What Is a Permanent Non-Surgical Rhinoplasty?
Long-Lasting Results from a Renowned Pioneer in Non-Surgical Rhinoplasty
For patients seeking lasting refinement without surgery, Dr. Alexander Z. Rivkin offers Permanent Non-Surgical Rhinoplasty using Bellafill®, an advanced dermal filler designed to provide structural enhancement and long-term results. This minimally invasive treatment is ideal for individuals looking to smooth nasal humps, balance asymmetry, or lift a drooping tip—all without incisions, anesthesia, or downtime.
What Is a Permanent Non-Surgical Rhinoplasty?
Unlike traditional surgical rhinoplasty, which reshapes the nose by modifying bone and cartilage, a permanent non-surgical nose job uses Bellafill, an FDA-approved filler, to contour and enhance the nasal profile. This innovative approach offers a less invasive solution with years of visible improvement.
Bellafill is carefully injected into precise areas of the nose to:
- Improve symmetry
- Smooth out dorsal humps
- Refine nasal contours
- Elevate and support the nasal tip
Patients can expect refined, natural-looking results that last far longer than hyaluronic acid-based fillers such as Restylane® or Juvéderm®.
How is Bellafill Nose Job Different from a Regular Non-Surgical Nose Job?
Bellafill is composed of polymethyl methacrylate (PMMA) microspheres suspended in a collagen gel. The collagen delivers immediate structure, while the microspheres stimulate your body’s natural collagen production over time—creating a scaffold for longer-lasting results.
While standard non-surgical rhinoplasty typically requires maintenance every 9–12 months, Bellafill results can last over 10 years. Some patients begin with a trial liquid rhinoplasty using a temporary filler and return for Bellafill once they’re comfortable with the aesthetic change.
Why Choose Dr. Alexander Rivkin?
Dr. Alexander Z. Rivkin is widely regarded as a pioneer and global authority in non-surgical rhinoplasty. He introduced and popularized the non-surgical nose job nearly two decades ago and has since performed thousands of procedures on patients from across the U.S. and around the world.
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Inventor of the Non-Surgical Nose Job Technique
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Founder of Westside Aesthetics in Los Angeles
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Board-Certified in Otolaryngology (Head & Neck Surgery)
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Frequent Lecturer and Educator at aesthetic conferences worldwide
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Founder of Rivkin Academy, a premier training platform for aesthetic injectors
His expertise has been featured in national media outlets, including The Doctors, Elle, Allure, and The New York Times, and he continues to lead the field with innovations in non-surgical facial reshaping.
Dr. Rivkin wrote the first and only article on the use of polymethyl methacrylate in non surgical rhinoplasty.
How Is a Permanent Non-Surgical Nose Job Different from a Surgical Rhinoplasty?
Permanent non-surgical nose jobs offer a minimally invasive alternative, utilizing injectable fillers like Bellafill to sculpt and reshape the nose. It’s a quick procedure with minimal downtime, providing immediate results that can last for years. Unlike surgical rhinoplasty, there’s no need for general anesthesia, and recovery is swift, allowing you to resume your daily activities without delay.
On the other hand, surgical rhinoplasty involves incisions and restructuring of the nasal bones and cartilage to achieve permanent changes. While it offers long-lasting results, there’s a more extended recovery period, typically involving swelling and discomfort for several weeks to months post-surgery.
Let’s consider some additional factors to help you make an informed decision.
Unlike permanent non-surgical nose jobs, where adjustments can be made gradually over multiple sessions by adding filler, surgical rhinoplasty outcomes rely entirely on the surgeon’s aesthetic expertise. Surgical rhinoplasty offers immediate and permanent changes, leaving little room for post-procedure adjustments.
Conversely, surgical rhinoplasty provides a definitive solution. Once the healing process is complete, the changes made to your nose are typically permanent. This permanence can be reassuring for individuals seeking a more drastic transformation or those who are certain about the changes they want to make.
Secondly, let’s consider the risk factor. While both procedures carry some level of risk, permanent non-surgical nose jobs generally pose fewer potential complications compared to surgical rhinoplasty. With non-surgical options, risks such as infection, allergic reactions, or filler migration are relatively rare and usually less severe.
On the other hand, surgical rhinoplasty involves more significant risks due to its invasive nature. Complications such as bleeding, infection, anesthesia reactions, or dissatisfaction with results may occur, albeit infrequently. It’s essential to weigh these risks against the potential benefits when making your decision.
Patients who’ve had surgical rhinoplasty can seek non-surgical revisions from Dr. Rivkin. As the only practitioner in the U.S. offering this procedure for post-surgery patients, Dr. Alexander Z. Rivkin offers safe and effective alternatives to further surgery, ensuring personalized adjustments without additional surgical intervention.
Whether you opt for the immediate transformation of a non-surgical nose job or the permanent changes of surgical rhinoplasty depends on your preferences, goals, and tolerance for downtime.
Ready to explore your options? Schedule your consultation with one of the providers at Rivkin Aesthetics to discuss which approach best suits your needs and desired outcome.
Why Choose Permanent Nose Reshaping at Westside Aesthetics?
Westside Aesthetics was founded by Dr. Alexander Z. Rivkin, who is widely recognized as a pioneer in the field of non-surgical rhinoplasty. Dr. Rivkin has published several articles demonstrating the effectiveness and safety of nose filler injections. Throughout his career, he has performed thousands of permanent rhinoplasties and is the only injector offering this procedure to patients who have previously undergone surgical nose jobs. We offer both temporary and permanent non-surgical rhinoplasty options at our clinic near Santa Monica in Los Angeles. Contact us today to schedule your appointment.
FREQUENTLY ASKED QUESTIONS
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Bellafill is a filler that works well and lasts a long time. It has been approved by the FDA since 2006. Bellafill is a bit different from other fillers because it relies on your body's response to stimulate tissue growth. It usually takes several sessions to achieve the desired effect. Most fillers work by sitting under the skin, but Bellafill stimulates your own tissue to grow. On average, people need 2 to 3 sessions to see the final result. These sessions are spaced around 6 months apart to allow your tissue to grow. After the first session, you might not notice much change, but it improves with subsequent sessions. Just be patient, and you will see the results.
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In general, it's best to avoid surgically removing Artefill/Bellafill if possible. The process of cutting it out can be complex and may result in scars. If you're experiencing bumps or contour irregularities on your nose, I would recommend considering steroid injections and/or filler injections around the affected area to help conceal it. I have successfully addressed similar issues in the past, and the results have been excellent.
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We have been using Bellafill for more than 15 years and have never encountered any serious side effects. As with any injectable, there is a possibility of bruising, and mild swelling may occur for a day or so. Bellafill provides long-lasting results, so it's important to choose an experienced and conservative practitioner when considering this treatment. The desired outcome is typically achieved through 2 to 3 sessions spaced approximately 6 months apart. When injected correctly, Bellafill feels soft and looks natural. Some of our patients choose to try temporary fillers like Voluma first to see if they like the results before switching to Bellafill. Voluma can be easily reversed and lasts for about a year and a half.
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