Alexander Z. Rivkin M.D. is a Yale trained facial cosmetic surgeon and UCLA faculty member who has focused his practice exclusively on providing his patients with the latest in non-invasive, non-ablative cosmetic treatments in Southern California. He understands that no one relishes the thought of “going under the knife,” and believes modern medical technology can provide today's patients with superior alternatives to invasive, painful surgery that requires a long recovery time.

Tuesday, September 16, 2008

Non Surgical Nose Job

Is there a way for the non-surgical nose job to make your nose bigger or wider? I ask this because as a man, I feel my nose looks weak for my appearance, and I am wondering if this procedure can help me out.

The non-surgical nose job procedure can make your nose bigger and wider, in a subtle way. It may be your best option, but it depends on what you are looking for...

So, what it will come down to is how much of a change you are looking for. I do this daily and I can get several millimiters of increased width from the frontal view using fillers. Lengthening your nose with fillers is more difficult. I can usually get a millimiter or two of increased length, but that's really all. We are limited by the ammount that the skin will stretch, and the skin on the tip (which is the area that has to be injected to make the nose longer) will not stretch too much. That being said, I usually bring my patients back for a second session several weeks later, once the skin has adjusted to the filler and try to put a bit more in. Most of my male patients who have wanted this kind of change have been quite satisfied.

A few points:

1. This is not a temporary fix. If you are happy with the effect using Radiesse (and for your purpose it is the only temporary filler on the market that will work well), you can transition to Artefill for a permanent correction. Rhinoplasty is not your only permanent option. Artefill will require several touch up sessions, but after that it is permanent. I have transitioned about 50 patients to Artefill so far and have had excellent results.

2. I'm not so sure that a Plastic Surgeon is the first person you should see. Most Plastic Surgeons do not perform this procedure or only do it once in a great while. You should get a consultation with a doctor who has significant experience with the non-surgical nose job procedure. That may be a Dermatologist or a Plastic Surgeon or a Facial Plastic Surgeon. This doctor can then give you an informed opinion about whether this is the right procedure for your needs.

3. It is actually easier to reach your individual aesthetic ideal non surgically than it is surgically. The non surgical procedure can achieve subtle, natural changes that do not completely alter how you look. Surgery is for big changes. Injection is for subtle alterations. The non surgical procedure is perfect for preserving ethnic individuality and avoiding the standard caucasian nose.

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