DENTISTRY & FACIAL AESTHETICS BESPOKE | CALM | CARING WETHERBY | YORKSHIRE
NON-SURGICAL RHINOPLASTY/ "NOSE JOB"
WHAT IS a NON-SURGICAL RHINOPLASTY?
A non-surgical rhinoplasty is a treatment to smooth and correct/straighten the nose performed with small injections of hyaluronic acid dermal gel to the nose.
Dermal filler is carefully placed into the soft tissue of the nose to shape, straighten and contour. Non-surgical rhinoplasties aim to:
· Smooth out bumps and uneven contours
· Improve nose profile and chin projection for optimal symmetry
· Restructure the shape of the nostrils
· Treat a ‘hooked nose’ or “drooping” tip
· Maintain a natural look
· Minimal downtime / side effects
· Can be combined with anti-wrinkle injectables and other dermal fillers as part of a full-face approach
During consultations, patients often mention the appearance of their nose including affects their confidence and wellbeing. Improving this is incredibly beneficial with the added advantage of avoiding surgery- it is a non-permanent “nose job” and your nose will return to the pre-treatment appearance.
A full consultation always takes place before treatment to understand and plan your requirements ensuring we give you the safest result you desire and that best suits your face.
WHAT DOES TREATMENT INVOLVE?
Long lasting dermal filler is carefully and precisely placed using the minimal number of well-planned, very fine injections into the soft tissue of the nose to shape, straighten, contour and define the nose. Amy injects using the safest techniques alongside precision product.
The number of injections and sites we inject depends on your original nose shape and treatment needed but is usually between 3-6 points. We aim for a result that camouflages irregularities of the nose, straightening and making the nose a “silent feature” of the face.
Treatment takes about 10-30 minutes and the results are immediate.
The dermal filler looks and feels natural in your tissues. The results last on average 12-18 months whereby the filler is naturally broken down slowly over time and your nose returns to its original shape.
ARE THERE ANY SIDE EFFECTS and IS IT SAFE?
Non-surgical rhinoplasty is a safe, but advanced procedure and is a complex area to treat with some risks involved. Amy discusses all risks and benefits with you at your consultation appointment before any treatment commences.
Side effects may include minor redness, bruising or swelling on the nose though this is much less than any surgical procedure and transient. In the event that bruising does occur, it usually fades in a week or so and can be covered with make up the following day.
Risks of complications are low, though complications can happen even in the most experienced of hands. Some minimal bruising and swelling is not uncommon (post procedure that can last 24-48 hours)- though the extent is significantly less than any surgical procedure. Dermal fillers are made of naturally occurring hyaluronic acid which is dissolvable and reversible in both an emergency situation or by choice after the settling period- though this is rarely ever required. As Amy is prescribing dentist, both clinics hold stock of all appropriate emergency products, ensuring the safest possible environment for your treatment.
As an experienced dentist with extensive oral surgery experience, Amy is familiar with facial proportions, angles and projections. Non-surgical rhinoplasty is a brilliant alternative to surgical procedures which may not be possible, suitable or desired. Surgical treatments have the advantage of being permanent but can be invasive, non-reversible and aren’t suitable, nor possible for all.
HOW LONG DOES IT TAKE?
The procedure itself is quick and after numbing the nose with numbing cream, is relatively comfortable taking approximately 10-30 minutes to complete.
The result is immediate and there is no downtime involved which means you can continue with your day and return to your normal daily activities with no or little sign that you have had treatment.
WHAT HAPPENS AFTERWARDS?
Amy will give you comprehensive verbal and written aftercare which will help you plan your treatment.
Important aftercare includes:
- avoiding touching the nose or face for 12 hours
- avoiding wearing make-up for 12 hours
- avoiding wearing sunglasses for 1-2 weeks while the filler settles
- avoiding direct sunlight and sunbathing
- avoiding very hot showers, baths, sauna or steam rooms for 2 weeks after
- no other facial treatments for 2 -4 weeks (especially lasers, microneedling and facials)
- avoid dental treatment for 2 weeks after treatment
A small number of patients may need to return for an adjustment/top up after the 4 week mark depending on the nose and soft tissues to improve the nose further once any swelling settles. This is included in the treatment cost and is free of charge if needed but is at the discretion of Amy as to treatment need.
WHAT IS HYALURONIC ACID FILLER?
Hyaluronic acid is a naturally occurring complex sugar in your body that helps to provide volume, structure, elasticity and moisture to your skin. As you age you lose your natural hyaluronic acid. The bones, muscles and fat pads also change affecting your facial shape. This leads to the signs of ageing as seen by facial volume loss, reduced skin elasticity, folds and wrinkles.
One third of the body’s hyaluronic acid is naturally removed and replaced every day. However, naturally occurring hyaluronic acid production decreases with age. Synthetic hyaluronic acid used in facial aesthetics, dermal fillers and lip fillers has been cross-linked and stabilised to produce natural, long lasting smooth result.
Dermal filler is a smooth injectable gel containing hyaluronic acid designed to replace the hyaluronic acid you have lost. It does this by filling the space of volume loss which improves folds and wrinkles, as well as attracting water to replenish moisture to your skin. It also has a biological effect on your own hyaluronic acid by encouraging it to increase collagen and elastin production which improves skin integrity and quality. Overall, this restores a natural and youthful appearance.
