Non-Surgical Nose Augmentation – Round 2

Last week I shared my first experience with non-surgical nose augmentation.  My second experience was done on my most recent Malaysia trip, which is almost exactly 2 years later.

Preparation/ Research

Strangely, various websites classify Bio-Alcamid as a permanent filler – I can tell you that it’s not true.  I was told by the Doctor that Bio-Alcamid lasts around 3 years, and I started to notice the height of my nose reduce about a year after the first procedure.  Since then I’ve been eager to get my next top up, even looking locally but unfortunately Bio-Alcamid is not available in Australia.

I got fixated on the height of my bridge and the area between my brows – the first area being where I noticed the reduction in height the most, and the second area was not filled as much as the Doctor who did my first procedure wanted to create only a slight curve from my forehead to the bridge.  Looking at the models in Asian magazines I decided that I can do with a bit more height between my brows without throwing the contours of my face out of balance, and that was as far as my research went this time around.

Like last time, I booked the procedure via email.  This time specifying that I want to do it under just anesthetic cream to reduce the swelling, as I only had 4 consecutive days in Kuala Lumpur.  I did find that this time around the response was not as timely as the last time – last time I actually asked questions via several emails, all of which were responded to within 1 or 2 days; this time my first email to book the procedure was responded to quickly, but my 2nd email was not responded to for a couple of weeks.  This unnerved me a bit, but since I’d already had one procedure there I was still comfortable enough to go ahead.

On the Day

The IMC seems to be less organised this time around.  First they thought I was there for a lip augmentation booked through Gorgeous Getaway, then I was left waiting for almost an hour.  The consultation felt a bit rushed as I pretty much told the doctor what I wanted on my nose, it was responded with “okay”, and then spent another 20 minutes talking about Thermage.  This is partly my fault as I didn’t do nearly as much research as I did the first time around – I didn’t bring any pictures of what results I’m looking for, and for some reason didn’t look at or show the doctor pictures of me after my first procedure.  The doctor I had this time is a different doctor who clearly is also a plastic surgeon and was in the midst of another procedure, so I was left waiting for another half an hour after the consultation.

The process is similar to my last one, with the exception that I had anesthetic cream applied all over my face and had Thermage first.  The doctor injected the filler between my brows, taking it up to my forehead a little, and down the bridge.  The doctor also had to pinch and mould the fillers into place, but not as hard or for as long as the last time.

This time around the pain was not as bad, mostly because I had it just on the bridge area which is not as sensitive as the tip.  No medication was prescribed and I made a follow-up appointment for 2 days time.

Follow-Up Appointment

Again I noticed a dip in the middle of my bridge that was not filled enough, so I had a little more injected there.  I also got a little stressed about the bulge in my forehead, but was assured that it was swelling so was prescribed some anti-inflammatory.

All up this time around I used 0.7ml of Bio-Alcamid.

Before and After

I still need to brush up on my photography skills – I don’t think these are any better than the pics from my first procedure icon razz Non Surgical Nose Augmentation   Round 2

 Non Surgical Nose Augmentation   Round 2

Before – front view

 Non Surgical Nose Augmentation   Round 2

Before – angled view

 Still some bridge left from my first procedure, but I wanted to make it more defined.

 Non Surgical Nose Augmentation   Round 2

After – front view

 Non Surgical Nose Augmentation   Round 2

After- angled view

I know I looked like a battered housewife – they were the redness left by Thermage.

 Non Surgical Nose Augmentation   Round 2

After – front view 2 days later

 Non Surgical Nose Augmentation   Round 2

After – angled view a week later

 Non Surgical Nose Augmentation   Round 2

After – front view 4 weeks later

I’m still pretty happy with the results this time around, you can see that there is definitely more definition in the bridge.  The only thing I wish is that I looked at the pictures from my first procedure, and had the last 0.3ml injected onto the nose tip.  I didn’t realise just how much of the tip had gone back to its bulbous state until I dug up the pictures for the last post, and how much difference the tip made.  I also think I have subconsciously written off the tip due to how painful it was!

I think doing the tip would have made my nose look just a little more elegant.  This is an obvious downside to getting cosmetic procedures abroad – the 0.3ml would be able to be kept for up to 2 years, but I’m unable to access it for any adjustment simply because I’m back in Oz now.

Additionally, bear in mind that a change in the contours of your face may mean that you need to adjust your normal makeup techniques – I’m only just starting to get a hang of it now (am finding that I need to take my brows up a tad and elongate them).

