Non-surgical rhinoplasty, commonly referred to as a non-surgical nose job, can enhance the appearance of the nose, correcting dips, troughs and bumps by injecting very small volumes of dermal filler.

Fast Facts

  • The injection of dermal fillers into the nose is performed under local anaesthetic.
  • Depending on the type of filler used and the extent of correction required, your practitioner may recommend a follow-up visit two or three weeks after the initial treatment.
  • Your practitioner will probably apply a numbing cream to your nose before the injections.

It is a non-invasive treatment, also used to correct asymmetry and to enhance the shape of the nose, often following nose surgery.

Reasons for choosing to have non-surgical rhinoplasty

Non-surgical rhinoplasty—like most non-surgical procedures—is growing in popularity globally, and with both sexes, because of its convenience and affordability. Compared with surgery, non-surgical rhinoplasty is quick, easy, and cost effective. There is little pain and down-time involved, which makes the treatment even more attractive.

The non-surgical option also lacks the serious side effects, risks and complications that are possible with surgery. Non-surgical nose jobs allow for a change of heart, as effects are temporary. There are permanent dermal filler treatments for those who want a long-lasting result.

You are a good candidate and can benefit from a non-surgical nose job if

  • You want to improve the symmetry of your nose.
  • Your nose requires smoothing to get rid of contour irregularities.
  • You need to fill out surrounding tissue to diminish the appearance of a bump.
  • There are dents, depressions or grooves on your nose that you wish to improve.
  • The tip of your nose droops, requiring elevation.
  • You want to raise and better define a flat bridge.
  • You want to diminish the appearance of a rounded nose tip, a procedure popular among African Americans and Asians.
  • You have a crooked, scooped-out or “saddle nose” and want to improve your profile by straightening or correcting.

Your practitioner may also recommend non-surgical rhinoplasty if minor corrections are necessary to improve the results of previous nose surgery. Minor to moderate changes only are possible. Surgical rhinoplasty is required to reduce the size of a large nose or to completely reshape a nose.

Things to consider once you’ve decided to have non-surgical rhinoplasty

Which filler is best for you?

A variety of dermal fillers may be used for non-surgical nose jobs. Each has its own distinct characteristics, as well as distinct potential risks and complications.

In deciding what is best for you, your practitioner will consider

  • Your treatment needs.
  • Whether you want a permanent or temporary result, and if temporary, how long you want the effects to last.
  • Any known allergies or hypersensitivities to ingredients in fillers.

Your practitioner will be able to advise on the most appropriate filler for your individual needs, and to provide the best outcome and cost effectiveness.

What to expect

The injection of dermal fillers into the nose is performed under local anaesthetic and can be completed in less than 30 minutes. Some people can be treated with a single session, but most cases require two or three treatments for best results.

Depending on the type of filler used and the extent of correction required, your practitioner may recommend a follow-up visit two or three weeks after the initial treatment. It is at this stage that any touch-up injections would be performed.

Your doctor will probably apply a numbing cream to your nose before the injections. If you feel nervous, the doctor may give you an oral sedative.

The dermal filler will be injected into a number of locations in small droplets using a fine needle. Injection sites and quantity of filler will depend upon the type and extent of correction needed. You will be able to go home immediately after the treatment.

Expect to have some bruising immediately following treatment or a few hours later. Your nose may feel tender for three to five days.

You can expect the results of your non-surgical rhinoplasty to last from 6 to 18 months. The length of time varies largely upon the type of dermal filler used.

Before and after treatment

There are things that you can do leading up to any kind of treatment that will improve the experience.

As well as following general steps to speed up the healing process, there are important things you must do after your non-surgical rhinoplasty to ensure its success. The precautions you need to take depend on the type of dermal filler that will be used in your treatment.

Here is a general list of after-care guidelines:

  • Avoid any pressure on your nose for at least five days. Sleep on your back or in a reclining chair.
  • Avoid chemical peels, sun exposure and laser treatments for at least a week following treatment as these procedures carry the potential for inflammation and scarring if undertaken too soon. You should refrain from tanning treatments during this period.

Each dermal filler is different and has specific post-treatment requirements, therefore any generalised post-treatment list has its limitations. Discuss with your practitioner the specific after-care applicable to the dermal filler used in your treatment. Follow your practitioner’s instructions closely, to ensure good results and a speedy recovery.

Possible risks and complications

As with any cosmetic procedure, there are risks involved in non-surgical rhinoplasty and you should be fully aware of these before you elect to have the treatment. The best way to reduce risk is to locate a fully-qualified practitioner with formal training in injectables, who has performed the treatment many times.

Specific complications that may occur after a non-surgical rhinoplasty include:

  • Redness, which will disappear after a couple of days.
  • Swelling and bruising, which will slowly subside, enabling you to see the results of the enhancement.
  • Tenderness in the nose.
  • Infection.
  • Nasal skin damage.
  • A lumpy or asymmetrical appearance or unsatisfactory outcome.

Silicone injections have been known to involve the additional risks of migration—where the injected silicone moves to another part of your face—and may increase the risk of the formulation of granulomas.

Depending upon the dermal filler used, itching, hypersensitivity and allergic reactions are also possible. Discuss with your practitioner what the potential reactions are for the filler that will be injected into your nose. Keep your practitioner’s contact numbers with you and seek advice in case of any adverse reactions. Make sure your practitioner knows about any allergies before the filler is chosen.

These problems are sometimes associated with inexperienced or unqualified injectors, or the injection of large quantities at one time.

Experience and training are especially important with injectable treatments. As well as helping to avoid unnecessary risks and complications, the skill of the injector is a necessary component for a successful outcome.

Just as you would discuss potential benefits before a procedure, it is always advisable to ask your practitioner to address the potential risks as they apply to you. The doctor can also advise you how to avoid or minimise some types of risk.

Rough costs involved

The cost of a non-surgical rhinoplasty depends upon a number of factors, including the type of filler used, the number of treatment sessions needed, and the volume of filler injected in each session. Your costs will also vary depending on the practitioner you select.

Your practitioner will help you estimate potential costs of treatment at the initial consultation, after considering the extent of correction and choosing the dermal filler that is best suited for you.

You should expect the costs to be higher if you are having combined treatments at the same time.

This information is correct as of 2019.

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