Permanent, Non-Surgical Nose Job: The Little Known, No-Knife Procedure

Feb 02, 2016, 16:57 ET from Robert Kotler M.D., FACS

BEVERLY HILLS, Calif., Feb. 2, 2016 /PRNewswire/ -- The American public has – perhaps wisely – become more averse to invasive cosmetic surgery operations.

According to the American Society of Plastic Surgeons, minimally invasive and non-surgical cosmetic procedures increased a whopping 154 percent from year 2000 to 2014, the most current year for statistics.

While many cosmetic plastic surgeons offer non-surgical rhinoplasty with dissolving fillers, Beverly Hills' Robert Kotler, M.D. has performed permanent, non-surgical rhinoplasty for the last 38 years.

An added attraction: The procedure is 80 percent less costly than surgical rhinoplasty. Plus, there is virtually no recovery period after injections.

Dr. Kotler's procedure is appropriate for:

  • First rhinoplasties
  • Revision nose jobs after procedures done elsewhere were botched
  • Improving marks on the outside of the nose like grooves, humps, depressions and even twisted noses
  • Correcting or lifting nasal tips
  • Broken nose imperfections
  • Unbalanced nostrils
  • Bridge augmentation

(See some permanent, non-surgical before & after rhinoplasty photos.)

Here's how a typical permanent, non-surgical rhinoplasty treatment works: in Dr. Kotler's office, the patient has the nose numbed and then has a permanent filler injected just under the skin while watching in a hand mirror.

After a wait of six weeks, the patient returns to see if more filler is needed. Most permanent, non-surgical rhinoplasties are completed in about three such sessions.

Why the wait? Silikon 1000, the permanent filler, is deposited in micro-drops with the finest needle known. The body perceives these micro-drops as foreign invaders and surrounds them with fibroblasts, a special defensive tissue.

(Read questions and answers about Silikon 1000.)

That's what provides the plumping action filling grooves, depressions and can even disguise a nasal hump by adding filler above and below the hump.

Improvements are lifelong.

One surgical rhinoplasty drawback is that donated cartilage to improve the nose can change – affecting the shape of the nose -- after surgery.

But a permanent, non-surgical rhinoplasty stays the same as after the final appointment. Moreover, the filler, trapped in tiny capsules does not move under the skin; that effect is helped by the stationary nature of the nose which does not move like the lips.

Another benefit: after one treatment, the patient immediately goes back to what he or she was doing before the appointment, with no facial marks or bruising whatsoever.

(Watch a video about a patient's non-surgical nose job.)

An office demonstration is available showing what the permanent non-surgical rhinoplasty will look like.

Ordinary saline is injected into the same places as the permanent filler is placed. The saline dissolves within several hours, but that's long enough to provide before and after pictures so the patient can have a preview of the procedure.

(Watch a video demonstrating the salt water injections.)

"In 38 years of performing permanent, non-surgical rhinoplasty, I've not had one patient suffer a complication," says Dr. Kotler. "When I show patients non-surgical help for their noses, they say 'Why have I never heard of this before?'"

There are just a handful of permanent non-surgical rhinoplasty providers, mostly in the Eastern United States, with Dr. Kotler having the longest and most successful track record.

Media Contact:

Charles Downey


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SOURCE Robert Kotler M.D., FACS