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. 

Dorsal humps are cartilage and bone irregularities on the nose. These irregularities can cause a bump or “hump” in the outline of a person’s nose, instead of a straight slope from the bridge of the nose to the tip.

Dorsal hump removal is one of the most common reasons that people pursue a cosmetic rhinoplasty (also known as a nose job).

Nonsurgical rhinoplasty, also called a liquid rhinoplasty, produces results that can last between 6 months to 2 years.


Using dermal fillers, your plastic surgeon fills in the areas of your nose around where your dorsal hump begins. This can result in a smoother silhouette down the bridge of your nose.

This procedure is significantly less expensive than a rhinoplasty, with fewer possible complications and little to no recovery time before you can resume your regular activities.

A dorsal hump can’t “grow back” after it’s removed.

Another side effect of surgical rhinoplasty is bruising and inflammation. 

While you heal, you may notice that the area where your dorsal hump was removed looks swollen and enlarged. That swelling doesn’t mean the removed dorsal hump is somehow growing back. Any swelling from the surgery should subside within a week or so.