Evolution of Technology

Skin Filler

Various filler materials exist, and are catered to cosmetic outcome, as well as patient goals for longevity. Filler material can broadly be separated into permanent and temporary, however most various types exist on a spectrum from months to years. Juvaderm is temporary filler with multiple formulations that vary in thickness, best suited for certain locations on the face respectively. Other more long lasting filler materials include fat from our own bodies, poly-L-lactic acid (also known as Sculptra), and Calcium hydroxyapatite (also known as Radiesse).

Evolution of Procedure

Noninvasive Rhinoplasty

As part of a growing trend towards noninvasive procedures with less pain and recovery time, methods to address cosmesis of the nose have emerged. Other names include “nonsurgical rhinoplasty” and “liquid rhinoplasty”. Generally, filler material is carefully injected into certain areas of the nose in order to change the projection, angulation, smoothness, or correct certain defects.

Other methods such as the “thread lift” include the use of suture material that can provide a scaffold to reshape the nose. Popular choices include Polydioxanone (PDO) threads. Additionally, there are nasal implants, such as the Latera implant, that support the nasal cartilage and increase the diameter of the nasal valves through which we inhale, for patients interested in functional rather than cosmetic outcomes.

Evolution of Diagnosis

Nasal Deformity

Nasal deformity requiring rhinoplasty, or “nose job”, is typically divided into two broad categories. Functional rhinoplasty aims to improve breathing, while cosmetic rhinoplasty is geared towards improving the perceived structure of the nose. Many characteristics and measurements determine the outward appearance of the nose.

Classically, certain angle measurements and ratios have been described for the male and female noses. Rhinoplasty is an umbrella procedure that may entail the use of creative suturing, or removing and restructuring components of the nose using grafts, cartilage, implants, and injectable filler.