It’s right smack in the middle of the face, but somehow, until now, I had not even considered injectables could be used to enhance the appearance of the nose.
Botulinum toxin for wrinkles on the forehead – seen it. Use of fillers to smooth out facial lines – I’ve watched these techniques live at dermatology meetings. Lip enhancement – I’ve heard a lot said about that too. But recontouring the nose? Nope.
“We are not going to replace rhinoplasty, but there is a lot we can do with fillers in an in-and-out procedure,” said Dr.
Dr. Vince Bertucci, a private practice dermatologist and cosmetic skin surgeon in Woodbridge, Ont., Canada. Making the bridge of the nose more prominent, relaxing the “bunny lines” a patient gets when they smile, and making a nose less “droopy” at the tip are examples.
Nonsurgical rhinoplasty has its advantages, Dr. Jean-Francois Tremblay said. Injectables “can be used to see if a patient likes the changes to their nose before making the changes permanent.” And, although results are not as dramatic, they avoid the often significant downtime, swelling, and pain associated with a traditional “nose job,” said Dr. Tremblay, a dermatologic surgeon in Outremont, Que., Canada.
Filler and/or botulinum toxin enhancements are less expensive. Also, unlike surgery, many filler corrections can be reversed or modified, Dr. Tremblay added. On the downside, the effects don’t last forever. Also, “you can only add volume and not remove anything.”
Many patients unhappy with their nose appearance do not know injectables are an option, commented a dermatologic surgeon attending this session at the ASDS/ASCDAS joint annual meeting in Chicago. Dr. Tremblay agreed, and said more patient education is needed in this area.
Dr. Bertucci receives honoraria from Allergan is a consultant for Procter & Gamble. Dr. Tremblay is a medical consultant for Allergan, Medicis, Canderm Pharma, LaRoche-Posay, Procter & Gamble, and Johnson & Johnson.
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