Liapakis IE, Englander M, Vrentzos NP, Derdas SP, Paschalis EI. “Secondary rhinoplasty fixations with hyaluronic acid”. J Cosmet Dermatol. 2013;12(3):235–239.

While there is no upper age limit for having rhinoplasty, patients may be advised to wait until the nose is fully developed before considering undergoing surgical intervention. Breathing problems always corrected at the same time of aesthetic rhinoplasty; septoplasty, tip-internal valve-lower turbinates fixation consist the functional rhinoplasty. It is important to have a clear idea of how you would like your nose to look as well as to know there are some limitations to aesthetic nasal surgery.

Breathing status, allergies, skin quality as well as the size and shape of your nose will be monitored before surgery. 

Sometimes, chin augmentation or set back genioplasty may be suggested for a more harmonious facial balance.

"Barbie nose" is our expertise; work is done on the cartilage and bones to form the structure of your nose. Nasal bones will be be altered by internal/external osteotomies to make your nose look narrower and straighten, the radix will be shorten and the tip of your nose will be projected. If it needs to be augmented, this can be accomplished using cartilage from the septum or from another part of the body (usually the scapha of the ear or the chest wall). If the base of your nose is wide, the nostrils will be narrowed. 

In most cases, the incisions will be placed at the stylus, the base of the nostrils or inside the nose and they will not be visible. 

Occasionally, secondary/revision rhinoplasty may be necessary and alternatively tiny injections of hyaluronic acid can optimize the results. There is no pain, bruising is mostly gone after a week (you can use concealing makeup if you wish). Skin numbness may occur but is temporary, swelling, however, can last months though residual swelling usually affects the base of the nose and the nasal tip.