The medical rhinoplasty is a non-surgical procedure that involves injecting a filler, hyaluronic acid, to correct minor nasal imperfections. Unlike surgical rhinoplasty, this method does not require an incision, a recovery period, or general anesthesia.
Medical rhinoplasty with hyaluronic acid injection is particularly interesting for patients who have already undergone surgical rhinoplasty but wish to improve the results of their first procedure. Medical rhinoplasty on a previously operated nose allows for contour adjustments, correction of certain imperfections, or volume rebalancing in a gentle manner and without social downtime.
Secondary rhinoplasty with hyaluronic acid is an ideal solution to correct or improve the results of a first surgical rhinoplasty. This non-invasive technique allows for retouching residual imperfections, restoring symmetry, or reshaping certain areas of the nose without undergoing another surgical procedure.
Thanks to the properties of hyaluronic acid, it is possible to achieve harmonious and natural results quickly and without social downtime. Secondary non-surgical rhinoplasty can improve the profile and correct certain details for a perfectly balanced nose.
Imperfect results from a primary rhinoplasty can be due to several factors, such as poor healing, inadequate surgical technique, or unrealistic expectations. Sometimes, scar tissue forms unpredictably, leading to asymmetries or irregularities. Additionally, the healing process can cause internal nasal structures to shift over time.
Deterioration of results is also possible with age due to aging, trauma, or changes in skin quality.
Secondary rhinoplasty is generally more complex than primary rhinoplasty due to the presence of scar tissue and anatomical changes resulting from the first procedure. The skin and internal structures of the nose may have been significantly altered, making reshaping or correcting imperfections more difficult. Additionally, the loss of certain tissues, particularly cartilage, may require more delicate and complex adjustments. The main challenge lies in managing internal scars, which limit tissue flexibility and increase the risk of complications.
After a surgical rhinoplasty, certain imperfections may persist or appear over time. Whether due to subtle asymmetry, drooping of the nasal structure, or a slight shape defect, some patients may not be entirely satisfied with the final result.
• Imperfect surgical results: even after surgery performed by an experienced surgeon, the final outcome may sometimes show minor imperfections. Patients may notice asymmetries, persistent hollows or bumps, cartilage drooping, or a nasal tip that is too elevated or too low. These small defects may not require a second surgical procedure, but can be bothersome enough for the patient to seek correction.
• Non-invasive correction: to avoid undergoing another surgical operation, medical rhinoplasty is an ideal alternative to secondary surgical rhinoplasty. It allows improvement of previous rhinoplasty results without the risks associated with another surgery, such as postoperative complications, anesthesia, or recovery time.
• Reversibility and result adjustment: the advantage of hyaluronic acid lies in its reversibility. Hyaluronic acid is a resorbable product.
• Gradual improvement and maintenance of results: another reason to choose medical rhinoplasty after surgery is the ability to gradually modify results. Unlike surgery, which provides a permanent outcome, this approach allows adjustment over time according to tissue changes and patient expectations.
Secondary medical rhinoplasty allows correction of specific areas of the nose in just a few minutes, with immediate and natural results.
The nasal tip is a delicate area that can sometimes appear too elevated or, conversely, drooping after rhinoplasty.
In this situation, the feasibility of medical rhinoplasty must be assessed on a case-by-case basis.
Indeed, it is not possible to lower the nasal tip with hyaluronic acid injections. It is possible to inject hyaluronic acid along the nasal bridge to create the illusion of a lower tip, but this is not feasible for all patients.
Raising the nasal tip is often impossible due to post-surgical fibrosis. Medical techniques can slightly improve the position of the nasal tip, but this elevation remains moderate and cannot be compared to surgical correction.
In some cases, a slight hump may persist after surgery. With hyaluronic acid, it is possible to camouflage this hump by injecting the product on either side of it to correct the nasal profile.
After surgical rhinoplasty, the nasal bridge may appear slightly irregular or hollow. Hyaluronic acid injections can fill these areas and thus improve the nasal profile.
Minor asymmetries may persist after surgical rhinoplasty. These small irregularities can be corrected non-invasively through medical rhinoplasty by filling in depressions and balancing the volume on each side of the nose.
Medical rhinoplasty is based on the use of injectable products, primarily hyaluronic acid, but also thread lifts.
