We pride ourselves in being the leading clinic in Non-Surgical Rhinoplasty treatment in the UK.
The non-surgical rhinoplasty is a technique for remodelling and reshaping the nasal framework with the use of dermal filler injections.
Using a precise series of injections of the dermal filler, the surgeon can soften sharp angles of the nose, fill depressions and change the shape of the tip of the nose with instant and natural results.
Dr Ayham Al-Ayoubi an ENT, Facial Plastic and Laser Surgeon has pioneered the non-surgical rhinoplasty using different types of dermal fillers in the UK.
At our clinic Dr Al-Ayoubi works alongside some of the leading and most experienced consultants plastic surgeons, specialised in Surgical Rhinoplasty and Non-surgical Rhinoplasty, providing our patients with outstanding procedures tailored to their individual specific needs.
Indications For Non-Surgical Nose Job
As the nose is the central feature of the face, it has a significant effect on facial aesthetics. The nasal contours and the nasal tip strongly define the character of the nose which is the reason why surgical reduction or alteration of the tip is very popular procedure.
Non-surgical nose job is a safe and non invasive alternative to nasal surgery – Rhinoplasty. It involves the injection of a dermal filler in key areas around the nose which can change the overall shape or result in a straighter nose in a natural way with instant results.
A non-surgical rhinoplasty is an ideal option for men and women who wants to:
- Correct Nasal Asymmetry
- Smooth contours of the nose
- Even out bumps and depressions
- Raise the bridge of the nose
- Raise the tip of the nose
- Have Nasal tip projection (For the tip to appear more pointed)
- Correction of previous nasal surgery
Also it is a good option for patients who are considering a surgical procedure and see this as a stepping stone towards how a ‘new nose’ might look, before they commit to going under the knife.
No-surgical nose job is not an option for all patients with the usual contraindications in place for those with acute chronic skin disease, pregnancy/ breastfeeding, allergies or intolerances to dermal filler materials being used.
During the non-surgical rhinoplasty, topical anesthesia will be applied to the nasal surface which will provide a very good numbing effect.
The dermal filler which is also mixed with local anesthetic is then injected onto precise areas of the nose. The procedure is painless and lasts around a few minutes only.
The results are immediate and there is no recovery or down time as there are very rarely any bruising or swelling. The non surgical nose job is a well proven, safe treatment that has become very popular and we have performed hundreds of these cases at our clinic.
Following the procedure there may be very minimal swelling or redness which subsides in a few hours. Most people can resume their daily activities and work immediately. A free follow up consultation is arranged one-two weeks later.
Mr Ayham Al-Ayoubi, ENT, Facial Plastic Surgeon believes the concept of the non-surgical rhinoplasty started when surgeons who were performing traditional, surgical rhinoplasty procedures realized that when they were injecting the local anesthetic into the nasal area they were getting a degree of correction from the simple addition of the Lidocaine solution to the region; hence the seed of the idea for the use of injectables was planted.
When addressing the nose for non-surgical rhinoplasty treatment the facial plastic surgeon will assess anatomical structures of the face.
Dr Ayham Al-Ayoubi: it’s crucial to the surgeon to understand and know in extreme details all nasal structures before considering dermal filler injections which could be in some cases combined with Botulinum toxin injection.
The nose is a complex area of movement in the face, which is no surprise given its primary role in allowing us to breathe. The movements of the nose are affected by four key groups of muscles, the elevators (including the procures, the depressors, the compressors and the dilators.
As a structure the nasal area is comprised of bone, cartilage and a composite of the two known as cartilaginous or osteo-cartilaginous structures.
The external anatomy includes the dorsum, the sidewalls, the lobule, the soft triangles, the alae and the columella. It’s worth noting that these are configured differently depending on the race or ethnic grouping of the patient. Internally, the septum is the osteo-cartilaginous structure that splits the nose into two halves which end in the left and right nostrils.
It’s important to have an understanding of the overlying skin and how it differs in thickness and adhesion to the underlying cartilaginous and bony structures in the upper, middle and lower nose.
The anatomical area of key importance when considering embarking on a non-surgical rhinoplasty is the vascular system which provides the blood supply to the nose. Avoiding complications due to interference with the blood supply is the primary goal when injecting dermal fillers into the nasal area.
Sound advice to mitigate the risk and prevent simple errors would include always aspirating the needle prior to injecting product, a practice that all facial plastic surgeons should be familiar with as a matter of good sense, as well as gradual injection of the product and not over-filling.
It is equally important to have an artistic approach to any rhinoplasty procedure, whether surgical or non-surgical.
Safety Of Non-Surgical Rhinoplasty
The non surgical nose job is a well proven, safe treatment that has become very popular and we have performed hundreds of these cases at our clinic. Dermal fillers are the main substance used for non-surgical Rhinoplasty.
There are different groups of Dermal fillers. The most popular group used in non-surgical Rhinoplasty is hyaluronic acid based which is a natural product, Such fillers are Juvederm, Perfectha, STYLAGE and Teosyal.
The Hyaluroinc acid is a fluid which occurs naturally in the skin and which allows the skin to retain a plump, full appearance over time, and restore skin to a firmer and more youthful appearance.
The other groups are Ellanse (made of Poly-Caprolactone), Radiesse (calcium hydroxyl appetite crystals based) and Aquamid ( Polyacrylamide based). Ellanse, which is the first dermal filler to offer a safe, unique, tunable longevity, specifically designed for the field of aesthetic medicine and surgery with the result lasting from two to four years.
Radiesse (calcium hydroxyl appetite crystals based) is another group and it well know for its safety and its ability to be incorporated into the superficial dermis and are absorbed gradually as time passes.
Aquamid ( Polyacrylamide based) is a unique soft-volume filler with immediate results and, unlike temporary fillers; these results will not disappear or fade over time. It is biocompatible and non-allergenic and its high water content makes the treated area look and feel soft in a natural way.
All the above groups are biocompatible and non-allergenic and there high water content makes the treated area look and feel soft in a natural way and they are absorbed gradually as time passes.
All above groups of dermal fillers are approved by MHRA in the UK and the FDA in USA.
Like with most aesthetic procedures there is the potential for possible complications and non-surgical rhinoplasty is no exception. It is the duty of the surgeon to minimize the possible rare side effects even though he can not eliminate them.
In capable hands, with the right training and experience, this is a very safe and effective procedure. Over time the technique has evolved to optimize the effects and reduce problems.
The rare side effects/ complications include: infection, hematoma, pain and discomfort, post-procedural asymmetries and foreign body reaction.
Mr Ayham Al-Ayoubi has performed hundreds of non-surgical nose jobs at our clinic using different types of dermal fillers.