Development of Non Surgical Rhinoplasty
Non-surgical rhinoplasty was developed at the beginning of the nineteenth century, by James Leonard Corning, a New York City based neurologist, and Robert Gersuny, a Viennese physician. They pioneered the technique of using liquid paraffin to increase the height of a collapsed nasal dorsum, which characterises saddle nose deformities. Though liquid paraffin displayed good corrective efficacy, it proved to be biologically harmful, even causing paraffinoma or wax cancer, in some cases. This led to the abandonment of liquid paraffin as soft-tissue filler for the nose.
The twentieth century witnessed more research into non-surgical rhinoplasty techniques. In the 1960s, soft tissue fillers made of medical-grade silicone gel began to be used in non-surgical rhinoplasty. However, silicone gels also proved to be biologically harmful, as the soft tissue filler often migrated from the nose to other parts of a patient’s face and body, causing medical complications like ulcers and granulomas. This led to cosmetic surgeons and ENT surgeons recommending the ‘microdroplet technique’, during which minute doses of silicone gel were injected in the nose, over multiple sessions.
The twenty-first century saw the establishment of contemporary non-surgical rhinoplasty, with the release of an Australian study called ‘Rhinoplasty Using Injectable Polyacrylamide Gel – A Patient Study (2005)’. This study reported successful corrective outcomes using the soft-tissue filler ‘polyacrylamide gel’ or PAAG. This substance could be injected into the nasal tissues to enhance the attractiveness of a patient’s nose. Some subcutaneous soft-tissue filler agents that are currently used by ENT surgeons during non-surgical rhinoplasty are injectable silicone, collagen and calcium hydroxyapatite.
Compared to nose surgery, non-surgical rhinoplasty offers faster results, quicker healing time, and almost no pain. It can usually be completed in around 15 to 30 minutes in a single setting, and is generally used to camouflage small abnormalities only. If you are considering nose surgery to improve the appearance of your nose, you should ask your ENT specialist about non-surgical rhinoplasty, which could prove to be a more affordable and less extensive option.
ENT London is a leading ENT clinic in the heart of London, which specialises in nose surgery as well as non-surgical rhinoplasty. Led by Professor Ram Dhillon, the ENT surgeons at ENT London are fully accredited with the UK General Medical Council, and are committed to providing the highest level of patient care.
ENT London is one of UK’s leading clinics for nose surgery, and can be contacted on 0207 580 6970.