Hope my experiences have shed some light on this procedure.  If I can leave you with one advice it would be research, research, RESEARCH!  And I’m more than happy to answer any questions should you wish to have this done too.

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Non-Surgical Nose Augmentation – Round 1

Non-surgical rhinoplasty is a procedure that uses dermal fillers to reshape the nose.  It can be used to soften or camouflage irregularities such as bumps, hooks, crookedness by evening out the contours of the nose.  Non-surgical nose augmentation uses dermal fillers specifically to increase the height of the nose bridge, and this has now become a very popular procedure for Asians.

The advantages of a non-surgical rhinoplasty are significant reduction in cost (on a per procedure basis), zero down-time and easier reversal should the results be unsatisfactory. The disadvantages are that it’s not permanent and cannot fix all nose concerns.

I had my first non-surgical nose augmentation in late July 2009, and the second in my most recent holiday late June 2011.  This post is on my first augmentation.

Preparation/ Research

I decided to have my non-surgical nose augmentation in Malaysia, partly due to the reduction in cost of having cosmetic procedure over there, and that they may have performed this procedure more often than the clinics in Australia.  After much research I chose Imperial Medical Centre (IMC) in Kuala Lumpur, and booked the consultation via email for when I arrive in Malaysia.

Before the actual consultation I collated heaps of images of models and celebrities with the kind of nose shape that I like, and studied my own nose/face to get an idea as to where I would want the filler to be injected.

Important: Beauty is subjective, so make sure you know exactly how you want your nose to look before the procedure.  Do not leave it all in the hands of the doctor or you may end up with a result that is not what you envisaged.

On the Day

My first consultation took couple of hours, as I asked the Doctor endless amount of questions and showed her all the pictures that I collated.  IMC uses Bio-Alcamid for nose augmentation, which is a semi-permanent dermal filler that lasts around 3 years.  It is only available in full ml syringes, which was fine by me since I knew I would need a fair bit to build up my non-existent bridge.

As IMC had actually allocated me with quite a bit of time, I ended up getting the filler injected straight after my consultation.  The process was reasonably quick:

  • Local anesthetic was injected on the nose – this actually puffs out the nose which gives an indication of what the nose will look like after augmentation.
  • Dermal filler is injected along the bridge.  To make the tip more defined and to prevent the nose appear upturned (ie. piggy-like) the filler is also injected under the tip and bottom of the nose septum.  This hurt like HELL!!!  When the needle hits the tip of the nose tears just fell out of my eyes involuntarily.  To reach the bottom of the septum the needle actually pierced through the nose tip – only animal-like growls and several profanities can express how it felt.
  • As the filler is injected I can feel the skin of that area being stretched.  It’s a strange sensation but then the doctor will quickly pinch and hold each area to ‘mould’ the filler into place.
  • The doctor injected a small amount at a time, and got me to sit up and look at it in the mirror to ensure it is going the way I want.  I thought this was great and would recommend that you do the same if you wish to have this procedure.

I was then prescribed some anti-inflammatory and antibiotics, and made a follow up appointment for 2 weeks time when I would return to KL (we were going to Penang and Langkawi).

Follow-Up Appointment

As local anesthetic was used which swelled up the area during the procedure, after the swelling subsided I noticed a slight dip in the middle of the bridge that was not filled.  This is why follow-up appointment is extremely important even for non-surgical procedures. This was fixed in my follow-up appointment as I still had 0.3ml left in the syringe, and I had it injected without anesthetic to ensure that it is injected to exactly the right spot.

Before and After

Apologies for the inconsistency in photo – these were taken way before my blogging days.

 Non Surgical Nose Augmentation   Round 1

Before – front view

 Non Surgical Nose Augmentation   Round 1

Before – angled view with makeup

There was virtually no bridge, and the tip was slightly bulbous.

 Non Surgical Nose Augmentation   Round 1

After – front view

 Non Surgical Nose Augmentation   Round 1

After – angled view

Bridge is more pronounced and tip is elongated and defined.

I was really happy with the results, it made a massive difference to the contours of my face especially in photos.  Note that after the procedure you need to take care around the nose area – avoid eye and sun glasses for at least a week, use gentle motion when cleansing and putting on makeup, and use cotton tips to clean inside the nose.  Some blackheads are unavoidable as exfoliating and using masks on the area would require too much pressure to be placed, just make up for it after a few weeks.

Bio-Alcamid is semi-permanent so it does get absorbed slowly over time, and it is not advisable to top up with a different filler.  For this reason another trip to Malaysia is needed for the top up, which I got in my most recent trip.  Stay tune for Round 2 of Non-Surgical Nose Augmentation.

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