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Non-Surgical Rhinoplasty

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The importance of a well-balanced nose cannot be overemphasized. As one of the most prominent features of the face, the nose is essential for facial harmony and, for many people, a positive self-image. For men and women frustrated by the appearance of their nose, dramatic improvement can often be accomplished with nose surgery (rhinoplasty); however, San Francisco facial plastic surgeon Dr. David Mabrie has discovered that dermafillers can achieve attractive results for certain patients.

Featured Cases

Case 319

Background: This Bay Area woman, in her 30's, felt she was looking older and wanted to freshen up her look. She consulted with Dr. Mabrie about Dermafillers for her under eyes. Dr. Mabrie's Assessment: "I am really excited about this case. Pretty often I see some moderate sagging of the cheek skin. I also noticed that her nose had some asymmetry to it and I felt it would really make her face look...

Case 318

Background: Woman with Eastern European background, living in the San Francisco Bay Area, had received Juvederm previously for under eye circles but wasn't happy with the outcome. She found Dr. Mabrie online and was impressed with the patient reviews. She was also impressed with Dr. Mabrie's approach and focus on non-surgical facial sculpting. She consulted with Dr. Mabrie for treatment of he...

Case 300

Background: This African American man in his 20's, had long felt his nose detracted from the rest of his face. While he liked its shape in general, he felt his nose looked too childlike. He searched for a surgeon familiar with ethnic rhinoplasty. He liked Dr. Mabrie's videos and consulted with him in his San Francisco office about Non-Surgical Rhinoplasty.   Dr. Mabrie's Assessment: In th...

Case 276

Background: This young woman from the East bay wanted to subtly change the look of her nose but was not wanting surgery. She consulted with Dr. Mabrie at his San Francisco office about Non Surgical Rhinoplasty. Dr. Mabrie's Assessment: "This case illustrates the importance of a smooth nasal contour. With Rhinoplasty surgery her nose would been reduced, breaking the bone and cutting the cartilage....

Case 261

Background: This East Bay woman long considered surgery to narrow her nostrils. She consulted with Dr. Mabrie at his San Francisco office regarding Surgical Rhinoplasty. Dr. Mabrie's Assessment: "I recommended Non-Surgical Rhinoplasty to augment the nasal bridge and tip, combined with an in office surgical nostril reduction." Procedure: She received 1syringe of Restylane to her nose tip and brid...

Case 227

Background: This east bay woman consulted with Dr. Mabrie in his San Francisco office about non-surgical Rhinoplasty. In general she was happy with the overall size and character of her nose, but wondered if some small improvements could be made. Her two main concerns: 1. She didn't want her nose to look "done". 2. She was afraid of needles!   Dr. Mabrie's Assessment: “This ca...

Case 218

Background: This young lady was fairly happy with her nose, but felt it was a little round and a little undefined. She was interested in definite changes, but nothing too drastic. She searched online for a facial plastic surgeon specializing in non-surgical Rhinoplasty in San Francisco, found Dr. Mabrie's before and afters, and made a consultation. Dr. Mabrie's Assessment: This young woman was ve...

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How Can Dermafillers Help?

Fillers such as RADIESSE®, Restylane® and JUVÉDERM® in San Francisco are FDA-approved for the treatment of nasolabial folds ("smile lines" or "parentheses"). Use of dermafillers for other improvements is performed at the doctor's discretion, but has become widespread with uses such as scar revision, lip augmentation, filling dark circles, and more. For a better understanding of how they work, you can read more about facial dermafillers.

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When performed by a highly qualified, board-certified facial plastic surgeon such as Dr. Mabrie, contouring the nose through the use of dermafillers can be an excellent option for some patients. Possible applications include:

  • Building the bridge (augmenting the dorsum).
  • Refining the results of nose surgery (filling in small defects).
  • Correcting asymmetry and concavities.
  • Tip enhancement (adding dimension or improving the shape of a flat tip).
  • Smoothing or straightening the nasal hump.

Benefits of Nose Dermafillers

There are several benefits to nose dermafillers.

  • Fillers are temporary. This means that, should a patient be dissatisfied with the improvement, the results will fade and a new approach can be attempted.
  • The changes that can be accomplished are natural-looking.
  • Dermafillers are versatile, so Dr. Mabrie is able to achieve delicate, very specific improvements. This type of precision may not be possible with nose surgery.
  • Results are visible very soon after the procedure (if not immediately), whereas results from nose surgery can take up to a year to refine.
  • The patient is conscious during the procedure, so they can provide real-time guidance to ensure the results meet their expectations and goals.
  • No downtime is required after the procedure. There may be some minor bruising or redness, but makeup can be applied immediately to minimize these effects. Patients can return to work or their usual routine right away.

Non-Surgical Revision Rhinoplasty

Facial fillers are a good alternative for patients seeking revision rhinoplasty. Surgical rhinoplasty may result in a weakened nasal structure making the nose more susceptible to injury when subjected to additional surgeries. Small deformities or irregularities on an otherwise ideal rhinoplasty outcome may be challenging to correct with surgery. Fillers are better at contouring than surgery, as they provide the ability to treat deformities without disrupting adjacent areas.

Limitations, Risks, and Reversibility

Non-surgical rhinoplasty has many advantages, but there are also some associated risks and drawbacks. It is important that you fully understand both the advantages and disadvantages of this procedure before undergoing treatment.

Risks & Limitations

Because dermal fillers are not permanent, patients will need to return approximately every 6 months for touch-up treatments. Additionally, non-surgical rhinoplasty cannot narrow cartilage or reduce the size of the nose, so patients with these goals should choose surgical rhinoplasty in San Francisco instead. Unwanted side effects such as bruising, swelling, or redness may also occur. You can learn more about the risks associated with non-surgical rhinoplasty by visiting our Rhinoplasty Risks page.

Reversibility

One of the greatest benefits of non-surgical rhinoplasty is that the procedure is reversible in most cases. If a patient is unsatisfied for any reason, a special enzyme known as "Hyaluronidase" can be injected into the treatment area within the first 24 hours. This enzyme immediately dissolves hyaluronic acid fillers such as Restylane®, JUVÉDERM®, and Perlane®. RADIESSE® is typically more difficult to dissolve, but can be reduced by about 30%. Ultimately, the effects of dermal fillers are temporary as they are naturally reabsorbed by the body over the course of a few months.

Next Steps

Dr. Mabrie, as a facial specialist, has the extensive education and experience required to develop a thorough understanding of facial structures and tissues. This specialized knowledge and skill allows him to be creative and very successful in using dermafillers for many applications, including non-surgical rhinoplasty for his Oakland and other Bay Area patients.

To learn more about Oakland or San Francisco non-surgical rhinoplasty from a board-certified facial plastic surgeon, request a consultation online or call us at (415) 445-9513. Dr. Mabrie works with men and women from throughout the Bay Area.

San Francisco Facial Plastic Surgeon David C. Mabrie M.D., F.A.C.S.

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The Surgeon

Dr. David Mabrie offers:

  • Double board certification
  • Excellent training & experience
  • Specialization in the face and neck
  • A trainer's skill in injectable filler techniques
Why Dr. Mabrie
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David C. Mabrie, M.D.
166 Geary Street #1502
San Francisco, CA 94108
(415) 445-9513
Dr. David Mabrie
1700 San Pablo Avenue Suite F
Pinole, CA 94564
(510) 724-3200