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2025.12.19
Nose Surgery: Differences Between Hyaluronic Acid and Surgery｜Treatment Options Based on Your Goals
As a board-certified plastic surgeon, I have handled numerous cases involving trauma, reconstruction, and congenital conditions, cultivating precise techniques and deep anatomical understanding. Driven by the desire to deliver the transformative power of beauty—where visible change uplifts the spirit—I pursued a career in cosmetic surgery. My areas of expertise include comprehensive eye treatments, injectable therapies, and anti-sagging procedures. Guided by a commitment to sincerely address each patient's aspirations, I provide meticulously crafted treatments focused on achieving beauty.
Hello!
Designing natural beauty with trust.
I am Masataka Fujihashi, a board-certified plastic surgeon.
When considering rhinoplasty, many people hesitate between whether they should "try hyaluronic acid first to see how it goes" or "opt for surgery from the start."
First, I want to clarify that,Do you want to raise the bridge of your nose or the tip of your nose?The difference lies in the purpose: whether it is...
These two may seem similar, but the appropriate treatment differs significantly.
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■ If you want a higher nose bridge
Regarding the nasal bridge, both hyaluronic acid injections and surgery are possible options.
Hyaluronic acid injections offer significant advantages: they can elevate the nasal bridge with just an injection, involve minimal downtime, and allow you to notice the change immediately after the procedure.
"I'd like to try changing the atmosphere first," "I'd like to experience the finished look," and so on.For trial or simulation purposesis also highly suitable。
On the other hand, hyaluronic acid is absorbed by the body over time.
Also, if you try to create height by piling up volume,There is also a risk that it may spread sideways and make the bridge of the nose appear thicker.
While the frequency is low, it is important to understand that the risk of complications such as embolism is not zero.
When prostheses or autologous tissue are used in surgery,The height and contour of the nasal bridge can be designed with a high degree of freedom, and the results remain stable long-term.
Although the risk of infection with prostheses over the long term is extremely low, it is not zero.In the case of autologous tissue, there is virtually no long-term risk of infection.
However, one drawback of surgery is that downtime is unavoidable.
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■ If you want a higher nose tip
Regarding the tip of the nose, the way of thinking changes significantly.
Right under your nosedirectlyThe method of injecting hyaluronic acid is,Due to the risk of blood flow impairment, careful judgment is required for its application.
On the other hand,A method for raising the tip of the nose using hyaluronic acid involves injecting hyaluronic acid into the membranous nasal septum.There is.
Hyaluronic acid injection into the nasal septum membraneis,By adhering to the appropriate layer, amount, and technique,This method allows for gentle adjustment of the appearance of the tip of the nose.
However, this method has
・There is a certain limit to the height that can be achieved.
・The effect is not permanent.
・There are limitations on the design freedom regarding shape and orientation.
It has the following characteristics.
Therefore,
"I want to get my nose shaped before an important event.""First, I'd like to experience the changes without surgery."
such asShort-term, minor adjustmentsis extremely useful.
When seeking a significantly higher nasal tip, long-term stable results, or a highly aesthetic outcome, surgical approaches are generally considered the most suitable option.
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■ The Strengths of Hyaluronic Acid
The greatest strength of hyaluronic acid is that the procedure is simple, has minimal downtime, and is reversible.
It is highly effective as a simulation of the final result and is also suitable when seeking "just the right amount of change."
On the other hand,
・Change the shape completely
・Clearly indicate the height
・Achieve long-term stability
There are limitations to such purposes.
Even so,The ability to achieve visible results without downtime is a major advantage, making it a highly satisfying treatment.There is no doubt about it.
In fact,Nose surgery involves a long recovery period and significant financial burden, making it a major psychological hurdle.That is the reality.
In this context, it's only natural that hyaluronic acid—which offers an easy way to achieve change—is chosen by many people.
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■ Benefits and Considerations of Surgery
Surgery offers superior advantages in terms of the extent of change, stability, and design flexibility because it allows direct intervention on the structures themselves, such as bone and cartilage.
On the other hand, it involves downtime and risks, and is not a treatment that can be easily reversed.
That's precisely why it's crucial to thoroughly design in advance "how much to change."
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■ Summary
Hyaluronic acid and surgery are not things to be compared in terms of superiority or inferiority.
The appropriate choice varies depending on the purpose and goal.
・For minor changes or simulation purposes, hyaluronic acid
・If you want to make a significant change in shape and seek long-term stability, surgery is the way to go.
What do you want to change, and to what extent?
That very preparation is what leads to rhinoplasty you won't regret.
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【Profile】
Masataka Fujihashi, MD, Plastic Surgeon
Leveraging expertise as a board-certified plastic surgeon, I offer comprehensive facial cosmetic procedures including eyelid and nose surgery, facial liposuction, thread lifts, and hyaluronic acid injections. From incisional surgeries and revision procedures requiring delicate design to minimally invasive injections and lifts with minimal downtime, I strive to provide treatments tailored to each patient's ideal outcome.
We are dedicated to achieving natural results and minimizing downtime, pursuing medical care that leaves you feeling confident in your choice through sincere consultations.
Designing natural beauty with trust.
We cherish that sentiment and apply it to our daily practice.
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https://biancaclinic.jp/author_cat/fujihashi/
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【Career】
March 2015: Graduated from the School of Medicine, Showa University
April 2015 Showa University Yokohama Northern Hospital Initial Clinical Training
April 2017 Showa University Hospital Department of Plastic Surgery
October 2017 Maebashi Red Cross Hospital Plastic Surgery / Cosmetic Surgery
April 2019 Nishio Municipal Hospital Plastic Surgery Department
April 2020 Showa University Fujigaoka Hospital Plastic Surgery Department
November 2020 Ota Nishinouchi Hospital Plastic Surgery / Cosmetic Surgery
July 2022 Tokyo Rosai Hospital Plastic Surgery / Cosmetic Surgery Department Head
July 2022: R.O.clinic (Part-time), Kusano Taro Clinic (Part-time)
April 2024 Deputy Director, Ginza TA Clinic
November 2025 BIANCA CLINIC
【Professional Affiliations and Qualifications】
Japanese Society of Plastic and Reconstructive Surgery Board-Certified Plastic Surgeon
Member of the Japanese Society of Aesthetic Plastic Surgery (JSAPS)
Member of the Japanese Society of Aesthetic Surgery (JSAS)
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