Hyaluronic acid is the most commonly used product for medical rhinoplasty. It is a substance naturally present in the skin, known for its ability to retain water and increase tissue volume. In the context of medical rhinoplasty, hyaluronic acid allows subtle modification of nasal contours, volume adjustment, and smoothing of irregularities.
Results are visible immediately after injection, and corrections can be made according to the patient’s needs.
Results typically last between 9 and 12 months, depending on the type of product used and the injected area.
In some cases, thread lifts can be used to straighten the nasal tip or modify certain areas. Rhinoplasty with thread lifts is often combined with hyaluronic acid injections to achieve an optimal and long-lasting result without surgery.
The procedure of a medical rhinoplasty is quick and relatively simple.
Before the procedure, an initial consultation with Dr. Romano allows evaluation of the results of the first rhinoplasty, determination of the feasibility of the procedure, and identification of the areas to treat.
It is important to clearly understand the patient’s expectations and determine if medical rhinoplasty is suitable for their needs. The doctor examines the structure of the nose, discusses the patient’s goals, and plans the necessary corrections.
The doctor injects hyaluronic acid into precise areas. Injections are performed exclusively with a cannula (a needle with a rounded tip) with precision to correct imperfections without altering the natural features of the nose.
After the injections, the doctor gently massages the area to evenly distribute the product.
The session generally lasts between 5 and 10 minutes.
After treatment, slight redness or mild swelling may appear, but these transient reactions disappear quickly. The result is immediately visible and stabilizes gradually over the following week.
Before undergoing medical rhinoplasty, certain precautions should be taken:
• Avoid alcohol and certain medications: it is recommended to avoid alcohol and anti-inflammatory medications (such as aspirin or ibuprofen) at least 24 hours before treatment to minimize the risk of bruising. Dr. Romano does not perform medical rhinoplasty on patients taking antiplatelet agents (aspirin) or anticoagulants.
• Stop smoking: smoking can increase the risk of complications and impair healing quality. It is therefore recommended to suspend tobacco use a few days before treatment.
After medical rhinoplasty, certain precautions should be followed to avoid complications or irregular results:
• Avoid pressing on the treated area: it is possible to touch, wash, or apply creams to the nose, but strong pressure on the skin should be avoided.
• Avoid wearing glasses (if the nasal bridge was treated) for one week.
• Do not apply ice: contrary to popular belief, applying ice is harmful and can harden the product. In case of bothersome swelling, which is rare, bromelain can be taken.
• Avoid exposure to intense heat for one week.
• Avoid intense exercise for the first 48 hours, as this could increase blood flow to the treated area.
The results of a medical rhinoplasty are visible immediately after the session: the nose is reshaped and aesthetic imperfections are corrected. The final result is achieved 7 to 15 days later, once the swelling has completely subsided. The results generally last between 9 and 12 months, and annual maintenance sessions are necessary to preserve them.
The price of a secondary medical rhinoplasty with hyaluronic acid injection is 750 CHF per syringe. This price applies to non-surgical touch-ups performed after a previous rhinoplasty, whether medical or surgical.
In most cases, a single syringe is sufficient to harmonize the nasal dorsum, correct residual hollows, or rebalance volumes. The price therefore generally remains fixed, unless a specific need is identified during the initial consultation.
Patients who have undergone medical rhinoplasty after surgery are generally very satisfied with the results. Many appreciate the simplicity and speed of the procedure, as well as the lack of social downtime.
They also value the fact that the treatment allows correction of imperfections left by the first rhinoplasty without having to undergo another surgical procedure.
Annual maintenance injections allow the result to be adjusted according to the changes in the face and the patient’s aesthetic preferences, which may evolve over time.
Medical rhinoplasty can correct minor imperfections or residual asymmetries following surgery, helping avoid the need for another surgical procedure.
Yes, hyaluronic acid injections can correct minor post-surgical asymmetries.
Yes, hyaluronic acid can be used to enhance the definition of the nasal tip. However, after surgery, the risk of necrosis is too high, so this procedure is not recommended.
Yes, injections can smooth out a residual bump, improving the nasal profile.
Yes, for minor corrections, hyaluronic acid injections offer an effective non-surgical alternative.
