Dr. Alexander Rivkin
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I recently made this brief video – I think it should be useful for people considering Non Surgical Rhinoplasty.

I wanted to go over some of the questions I am usually asked during the consultation process, the main concerns that my asian clients have and demonstrate the procedure from start to finish.


good morning doctor rivkin,

if possible, i would like to ask you another thing about radiesse for a no surgical nose job:

1. i wear glasses, are there any problem with the filler? is it possible that radiesse will migrate o move with the little weight of the glasses?
2. i’ve some red capillars on my nose. could i remove it with the radiesse on or the filler could give me some problem?
3. the last thing..if one day i would like to have a surgical rinoplastic to remove the hump on my nose , the radiesse that now i will put could be a problem?

many thanx doctor.

hi,
1. i tell my patients to hold off on wearing sunglasses for a week after the non surgical nose job treatment. if that is not possible, i just ask them to do their best and perhaps wear light weight glasses or decrease the use of glasses, or wear them in a position that does not press upon the area of the nose where radiesse was injected. i have never had a case where glasses caused a dent in the nose after radiesse, but i just want to be sure.

2. we can treat the capillaries with a device that eliminates them after the procedure. occasionally, the radiesse injection makes capillaries like that a bit more noticeable, but we can always treat them.

3. this is a concern that some doctors have raised. i really think that, if you wait a year or so after the radiesse injection, surgery should be fine. if you want to be really sure, wait 18 months. Radiesse is a temporary filler. the body breaks it down and it should never cause permanent scarring under the skin. i have had some patients have rhinoplasty after the radiesse injection. they waited the appropriate amount of time and everything was ok.


Is there a way for the non-surgical nose job to make your nose bigger or wider? I ask this because as a man, I feel my nose looks weak for my appearance, and I am wondering if this procedure can help me out.

The non-surgical nose job procedure can make your nose bigger and wider, in a subtle way. It may be your best option, but it depends on what you are looking for…

So, what it will come down to is how much of a change you are looking for. I do this daily and I can get several millimiters of increased width from the frontal view using fillers. Lengthening your nose with fillers is more difficult. I can usually get a millimiter or two of increased length, but that’s really all. We are limited by the ammount that the skin will stretch, and the skin on the tip (which is the area that has to be injected to make the nose longer) will not stretch too much. That being said, I usually bring my patients back for a second session several weeks later, once the skin has adjusted to the filler and try to put a bit more in. Most of my male patients who have wanted this kind of change have been quite satisfied.

A few points:

1. This is not a temporary fix. If you are happy with the effect using Radiesse (and for your purpose it is the only temporary filler on the market that will work well), you can transition to Artefill for a permanent correction. Rhinoplasty is not your only permanent option. Artefill will require several touch up sessions, but after that it is permanent. I have transitioned about 50 patients to Artefill so far and have had excellent results.

2. I’m not so sure that a Plastic Surgeon is the first person you should see. Most Plastic Surgeons do not perform this procedure or only do it once in a great while. You should get a consultation with a doctor who has significant experience with the non-surgical nose job procedure. That may be a Dermatologist or a Plastic Surgeon or a Facial Plastic Surgeon. This doctor can then give you an informed opinion about whether this is the right procedure for your needs.

3. It is actually easier to reach your individual aesthetic ideal non surgically than it is surgically. The non surgical procedure can achieve subtle, natural changes that do not completely alter how you look. Surgery is for big changes. Injection is for subtle alterations. The non surgical procedure is perfect for preserving ethnic individuality and avoiding the standard caucasian nose.


Dr. Rivkin,
i had a septorhinoplasty procedure 2 years ago. I have been left with a scooped out ski-slope type profile. Can this procedure be used to fill in this scooped out part and make my nose appear straight?

hi,
yes, absolutely. i have used filler to fill in aggressively resected dorsums and it works really well. the nasal profile looks perfectly straight afterwards.

Dr Rivkin
I am really considering getting the non surgical nose job. I would love to have you do it, but I live in NJ, so you are quite far away from me. I was wondering if you know of any doctors near me that you trust would do just as good a job as you?
Thanks
bubbies

hi bubbies,
unfortunately, i do not know of anyone out there doing this procedure well. i know a few people doing it out there, but no-one good. i have plans to start
teaching it soon, but i have not yet set up the training structure. most people fly out for it if they can afford the time. its still a big savings over surgery and, since its LA, people make a little vacation out of it.

http://www.westsidemedicalspa.com/non_surgical_nose.html


There may be some confusion as to the names of different procedures. Sorry about that, but sometimes what I call the Non Surgical Nose Job procedure gets called different things by the press. So, just to make it clear, the following are just different names for the same procedure:

Non Surgical Nose Job
Non Surgical Rhinoplasty
Injection Rhinoplasty
15 Minute Nose Job

It’s the procedure that I invented about 4 years ago, and I’ve treated about 450 people from all over the world. It is the same procedure that finally has a permanent effect through the use of Artefill. I have just put together the structure to train and certify other doctors in the 15 Minute Nose Job, so I’m very excited to be finally teaching it.

http://www.westsidemedicalspa.com/non_surgical_nose.html



11645 Wilshire Blvd., Suite 800, Los Angeles, CA 90025  |  (310) 443-5273

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