there are no activity restrictions. You can apply makeup about an hour after the procedure. You can exercise normally the following day.
Liquid rhinoplasties are excellent for correcting mild to moderate depressions and irregularities. It is overall a very safe procedure with a low complication rate.
If, for any reason you do not like the results, the fillers can be dissolved.
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Limitations of Liquid Rhinoplasty
Although liquid rhinoplasty can deliver remarkable results, it’s important to understand its limitations. A very important consideration in liquid rhinoplasty is the thickness of the skin. Particularly when it comes to changes to the nasal tip (refinement of a rounded or bulbous nasal tip), overly thick skin can significantly limit the amount of refinement that a liquid rhinoplasty can achieve. Also, it cannot lift the tip of the nose. By adding the filler at the junction between the nose and the lip (nasolabial angle), we can create an illusion of a slightly lifted nasal tip, but there are limitations on how significant this will be.
In addition, a liquid rhinoplasty cannot make a very crooked nose perfectly straight as this procedure is only camouflaging the features of your nose that make it appear crooked.
Although the results can last for 1 to 2 years, depending on which filler you choose, liquid rhinoplasty is a temporary treatment. As the filler gets resorbed over a period of time (depending on which filler was used and the patient’s metabolism), the nose will return to its original shape. In addition, liquid rhinoplasty will have no effect on the nasal function.
Even though a liquid rhinoplasty can be less intimidating than surgery, adding fillers to the nose does have risks, which need to be taken very seriously. The most serious risk related to liquid rhinoplasty is the compromise of the blood supply to the nasal skin, which could lead to the death of skin in the area. This complication can occur if the filler material enters a blood vessel or if it applies too much pressure to a blood vessel and obstructs the blood flow. The rate of vascular compromise after filler injection is extremely rare but can be devastating. This can happen even in the hands of highly trained physician injectors.
Liquid Rhinoplasty at a Glance
Goal: Using dermal filler to smooth and refine the shape of the nose to create an attractive, natural-looking contour that improves the facial balance.
Procedure: Dermal fillers are strategically placed on certain areas of the nose to achieve the desired outcome.
Anesthesia: Topical anesthetic with cream and ice.
Procedure length: 15 minutes
Aftercare: Avoid massage, and do not apply pressure to your nose for the first 3 to 4 days. After one week, there are no activity restrictions. You can wear makeup after about 1 hour. You can exercise normally the following day.
Recovery: There is usually no downtime with this procedure. On occasion, one can experience mild swelling and bruising.
Residents of San Antonio and the Austin area considering nonsurgical rhinoplasty can request an in-person or virtual consultation using the online form or call our office at (512) 288-8200. We’ll discuss your aesthetic goals and create a customized treatment plan to help you achieve them.