Pioneered in Los Angeles: Nonsurgical Nose Job
As one of the most prominent features of the face, the nose can have a huge impact on your overall appearance. Up until recently, traditional rhinoplasty surgery (aka – a surgical nose job) was the only way to change the appearance of your nose. Surgical rhinoplasty is a permanent procedure that can transform someone’s face, but it involves risks as well as extensive downtime, in most cases.
In early 2004, in California, Dr. Rivkin pioneered a revolutionary, non-invasive alternative to surgical rhinoplasty. Injection Rhinoplasty (also known as the Non Surgical Nose Job or “15 Minute Nose Job”) resolves the appearance of bumps, drooping tips, and crooked noses, safely and quickly, without the risks and long, painful recovery normally associated with rhinoplasty surgery.
Since then, the Non Surgical Nose Job (Non Surgical Rhinoplasty) procedure has become very popular in Los Angeles and throughout the world. Dr. Rivkin has been featured throughout the national and international media. Shows such as Extra, the Doctors, TODAY Show and Good Morning America have highlighted the ease and simplicity of the technique in comparison to surgical rhinoplasty. Dr. Rivkin has even performed the entire procedure on the set of these shows! He has also been highlighted in numerous national publications.
Over the last decade, Dr. Rivkin has performed over 2000 Non Surgical Nose Job (Non Surgical Rhinoplasty) procedures in his Los Angeles clinic, which is far more than anyone else in the world. He trains other physicians in the technique, making sure that his trainees will maintain his exacting standards.
The Non Surgical Nose Job Procedure
Dr. Rivkin’s Non Surgical Nose Job (Non Surgical Rhinoplasty) takes about fifteen to thirty minutes to perform. A topical numbing cream is applied to the top of the nose. Voluma or Radiesse (Dr. Rivkin’s usual fillers of choice for the nose) are injected to fill depressions, smooth out sharp angles, or change the angle of the tip of the nose, restoring symmetry and making the nose appear straighter and more attractive. We have discovered over the years that making the nose straighter by eliminating bumps, correcting asymmetry and lifting the tip actually makes the nose look smaller! Dr. Rivkin believes that, as you make the nose straighter you are helping it blend in to the rest of the face, making it less noticeable and therefore smaller to the eye of the observer. Many patients have been amazed at how this procedure, that adds volume to the nose, results in a smaller looking nose at the end. During the procedure you will have the opportunity to look at yourself in a mirror and control the results with Dr. Rivkin.
Radiesse is a safe, reliable injectable filler composed of calcium and cellulose. It has been in use for many years without adverse effects and does not require pre-procedure allergy testing. Voluma XC by Allergan is part of the Juvederm product line of hyaluronic acid fillers. It was approved by the FDA in 2013. In clinical studies, Voluma was shown to last two years, which makes it the longest lasting hyaluronic acid filler available. Being a hyaluronic acid, it also does not require allergy testing and is completely reversible if the patient is unhappy with results. These temporary fillers will not migrate or lump up within the tissues and when they dissolve, they will do so evenly and symmetrically. The filler is simply broken down by the body naturally and gradually disappears, leaving no trace behind. Dr. Rivkin often suggests temporary filler for patients who have never had any prior injections or cosmetic enhancements to the nose. This approach allows the patient and doctor to work together in order to achieve exact results, before transitioning to permanent correction.
Permanent Results with Nonsurgical Rhinoplasty
When permanent results are desired, Dr. Rivkin also offers Bellafill (formerly known as Artefill). In 2007, the FDA approved Artefill for use in nasolabial folds. Artefill is the first permanent injectable filler approved for the US market. Some doctors have been using injectable Silicone in the lips and other areas as a permanent filler, but safety concerns have made the use of Silicone rare. Artefill / Bellafill provides a safe alternative, if used correctly by an experienced injector. Bellafill is a dermal filler made with bovine collagen gel and PMMA (polymethylmethacrylate) microspheres (a safe, non reactive plastic that has been in use for several decades as a surgical implant). Because it contains bovine collagen, Bellafill does require a skin test prior to use, although allergic reactions are extremely rare. Dr. Rivkin currently offers Bellafill as a permanent version of his non surgical treatments. Bellafill is injected gradually, over three to five sessions spaced six weeks apart. Over time, the collagen component is replaced by the body’s own tissue. Careful use of Artefill for the Non Surgical Nose Job (Non Surgical Rhinoplasty) has resulted in many people having the permanent effect of surgical rhinoplasty with a simple series of 15 minute injections!
