Personal Enhancement Center - Plastic Surgery by Dr. Christopher P. Godek, MD

Rhinoplasty vs. the Non-Surgical Nose Job

Many women and men interested in enhancing the appearance of their nose wonder whether they should pursue surgical or non-surgical treatment to achieve their goals. Known as rhinoplasty, the surgical approach to improving nasal size and/or contour involves several tiny incisions made inside the nose to allow for modification of cartilage, bone, and soft tissue. In some cases, another small incision made discreetly along the bottom of the columella (the vertical strip of tissue between the nostrils) may be needed to successfully perform the operation. In contrast, the non-surgical form of treatment involves a custom combination of injectable fillers intended to augment and/or refine various areas of the nose.

While the idea of no incisions and no surgery can be appealing, the “non-surgical nose job” has several disadvantages that often position it as an inferior option to surgical rhinoplasty. One such disadvantage is the fact that injectable fillers are only able to enhance volume and definition—they will not be beneficial for patients who wish to decrease the size and/or thin the width of the nasal bridge, nostrils, or tip of the nose. In addition, fillers are not able to improve nasal breathing and/or correct structural issues such as a deviated septum, both of which require surgery.

Another key drawback of the non-surgical nose job is the longevity of results. Depending on the particular injectables used, the effects of a non-surgical rhinoplasty tend to last anywhere from six months to two years before treatment will need to be repeated (if desired). This, in turn, has an effect on the overall cost of the enhancement. Although the initial expense of surgical rhinoplasty may be greater upfront, maintaining optimal results over time via continual filler treatments will usually end up being pricier in the long run.

Ultimately, none of this is to say a non-surgical nose job with injectable fillers is a bad option for every patient interested in nasal enhancement—there are certain individuals who would be good candidates for non-surgical treatment based on their unique needs and desires. In my experience, however, the vast majority of people considering rhinoplasty would benefit much more from the improved capability, customization, and longevity of a surgical approach.

– Dr. Christopher P. Godek, Board-Certified Plastic Surgeon

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