Medical Rhinoplasty; Nose Job;
Non-Surgical Rhinoplasty with Fillers.
Noses with dorsal hump and plunging tip are the main nasal deformities which bring the patients to the cosmetic surgeons. After operating noses for more than 100 years we surgeons know that every incision to the nasal tissue will end up with damage of the connective tissue resulting in a dropping /sagging) nose after a few years.
Also following a Rhinoplasty during, the cartilage and the nasal bone tissue are initially intact. However, necrosis of the cartilage with depressions and other deformities may occur due to the decreased blood supply.
A Botulinum toxin treatment combined with fillers has advantages. As fillers double cross-linked hyaluronic acid was used in 2 cases (6%) calcium hydroxylapatite (CAHA) can be also used and permanent filler with Metacrill is also available now in Europe. Metacrill use does not have approval in the US, but it is available in Europe and South America. Only few cases (3%) of visible hardening was observed in our patients with Metacrill injections. No other complications were observed. The hyaluronic acid fillers diminished after 6 to 9 months. The CAHA showed a satisfactory results for 12 months, but it was mostly was dissolved after 14 to 15 months. Metacrill consisting fillers had an ideal result even after 18-24 months and longer. The patient satisfaction index for all injections was about 74%. Unsatisfied patients were the group who received only hyaluronic acid fillers.
All Noses were swollen during the first day, no complaints at the end of the second day. , only few patients suffered from swelling and bruising on the third day and only one patient patients out of 34 had symptoms longer than 3 days.
The medical rhinoplasty of the deformed nose is a simple and very effective technique with immediate results. This procedure is used in correction of minor nose defects. However major deformities must be operated, unless the patient refuses having the surgery. The author also recommends this technique to nose surgeons as an alternative procedure for postoperative surgical corrections.
Most of the results were satisfactory (88%) and no major complications have been observed during my applications. This new approach for rhinoplasty fits in totally with realistic patient expectations with less downtime and enhanced safety. The main inconveniences of this approach are the procedure repetition and the short to medium durability of results (except for the cases that utilize permanent fillers).
Nose Melting: Dr. Ziya Saylan can dissolve the nose tip and the hump with a chemical agent which he has learned in Argentine. This tumour melting agent will be injected in several sessions and lowers the nose dorsal and the tip.
This melting procedure will make a nose surgery (Rhinoplasty) unnecessary in some early cases !