Candidates for Non Surgical Rhinoplasty in Los Angeles
For patients that are unhappy with the shape of their nose, the Nonsurgical Rhinoplasty procedure, performed here in Los Angeles, CA, may be the perfect solution. This 15 minute procedure can quickly and easily correct minor bumps, deviations, drooping tips and other imperfections with no downtime and minimal risk.
During your free initial consultation, Dr. Rivkin will evaluate your unique needs, desired end results, and explain the procedure. Dr. Rivkin will also help you determine which type of filler will work best with your body and skin type to achieve the look that you desire. You will have the opportunity to view before and after photos, so that you will know exactly what to expect from the treatment.
The Non Surgical Rhinoplasty procedure starts with photography so that we have a clear record of how your nose looked before the procedure. We then apply topical numbing cream to the nose and let it sit for 20 to 30 minutes. Once the cream is off, you will place ice on your nose to make it even more numb and to decrease the risk of bruising. After thoroughly cleansing your skin, Dr. Rivkin performs a series of extremely precise injections at specific points along your nose. Where he injects depends on what kind of correction he is trying to achieve. Most of these injections will involve minimal discomfort, but the tip is somewhat more sensitive than the rest of the nose. During the injection process, Dr. Rivkin’s assistant will tap your shoulder to distract you from the sensation of the injections. After the injections, we will put on topical Arnica and give you Arnica pills. At this point you should be ready to go home without anyone being able to tell that you have had an aesthetic procedure.
Recovery and Results of the “15 Minute Nose Job”
The Non Surgical Nose Job procedure does not entail downtime and patients can usually return to work immediately. One may experience minor bruising, mild swelling, redness and tenderness (especially at the tip), all of which should resolve within two weeks. The results of a Non Surgical Nose Job (Non Surgical Rhinoplasty) will last about 10 months to one year if Radiesse is used, and two years with Voluma. Bellafill will provide permanent correction in most cases.
After the procedure, you can continue your normal skincare routine. We suggest that you avoid exercise and alcohol intake for at least 24 hours following the injection. We also advise that you refrain from wearing heavy sunglasses for at least a week. For patients that have a higher tendency to bruise, we suggest not taking any blood thinners for a week prior and two days following the treatment. Blood thinners include alcohol, aspirin, ibuprofen, Advil, Aleve, vitamin E supplements, fish or flax seed oil supplements, ginko biloba and St. John’s Wort.
Dr. Rivkin’s patients know that they can get in touch with him at any time. He’s always in the Los Angeles office at Westside Aesthetics, and is personally involved in every treatment.
Pros and Cons of the Non Surgical Nose Job
The Non-Surgical Nose Job is a perfect option for those with mild to moderate imperfections in their nose, such as a bump, droopy tip, crooked nose or low bridge. It is also a great solution for those who have had traditional rhinoplasty surgery, but are not completely satisfied with the results. Non Surgical Rhinoplasty will often correct the contour irregularities that can result from post-surgical scarring and save patients a risky revision rhinoplasty surgery. Being a non-surgical, non invasive alternative, there is a limit to what this procedure can fix. Dr. Rivkin will be able to tell if you are a potential candidate and how much improvement you can expect during your consultation.
Many patients love the fact that Dr. Rivkin’s Non Surgical Nose Job procedure is a temporary alternative, which allows them to try out the look before committing to a permanent option. Because there is no downtime, patients can return to their normal lives immediately following the treatment.
For those that are addressing issues other than aesthetic correction, such as to resolve nasal trauma, a congenital defect, respiratory impediment, or a failed primary rhinoplasty, a traditional surgical nose job may be the only option. If this is the case, Dr. Rivkin will refer you to a plastic surgeon in the Beverly Hills area that specializes in rhinoplasty.
At Westside Aesthetics in Los Angeles, we prefer gradual, natural and non-invasive aesthetic correction. We find that little adjustments done in a gradual way, over time will result in longer lasting and more aesthetically pleasing results.
If you are considering a nose job, please contact us today to schedule your free consultation. Our friendly and knowledgeable staff will be happy to answer any questions you may have, or to schedule a free initial consultation in the Los Angeles and Brentwood area.