There is a certain subset of patients who, by genetics or trauma, will require a true septo-rhinoplasty to correct breathing problems and to straighten an injured nasal pyramid. There is a much larger group of patients who have relatively minor cosmetic nasal problems, usually confined to the tip or the bridge of the nose. It is a well-known that the tip of the nose tends to lose its support as we age causing the nose to tilt over the upper lip and gives the impression of a longer nose. Minor nasal tip cartilage problems can create the impression of a “boxy” tip or even a “pointy” nose. Minor bridge problems can be addressed with small operations.
The use of filler in the nose has only recently become popular. There are a few situations where fillers may improve the nose without surgery. Small discrepancies of the nasal bones usually due to trauma and certain small tip and bridge asymmetries may be improved with the judicious use of fillers. To this point in time the “perfect filler” is still your own fat. Harvested and processed fat is long-lasting and usually does not require secondary procedures.
The nasal refining procedures do not require general anesthesia and are not covered by insurance. These procedures are for refining the nose and as such do not change to overall ethnicity of your nose. Think of your same nose yet more refined, elegant, and at a greatly reduced price. For some people a major nasal reconstruction may be necessary due to trauma, for those who want a completely new nose, or those with significant nasal breathing problems.
Dr. Paul Howard