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My Thoughts on the “Liquid Rhinoplasty”

The uses for injectable fillers continues to grow.  Initially relegated to areas like the “parentheses” around the mouth, they now are increasingly used in Food and Drug Administration off-label methods throughout out the face.  This includes their use in the nose.

Before undergoing treatment the patient is anesthetized with a topical to maximize comfort.  I’ll mix additional local anesthetic into the filler so that anesthetic is delivered during the injection as well.  Small amounts of the filler are placed and massaged into the areas of deficit, in order to avoid any contour abnormalities.  Results may last over a year.

Although touted as a “non-surgical alternative” by those who do not perform surgical rhinoplasty procedures in the Boston area, “liquid rhinoplasties” are extremely limited.  Fillers add volume to the nose, and therefore are not the correct approach for someone who is seeking to reduce the size of his or her nose- as many patients are.  Furthermore, structural changes of the nose are best accomplished through surgical alteration of the osseocartilaginous framework with a formal rhinoplasty.  Finally, there have been reports of these filler injections compromising blood flow to the nose resulting in areas of tissue death and loss.  This can result in permanent disfiguring scarring.

For these reasons, patients who are undecided about surgery and want to “try on” a rhinoplasty before committing to surgery may be the best candidates.  Should they like the result, my recommendation is then to proceed with a surgery.  Once recovered, the results are permanent, cost-effective, and without the associated risks of multiple nasal injections.

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Dax Guenther, MD
Coastal Plastic Surgery
2 Pond Park Road #308
Hingham, MA 02043
Phone: (781) 740-7840
Monday–Friday, 9 a.m.–5 p.m.
Before/after hours appointments available
Dax Guenther, MD
The Boston Center
170 Commonwealth Avenue #108
Boston, MA 02116
Phone: (617) 306-3175
Appointments available upon request
Dax Guenther, MD
RJ Miller Salon + Spa
6b Amelia Dr
Nantucket, MA 02554
Phone: (508) 901-9239
Appointments available upon request
Dax Guenther, M.D. is board-certified by both the American Board of Surgery and the American Board of Plastic Surgery ASAPS, The American Society of Aesthetic Plastic Surgeons Dax Guenther, M.D. is board-certified by both the American Board of Surgery and the American Board of Plastic Surgery FACS, Fellow American College of Surgeons

Dr. is a board-certified plastic surgeon with offices in Hingham, Boston, and Nantucket, Massachusetts. Dr. Guenther sees patients from Boston's South Shore and cities such as Cohasset, Scituate, Duxbury, Plymouth, Mashpee, Milton, and Brookline. He performs facelift, rhinoplasty, blepharoplasty, breast augmentation, abdominoplasty (tummy tuck), liposuction and other procedures.

Map of Hingham Location
Dax Guenther, MD
Coastal Plastic Surgery
2 Pond Park Road #308
Hingham, MA 02043
Phone: (781) 740-7840
Map of Boston Location
Dax Guenther, MD
The Boston Center
170 Commonwealth Avenue #108
Boston, MA 02116
Phone: (617) 306-3175
Map of Nantucket Location
Dax Guenther, MD
RJ Miller Salon + Spa
6b Amelia Dr
Nantucket, MA 02554
Phone: (508) 901-9239
Associations Logos

Dr. is a board-certified plastic surgeon with offices in Hingham, Boston, and Nantucket, Massachusetts. Dr. Guenther sees patients from Boston's South Shore and cities such as Cohasset, Scituate, Duxbury, Plymouth, Mashpee, Milton, and Brookline. He performs facelift, rhinoplasty, blepharoplasty, breast augmentation, abdominoplasty (tummy tuck), liposuction and other procedures.