So I just got back from one of our cosmetic society meetings in chicago and there are certainly alot of things to talk about. I did want to briefly address a topic that has been growing quit a bit. Non invasive nasal reconstruction is getting more and more popular. Using various fillers and botox/dysport we can alter the shape of the nose. Although it is certainly no replacement for nasal surgery, using these non invasive techniques certainly supplement the process. The simplest treatment is performing a slight lift in the nasal tip, which is a common complaint, with botox or dysport. By relaxing a muscle that pulls the nose down over time we can accomplish this. Unfortunately, it does take maintenance. Using fillers such as juvederm, restylane, and radiesse we can smooth out some bumps and reshape some asymetries that exist in the nasal structure. This is very common after nasal surgery where the result may not have been ideal. Nose job surgeries, like many cosmetic surgeries, are not perfect and 100 percent predictable. Instead of undertaking an additional surgical procedure, these non invasive alternatives can be very useful to acheive the desired result. For a permanent result, silicone microdroplets can be used once a temporary filler establishes a satisfactory result.
Although this is now commonly performed, it is essential to seek out a medical professional that has alot of experience with fillers. These are advanced techniques and they do have aesthetic and medical risks. So in summary, the advances in fillers and toxins really have enhanced rather than replaced the surgical means in changing nasal shape. Depending on the desired result there are instances that surgery can be avoided but this is not always the case. Consultation with both an expert in nasal surgery and a cosmetic dermatologist with expertise in fillers is necessary if considering these treatments.

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