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[pure-ablution]

Can you talk about non-surgical options that mimic a rhinoplasty? I think you mentioned it in the past

Injectable treatments are an alternative option to a surgical rhinoplasty, but you’ll need to keep in mind that these procedures can only alter the external appearance of the nose—they can’t fix internal issues such as a twisted septum. They’re also temporary, and come with their own risks. In my opinion, there are actually very few people who are suitable candidates for non-surgical nose jobs, because most people who are seeking a rhinoplasty typically have issues that can’t be fixed with soft-tissue procedures—but that said, I have known a few people to have amazing results with one or a combination of these options, so I recommend doing your own research to figure out whether you might be a suitable candidate.

Dermal filler

This procedure involves injecting small amounts of filler to balance out the shape of the nose—and yes, technically this does make the nose bigger! For this reason, it’s only really a good choice for people with underprojected noses, or noses with good projection but an overly bumpy bridge. Filler can be injected anywhere in the bridge to visually build up a flatter nose or straighten a dorsal hump, or at the tip to give height and lift.

Injecting filler into the nose is also a risky procedure on account of the number of veins in the nasal region, and a vascular occlusion (blockage in the vein) can cause blindness, or a stroke or heart attack. It’s a small risk, and generally caused by an inexperienced or poorly-trained injector, but it’s something to keep in mind—don’t cheap out on your injector (and definitely don’t DIY) when it comes to dermal fillers, especially in high-risk areas like the nose.

Botox (and other neuromodulators)

There are multiple different applications of Botox that can mimic the results of a rhinoplasty, so I’ve linked a short video above that goes through the main options. Botox paralyses overactive muscles, so it can be used to reduce the appearance of ‘bunny lines’ (when you scrunch up your nose), lift up a tip that droops down when you smile, and reduce overly flared nostrils, thereby visually slimming the nose and mimicking the results of a surgical alar base reduction.

Botox comes with its own risks, and too high a dosage or incorrect injection placement in the nasal area can temporarily impact on your smile and the movement of the surrounding facial muscles. I highly recommend going to an experienced injector who specialises in the nasal area, if possible, and opting for a toxin with a smaller diffusion area (such as Bocouture) to prevent spread into non-targeted muscles.

Thread Lift

A thread lift inserts dissolvable light threads into the nose via a cannula, and can be used to reshape the nose in several different ways. The most common is using threads to lift up a permanently droopy tip, but they can also be used to build height on the bridge and refine the nose’s tip definition, too.

Threading, in my opinion, is a waste of money. It’s ineffective on its own against the strong nasal muscles, meaning that it needs to be combined with Botox—which would work perfectly well on its own. Threading isn’t a particularly risky procedure, but it’s very temporary with extremely minimal results, and it damages the skin of the nose in such a way that would likely impact on future surgeries.

Crystalline cortisone

I’ve only heard of this procedure being carried out in Germany (Kristallkortison); in most other countries, steroid shots are used to reduce swelling post-rhinoplasty, not to reduce the size of an unoperated, bulbous nose. The mechanics of the procedure work in much the same way, though, by reducing inflammation and soft-tissue volume to visually slim down the nose’s base and tip.

This is a risky procedure, as the spread of cortisone is not easily controlled and non-targeted tissue may be affected. As with any steroid shot, there’s a risk of indented scarring at the injection point, and repeated treatments will cause an irreversible thinning of the skin—which may lead to the softer nasal tissues developing holes. I’ve also read that cortisone treatments are only suitable for noses which won’t be operated on again in the future, since the thinned skin and reduced blood circulation make a surgical rhinoplasty too risky—I don’t know the extent of the truth in this, but in any case, I don’t particularly recommend this procedure.

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