Non-surgical nose enhancement or Rhinomodulation is performed by injecting dermal fillers into predetermined areas of the nose. Dr Rory exclusively uses the Juvederm Vycross range of HA fillers , produced by Allergan, because of their long history of safety and extensive evidence supporting their use.
These are a group of injectable products that are made from a naturally occurring sugar like compound called Hyaluronic Acid (HA). HA is a natural constituent of our connective tissue and hence is the natural choice to replace tissue that is lost with ageing.
The preparation comes crosslinked and this means the HA is not broken down readily by the body and thus stays in place for set periods of time. Its special formulation aids support for nasal structure such that small but impactful changes to nose shape are possible.
Non-surgical nose enhancement or Rhinomodulation is performed by injecting dermal fillers into predetermined areas of the nose. Dr Rory exclusively uses the Juvederm Vycross range of HA fillers , produced by Allergan, because of their long history of safety and extensive evidence supporting their use.
These are a group of injectable products that are made from a naturally occurring sugar like compound called Hyaluronic Acid (HA). HA is a natural constituent of our connective tissue and hence is the natural choice to replace tissue that is lost with ageing.
The preparation comes crosslinked and this means the HA is not broken down readily by the body and thus stays in place for set periods of time. Its special formulation aids support for nasal structure such that small but impactful changes to nose shape are possible.
Importantly, HA dermal fillers are reversible (unlike anti-wrinkle injections) if needed. This is achieved by the injection of a naturally occurring enzyme known as hyauluronidase which melts the filler into water.
Your suitability for this treatment will be determined during a full face and profile assessment no-commitment consultation with Dr Rory and he will provide all the necessary details for your particular case.
All treatments are performed in the luxurious state of the art treatment rooms within the clinic either on the day of consultation or after a period of reflection following consultation. The choice is entirely yours.
Topical anaesthesia (numbing cream) can be used to make your experience as comfortable as possible. The Juvederm vycross range of dermal fillers also has a local anaesthetic combined with the HA which means the area is further numbed whilst the treatment is being performed.
Dr Rory has a number of other techniques to make your injection experience as comfortable as possible.
Many patients have their treatment and return to work or normal activities that same day with little no downtime
What is the aim of Non-surgical nose enhancement treatment?
This is very variable and depends on the individual being treated, however the primary aim is to use injections with dermal fillers to fill anatomical spaces within the nose to improve its shape.
There is an element of prevention when it comes to dermal filler treatments as small treatments over time will help slow down the characteristic signs of ageing.
How many dermal filler injections do I need?
This is very variable and is determined during your full face assessment and profile consultation with Dr Rory. It depends on the areas on the nose that concern you, your priorities, the results of your facial assessment and also your budget. These factors will all be taken into consideration and a plan can be put in place to split your treatments into sessions over time if needed.
Each syringe of Juvederm contains 1ml of crosslinked HA filler and this is normally sufficient to treat the nose shape in isolation.
Juvderm Voluma or Volift can be used depending on your goals and this will be covered in your consultation.
It must be emphasised, the number of syringes are tailored to each patient for a bespoke treatment with an emphasis on natural results.
How long will the results last?
The body will start to naturally to break down the crosslinked HA over time. This depends on the location of the filler, the type of Juvederm used and also on the biology of the patient.
This can take anytime from twelve to eighteen months but is variable depending on the above factors. The duration of your particular treatment will be explained to you prior to your treatment with Dr Rory.
What happens on the day of consultation ?
Dr Rory will obtain a full medical history assessing your suitability for the treatment and perform a full facial assessment and explain which areas of your face and nose can be treated with dermal filler injections and why. He will also give you an estimate of number of syringes needed.
It is important to appreciate dermal fillers are not suitable for all patients.
They are considered unsafe if you are pregnant, breastfeeding, suffer from active inflammatory or allergic skin diseases such as acne, have an allergy to local anaesthetic and also if certain medications are being taken. This will be explained during the consultation process.
Furthermore, more advanced techniques such as surgical rhinoplasty may be more appropriate in selected cases.
If you are suitable for dermal filler treatment, he will then run through the process of consent and injection techniques with you if you are having injections for the first time. You can choose to have your treatment that same day or choose to think about your options and return another day.
