She knows the nose

Rarely do you hear compliments and comments along these lines, “I love how flat your nose is”, “I wish my nose was a bit bigger on the right side” or “I love how the nose looks at 50.” Simply because shapely and symmetrical noses are usually society’s definition of an ideal feature, together with a slim body, clear skin, silky hair, sharp eyes and full lips. Not all of us, however, are blessed with such noses. And for those who are, age eventually takes its toll. It’s no wonder nose jobs are so widely performed. But is surgery necessarily the best option for a beautiful nose, or do other methods work better to create a nose the world yearns for?

Screen shot 2011-07-03 at 5.25.22 PM

WHAT SIGNIFIES AN IDEAL NOSE SHAPE?

There are some general features we can go by, such as; the nose should be symmetrical, it should be able to properly perform its function of breathing and it should not be drooping. But overall, there’s really no ideal nose shape, because a nose that can make one person look gorgeous may not necessarily work for someone else. The right nose for you would be a shape that harmonises well with your facial structure and your other features.

WHY DO PEOPLE SEEK A NOSE JOB THEN?

There are a few common reasons. The majority come for cosmetic purposes. Even though there’s no ideal shape, the current shape they have is not necessarily best suited for their face, so they’d like to make improvements. After all, we all have flaws, and for some of us it’s the nose. Another reason is for health purposes. When the structure of the nose prevents the patient from breathing properly, they need a nose job. We even have patients whose nose has been deformed from genetic mutations, severe trauma or exposure to toxic substances. Many also come because their age calls for a nose job. As you age, what normally happens is the tip of the nose droops and elongates. This usually happens between the ages of 50-60, when the skin loses its elasticity and the soft tissue underneath stretches. Some of that skin starts drooping around the tip of the nose.

HOW ARE THESE PROBLEMS FIXED?

We first take into account the size and shape of your face, your ethnicity, and what your current nose shape is before we fix your nose. The traditional way to do it is through surgical rhinoplasty, because it is widely known for good, drastic and permanent results. However, for minor changes this method can result in overcorrection and look unnatural. For such cases, it’s usually better to use non-surgical methods. The filler used in non-surgical rhinoplasty is injected in small amounts and in precise locations so that there is total control over the shape created by the procedure.

HOW DO THESE FILLERS WORK?

Fillers help to camouflage imperfections such as humps and bumps, even out the nose and achieve a natural aesthetic appearance. These fillers can improve symmetry, lift a drooping nasal tip or even correct a scooped out or saddle nose profile. It is very important that the filler material is injected deeply, just above the cartilage of the nose. If injected too close to the surface, over time, you may see skin changes, such as redness or a lumpy surface of the nose.

There are many types of fillers. We can group them into temporary, semi-permanent and permanent fillers. The most popular temporary fillers are usually the ones derived from hyraluronic acid. They are very safe, 100% biodegradable and if you develop an allergy to it, it can be easily corrected. Also if you’re not satisfied with the result, enzymes can be used to dissolve the acid immediately.

Semi-permanent fillers are longer lasting, because they contain plastic beads along with hyraluronic acid and collagen. The collagen and the hyaluronic acid will eventually dissolve, but the beads remain and can create hard lumps here and there in the future. We don’t usually recommend permanent fillers, particularly silicone, because these can cause reactions as well as bumps and lumps that are quite difficult to get rid off, and sometimes with silicone you lose your nose shape totally. It’s usually the last resort when patients have major volume deficit, or they really request it.

WHAT RESULTS CAN I EXPECT?

If you get a surgical nose job, then the results are usually permanent but take a while to show. Temporary fillers last only about a year to a year and a half, depending on the type of hyraluronic acid, but the results are immediate. For few patients the results last even longer because their body is stimulated to build its own collagen in the area. There’s usually a need for a touch up every couple of years.

Since there’s no significant swelling or pain, most patients return to work on the same day of the procedure. Some injection-related side effects can occur including redness, tenderness, swelling and bruising but none of these are very serious and they will resolve in a matter of days.