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Non Surgical Rhinoplasty vs. Surgical Rhinoplasty

Faced with undergoing surgery or just having a few injections seems like a simple decision when choosing surgical vs. non-surgical rhinoplasty. But make no mistake; the two procedures are really quite different with very different results and length of permanence. Non-surgical rhinoplasty is a temporary fix for very specific concerns. It can temporarily smooth out imperfections, but cannot decrease the size or bone structure of the nose. On the other hand surgical rhinoplasty can decrease the size of the nose as well as reshape bone and cartilage for a permanent result.

What is Non-Surgical Rhinoplasty

Quick and simple, non-surgical rhinoplasty is appropriate for patients interested in smoothing out and refining imperfections in their nose. Dr. Sam Rizk performs non-surgical rhinoplasty with filler injections of Restylane, Juvederm or Radiesse, which smooth out imperfections by adding a slight amount of volume to certain areas of the nose. Restylane and Juvederm injections usually last six months, while Radiesse injections can last up to two years. Your doctor will decide which injectable would work best for you depending upon the shape and condition of your nose.

While not permanent, non-surgical rhinoplasty is a good opportunity for patients to try out a new nose and see if the changes are something they would like to make permanent with surgical rhinoplasty. Dr. Rizk stresses that non-surgical rhinoplasty is not appropriate for patients with major nasal deformities or those wanting to significantly reduce the size of the nose. Non-surgical rhinoplasty also does not address concerns regarding the tip, length or width of the nose.

What is Surgical Rhinoplasty?

It is quite a different story with surgical rhinoplasty, which can address a myriad of concerns about the nose, including making your nose straighter, wider, narrower, longer or shorter. It can also address the shape of the tip of the nose or the bridge, the angle between the nose and upper lip and narrow the nostrils. Changes are permanent; bone and cartilage removed during the procedure will not grow back. A surgical rhinoplasty will enhance your appearance and in the situation where the tip of the nose is lifted, can actually make you look younger. Dr. Rizk customizes his approach to each patient and is an expert in ethnic rhinoplasty, which requires special training and advanced techniques. In general, patients of African American, Middle Eastern/Mediterranean, Latino/Hispanic and Asian heritage tend to have thicker skin on their noses. Dr. Rizk’s 3D endoscopic technique is particularly appropriate for ethnic noses, which require specialized defatting, resculpting of the tip and grafting techniques.

In addition to reshaping noses for cosmetic reason, surgical rhinoplasty can also correct breathing problems such as a deviated or crooked septum, which can block airflow through one of the nostrils. In combination with medical treatments, surgical rhinoplasty can even help breathing problems due to allergies or weak cartilages.

While Dr. Rizk customizes each rhinoplasty procedure to fit the needs of the individual patient, basically there are two types of rhinoplasty procedures. The first is called closed rhinoplasty (endonasal), where all incisions are made inside the nose leaving no visible scars. The second is called open rhinoplasty (external), which involves making a small incision on the strip of tissue that separates the nostrils (columella), in addition to incisions inside the nose. This approach is sometimes necessary for very complex cases as well as revision rhinoplasties. With both the open and closed approaches, Dr. Rizk employs his signature 3D endoscopic telescopes with specialized camera/TV systems, which allow him to get a precise view of the inside of the nose resulting in a superior result and lessened bleeding, swelling and recovery time.