Plastic surgery trends evolve over time with constant changes in aesthetic preferences and modern surgical technologies. The most common theme for patients is improving self-confidence and enhancing their appearance, especially when it comes to improving facial profiles.

Rhinoplasty, also known as a nose job, nose augmentation, nose reshaping and nose reduction, is a surgical procedure that can have a significant impact on your overall look because it is the most defining feature on your face. When performed well, it can enhance the proportions and influence the beauty and harmony of the face. Rhinoplasty reshapes both bones in the upper region and the cartilage in the lower region of the nose, and can be altered in several ways that meets the patients aesthetic goals.

But could dermal fillers and non-surgical nose jobs, like liquid rhinoplasty, replace surgery? The results of non-invasive treatments are more subtle, usually require a more specific candidate, and sometimes take a few or more visits to achieve the desired results. (Read Surgical Vs. Non-Surgical Interventions: 6 Important Questions to Ask Yourself.)

Liquid rhinoplasty gives emphasis on the minor changes that can be achieved by dermal fillers.

What Are Some of the Differences Between Surgical Nose Jobs and Liquid Rhinoplasty?

  • Surgical rhinoplasty is permanent, while dermal fillers are temporary and both dissolvable and reversible.
  • Surgical rhinoplasty takes about a year or less to see final results, while liquid rhinoplasty is an immediate change.
  • There are more risks involved with surgical rhinoplasty.
  • There’s no anesthesia, incisions or sutures involved in liquid rhinoplasty.

Let's dive a little further into the surgical option.

Surgical Rhinoplasty

A good candidate for this procedure includes those who have completed facial development, don’t smoke anything that contains nicotine or tobacco, and have a positive outlook and realistic expectations.

There are several reasons why many consider undergoing this procedure, such as being unhappy with the overall look of the nose (shape, size or angle), the nose not being proportionate to the face (too big or too small), irregularities inside the nose causing breathing problems, or the nose having a hump or tip that is enlarged, drooping, upturned or hooked. Read A Face-lift at 30? It's Trending and Smashing the Stigmas.)

The changes that can be made to the nose depend on the patient’s biological characteristics. Every single individual has their own bone structure, muscles, skin and cartilage. There’s a variety of desired results, such as a higher bridge, broken nose correction, deviated septum, narrower nose, removal of a hump or a more refined tip. Many patients undergo this procedure because they don’t like their nose from the side.

Before undergoing rhinoplasty surgery, always remember that it is an individualized procedure since no two noses are identical. (Learn all about nose job recovery with Your Guide to Rhinoplasty Recovery.)

It is very important to choose your surgeon based on their quality, training, and experience. A mistake that some patients seem to fall for is making a decision based on the cost of the procedure. When choosing a plastic surgeon, always research their background and credentials. There are a few credible online sources that can greatly help in doing so, such as the American Society of Plastic Surgeons (ASPS), the American Society of Aesthetic Plastic Surgery (ASAPS) and RealSelf. (Learn what questions should always be asked with 5 Things to Ask Your Doctor Before Considering Rhinoplasty.)

How is surgical rhinoplasty performed?

Depending on the patient, there are different ways that this procedure can be performed, such as an augmentation, correction, reconstruction, reduction or revision. Furthermore, ethnic rhinoplasty usually consists of augmentation, which adds volume or height to the dorsum of the nose and tip.

Rhinoplasty is usually performed under general anesthesia. The surgery usually takes place in an accredited hospital or certified operating room (located in or next to the plastic surgery practice). Before the procedure, the plastic surgeon will discuss with you the two types of incisions used, which are known as the “open” (external) approach and the “closed” (endonasal) approach.

If the “closed” method is chosen, then the incision is made inside the nose so the scar isn’t visible, but the “open” approach involves an incision across the columella. The columella is a bridge of tissue that connects the nasal tip to the base. This is done by taking “grafts” from certain areas of the body to build up the nose. Nose reduction removes cartilage and bone to make the nose smaller.

The surgeon may also change the angle or shape of the nose. In regards to changing the shape, this is done by breaking the bone and manipulating the cartilage of the nasal region.

What Can I Expect from Liquid Rhinoplasty?

Non-surgical rhinoplasty, also known as liquid rhinoplasty, is a procedure mostly used for mild corrections. It can treat issues such as depressions on the nose dorsum, a prominent bump along the nasal bridge (fillers can build up the area, giving the illusion of a straighter nose), even or smooth out minor indentations, straighten out the appearance of the nasal bridge, small corrections on the side of the nose and in very selective patients with nose tip deformities.

These slight changes can enhance the overall appearance and improve facial asymmetry to achieve a more attractive look.

How is liquid rhinoplasty performed?

The treatment is done with hyaluronic acid based, soft tissue fillers. There are different types of fillers that can be used depending on the area of application, filler density and structure, such as Belotero, Juvaderm, Radiesse and Restylane. The results are temporary, and can last from 12 to 18 months.

The benefits of liquid rhinoplasty include no downtime, very little bruising and swelling, takes less than an hour to perform, immediate results, treatment is reversible, and less expensive.

A good candidate for non-invasive rhinoplasty are those looking for subtle or mild improvements, and usually those with ethnic noses. Since it is temporary, this is also a treatment that can be used for patients wanting to test out the results before committing to the actual surgery.

The liquid rhinoplasty treatment isn’t for everyone. Those looking for more dramatic changes, the results from non-surgical rhinoplasty will most likely not be of satisfaction in achieving their needs. Non-invasive rhinoplasty can make subtle changes on external issues, but cannot change external issues.

When considering one of these procedures, it is best to go to an in-person consultation with a board certified plastic surgeon to discuss which procedure is right for you, and to discuss your goals and expectations.