If you do choose to go ahead, clinical photographs will be taken and you will be checked in by a nurse to the treatment room and given consent information to read and sign. All your details will be confirmed with you.
Your makeup is removed and numbing cream is applied if you wish and after a period of time this is cleaned off and your skin is further prepared.
During the injections, a number of techniques are employed to make your experience as comfortable as possible.
You then have post treatment photographs taken, given post injection instructions and can be discharged when you are feeling comfortable and ready to go.
How long will the treatment take?
For nose treatments alone, this can range from five to ten minutes.
This does not include anaesthesia time. In total, the whole procedure may last longer if numbing cream is used.
Will the procedure be painful?
No, one of the primary aims of any procedure performed by Dr Rory is to create a pain free experience and you have the option of having numbing cream.
Other techniques are also employed to make your experience as comfortable as possible.
There will be some swelling may be some bruising and also some very mild tenderness in the injection areas on the day but this is minimized by gently applying a cold compress after the treatment.
What is the recovery period?
This is essentially a lunchtime treatment and there is no recovery period and you can resume your normal activities pretty much immediately.
There is always a theoretical risk of bruising as a very small guage needle is being introduced to the skin. This risk increases as the number of areas treated increases. Swelling and bruising varies between patients.
What should I consider when recovering from the procedure?
You should refrain from wearing any glasses or sunglasses with feet that may place pressure on areas of filler injections for the first two weeks.
No makeup should be applied that day as this may introduce the risk of infection into the filler injection sites.
Avoid any vigorious exercise, saunas or steam for the first three days to reduce swelling,
Any judgements on the treatment outcome should be left until the review appointment one week after your last session and any adjustments can be made at this important clinic appointment.
If you are entirely happy and are very experienced with dermal filler treatments, then there is no need to attend this review appointment and just book your repeat treatment at your normal interval.
What is the cost of the treatment?
This is a highly technical, advanced injection treatment that costs start from 5000 AED (excluding VAT).
The final cost is determined on a case by case basis dependent on complexity and additional procedures. Combination treatments may lower the price of individual treatments if done together.
A full facial and profile assessment no-commitment consultation with Dr Rory will provide all the necessary details for your particular case.
What are the risks of the treatment?
These include some discomfort, infection, risk of bleeding, bruising, delayed swelling and nodules, blood vessel problems.
Blood vessel problems are a very very rare risk which results from the filler substance entering a blood vessel. This can interrupt the blood supply to the area. This risks are increased in nasal injections.
This can manifest as an area of skin that looses it blood supply (called skin necrosis) but also rarely can be the eye loosing its blood supply resulting in blindness.
If this is suspected, emergency treatment with enzymes to dissolve the filler is immediately performed. This is a very very rare complication and needs an expert to manage it promptly.
Dr Rory trains and lectures many doctors around the world on blood vessel anatomy and the safety aspects of avoiding such problems and is the local expert in Dubai for dealing with these issues if local doctors encounter problems.
This highlights the need to have dermal fillers performed by a qualified and experienced doctor who is familiar with your facial anatomy and not to focus on cost, as you are paying for the experience and safety profile of your injector rather than the product being injected.
Anything in particularly important I should know about the treatment?
It’s a relatively quick and simple treatment, if performed by an expert, requiring no downtime with very high satisfaction rates and Dr Rory will tailor your treatment to your needs.
It is one of the most popular non-surgical treatment worldwide and is most commonly performed in conjunction with other procedures over time.
What is the follow up after the treatment?
Typically it involves seeing Dr Rory approximately one weeks following your last filler injection for review.
If you are entirely happy and are very experienced with filler injections, then there is no need to attend this review appointment and just book your repeat treatment at your normal interval.
Who is involved in my care?
Dr Rory is the primary physician in charge of all your care. He performs all procedures himself and is meticulous about every aspect of your care.
Once he has performed a procedure on you he is available for you as your on-call doctor.
He will provide you with contact details and will be available for you. If you have any questions or concerns.
He has trained his team around him to an exceptionally high standard from his aesthetic coordinators to aesthetic nurses.
