Am I A Good Candidate For A Non-Surgical Rhinoplasty?
Q: Dr. Eppley, I am interested in a non-surgical rhinoplasty. I have a big nasal hump. Am I a good candidate for injectable fillers?
The ideal candidate for a non-surgical rhinoplasty, otherwise known as an injectable rhinoplasty, is someone with a dorsal hump. It is one of the few nasal deformities in which a ‘simple’ injection can make a major difference in how the nose is perceived. Building up the radix (area between the eyebrows, top of the bridge of the nose) above the hump can create a straight dorsal line in the profile view which is generally viewed as one of the desirable features of the nose. With that being said, however, not every nasal hump can be adequately camouflaged by injecting above it. In large nasal humps, the radix has to be built up so much that the dorsal line can look unnaturally high. Or in some cases that I have seen the skin can not stretch enough to create a smooth dorsal line no matter how much filler is injected.
In your nose you do have a significant hump and I do have concerns that an injectable filler can really create a straight dorsal line. It may be able to soften the size of the hump which is a more realistic goal. While a surgical open rhinoplasty to remove the hump is a far more appropriate and long-term aesthetic and cost effective nose reshaping procedure, you can certainly try an injectable filler as there is no harm in doing so. It is completely reversible over time (six months or less) and can serve as a first step in the rhinoplasty process.