HOW IS THE TREATMENT ADMINISTERED?
We can numb you with numbing cream (or with a full dental block (numbing injections) for lips treatments) to ensure your treatment is totally pain free. The hyaluronic acid filler is then injected into the treatment area with very fine needles to ensure minimal discomfort and bruising, allowing us to sculpt the lips to the desired shape and fullness.
In many cases, we can use a round, blunt ended micro cannula to deliver the product to the treatment area with one tiny entry point either side of the mouth without the need to use any needles!
WHAT IS THE MICRO-CANNULA TECHNIQUE?
Amy has had advanced training in an alternative, in addition, to using needles called micro-cannulas to inject dermal fillers. There is a role for both methods of injection, the cannula method offers excellent benefits to patients. Using a single access point, it is possible to use fillers in the cheeks, all the way from the middle to the outer edge of the face. Instead of using multiple injections to the lips, it’s possible to get to the top and bottom lips from two access points located at the corners of the mouth. Reduced entry points are needed instead of using multiple injections with needles. Those same corners of the mouth points also offer access to nasolabial folds and the marionettes lines, which extend from the corner of the mouth down towards the jawline.
With just four injection points, it’s possible to add volume to the lips, lower face, middle face, and cheeks.
Benefits include:
- Reduced discomfort with fewer injections with sharp needles There is very little discomfort using a microcannula (often just a strange “pushing” feeling) but there is very little pain.
- Decreased Risk of Bleeding and Bruising- Sharp needles can pierce veins and arteries beneath the skin. Since blunt cannulas simply push aside any arteries and veins encountered beneath the skin, there’s a reduced risk of bleeding and bruising.
- Safer When using needles for filler injections, one of the riskier (and thankfully very rare) potential complications is placing filler into an artery, which can cause tissue death. Cannulas do not pierce arteries, so they offer a much safer option for patients.
- Minimal Downtime Needle injected filler treatments can cause minor swelling and bruising and they often have some social downtime. Micro-cannula methods cut down on swelling and bruising so there is minimal downtime post-procedure.
- Greater Flexibility A much larger surface area can be treated with just a single entry site when using micro-cannula, making it possible to treat more areas with fewer injection points.
When are needle techniques preferred?
- When a very small amount of filler are needed for adjustments and when fillers are planned for small places like the cupid’s bow of the upper lip. Cannulas may not be ideal for filling acne scars or injecting extremely fine lines located on the skin’s superficial surface.
WILL I HAVE AN UNNATURAL APPEARANCE or “LOOK OVER DONE”?
Amy's aim is always to create treatment results which are in harmony with your facial features and that are within the limits of accepted natural beauty proportions.
Unnatural results including over-contoured, “alien-like” features, over-filled “pillow-face” and lip treatments that are referred to as “trout pouts”, are caused when too much product is used often with incorrect or poorly planned placement.
For most areas of the face, we can build a result over time for a more balanced, gradual result. For the treatment of asymmetry or where the areas of the face and profile are out of proportion, dermal fillers can enhance and balance with targeted treatment.
As an experienced dentist, Amy is very aware of what natural anatomy should be like, and we are familiar with facial proportions in addition to assessing our patients from the front and side profile alongside the role of dental support in the face shape and profile.
Due to the nature of the procedure, there is often some short-term swelling associated which with good aftercare and techniques we can minimise and help you plan for.
WHAT PRODUCTS ARE USED?
There are many types of filler. Each differs in the concentration of hyaluronic acid, the number of cross links, and the stiffness or hardness of the gel. As we all age differently this will affect which type and how much dermal filler you will need depending on your degree of volume lost, the depth of the fold or wrinkle being treated and the desired treatment outcome. You’ll see results as soon as your appointment is over as the aesthetic results are immediate.
Hyaluronic Acid Fillers are absorbed into the body over time, so the aesthetic effects are not permanent- but it is important they are placed correctly for safety and long term structure/shape.
Treatments can slow and halt undesired effects of aging but you will require top-ups if you want to maintain the same effect. Most fillers provide an immediate noticeable improvement with lasting results (up to one year). The longevity of the product varies pending on age, area injection site, quality of skin, lifestyle, healthiness and is usually 6-12 months (face) and 3-6 months (lips).
At Contemporary Aesthetics, we use high-quality, extensively tested dermal filler product ranges with an excellent safety profile. Products by Juvederm (Vycross and Ultra), Restylane and Teoxane/Teosyal can be requested and Amy will always recommend the product that would best fit your treatment goals.
Please click below to find out more about the dermal filler ranges used by Amy:
WHAT ARE THE SIDE EFFECTS and IS IT SAFE?
Dermal filler treatments area safe procedures when performed in experienced hands. Amy uses a combination of micro cannula (tiny blunt-ended tubes) where possible and very fine needles which reduces bruising and downtime. In the event that bruising does occur, it usually fades in a week or so and can be covered with make up the following day.
Risks of complications are low, though complications can happen even in the most experienced of hands. Some minimal bruising and swelling is not uncommon (post procedure that can last 24-48 hours)- though the extent is significantly less than any surgical procedure.
Dermal fillers are made of naturally occurring hyaluronic acid which is dissolvable and reversible in both an emergency situation or by choice after the settling period- though this is rarely ever required. As Amy is prescribing dentist, both clinics hold stock of all appropriate emergency products, ensuring the safest possible environment for your treatment.