There is no better way to appreciate what can be done without another surgical rhinoplasty.Liquid rhinoplasty (properly performed by a highly specialized, long-experienced specialist) is considered safe. Photos are taken before and after so the patient may examine the result in the quiet and comfort of home. If the patient likes what she or he sees, the likelihood of success is very high. The saline, sterile salt water, injected under the skin, under a topical skin anesthetic, will demonstrate to the patient the result of the permanent filler. This “test drive” or preview is a practical and quick way for the patient to see, mirror in hand, the result of the permanent non-surgical revision rhinoplasty. If I see that non-surgical rhinoplasty is a better answer, I will fortify my suggestion by showing the result with computer imaging or even better suggest the “KOTLER SALINE DEMO”. When a patient comes to us for consultation, whether considering a cosmetic nasal procedure or to ask about a revision rhinoplasty, the first question I ask myself is: “ Can I help this patient without surgery? Could the patient be satisfied with the Permanent Non-surgical Rhinoplasty or if there has been one or more visits to the rhinoplasty operating room, relief of dissatisfaction without another surgery by employing the permanent non-surgical option. Appropriate for those who have had no prior surgery or for those who have had multiple surgeries.Īs a substitute for revision rhinoplasty, here are the key features of a Permanent Non-surgical Revision Rhinoplasty:.A “demo” using sterile saline (salt water) can predict the anticipated result to help the prospective patient make an informed decision regarding having the non-surgical technique.Minimal discomfort which can be reduced by anesthetic cream.Patient participates in deciding the “end point” of the filling process. No visible signs of treatment no swelling, no bruising. Procedure takes one minute immediate return-to-work. Alternatively, the ultimate volume and shape of surgically transplanted or grafted fat, cartilage or bone is never certain. If there, must there be a second operation?Īs a substitute for revision rhinoplasty, here are the key features of a permanent non-surgical revision rhinoplasty: Asymmetries like that are highly visible. Perhaps Nature shrank some of the tip cartilage and now there is a divot that is obvious to the eye. When the nose is imperfect after a rhinoplasty, it is usually because there is a defect in the cartilage and bone framework. Restylane ® and Juvéderm ® are names familiar because of their original role to plump lips and replace facial fat volume that parallels age. The temporaries are better known because many more doctors use them and there are several different kinds. Kotler is among the most experienced Permanent Non-surgical Rhinoplasty doctors in the world. Very few Doctors perform the Permanent Non-surgical Revision Rhinoplasty. The body accepts this material, does not reject it and walls it off with a microscopic fence and thus its takes up permanent residence just under the skin of the nose. It is a permanent nose job because it is not digested by the body any more than artificial joints, heart valves and catheters, made of solid state silicone. This clear, colorless, thick, oil-like filler is injected via a small bore, short needle. The most common product is marketed as Silikon-1000. The only filler recognized as permanent is medical grade liquid silicone.
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