This young woman had a previous nose job which unfortunatelyresulted in twisting of her alar cartilages and an "inverted V" deformity, further complicated by her extremely thin skin.. This most likely resulted from the imprecise nature of performing a nose job/rhinoplasty in a closed fashion (without making an incision across the columella). As one of the premier Beverly Hills plastic surgeons who also specializes in all aspects of plastic surgery including revision rhinoplasty, Dr Haworth discussed with the patient her various options including an open revision rhinoplasty. The patient was very busy attending to her family and professional life and did not think that the best option for her at this time. What she wanted was something non-invasive. Dr. HAWORTH discussed with her her only other choice and that was to inject filler underneath the skin to bridge the gaps between the twisted alar cartilages, her upper lateral cartilages and her nasal bones. I sensually he would be blending in all the disparate elements into one cohesive whole.
Both the patient and Dr. Haworth, being one of the best Beverly Hills rhinoplasty experts, decided to go with filler. As an accomplished artist, he parlayed these skills to expertly inject the FDA approved permanent filler, Bellafill®, into her nose. Though njecting Bellafill ® into the nose is off label (as is 60-80% of all medications prescribed and administered in the US), one cannot deny the tremendous aesthetic benefit the patient garnered from this treatment, in that it not only addressed her nasal irregularities but also beautified and straightened it while making it appear natural.
What was particularly impressive was the degree of nostril rim descentachieved with filler alone. The patient was ecstatic with her result and realized that a surgical revision rhinoplasty was not in her future.