Non-Surgical Rhinoplasty

Facts about nose fillers

• Nose filler is also known as the liquid nose job, a non surgical nose job, a non surgical rhinoplasty, and the lunchtime nose job;
• it uses temporary and reversible dermal filler injections to reshape the nose;
• dermal filler injections in the nose takes 10-15 minutes, is safe, has no downtime, and is much more affordable than surgical rhinoplasty (nose job);
• the results of the liquid nose job are temporary and instantly reversible, so if you don’t like it, you don’t have to live with it;
• nose filler results are immediate, and last 12-24 months on average;
• there is almost no discomfort with the non surgical rhinoplasty;
• results are tailored to you, meaning you can have your dream nose that looks defined and natural.

How long does the liquid rhinoplasty (non surgical nose job) actually last

Temporary dermal fillers generally last longer in the nose compared to other areas of the face. For most people, results lasting 12-24 months can be expected, however for those who have consistent maintenance treatments, the longevity can be longer. Hyaluronic acid fillers (those most commonly used in the filler nose job) are gradually broken down by the body at different rates depending on your metabolism, and the level and activity of your naturally occurring hyaluronidase enzyme (the compound that breaks down filler).

While some believe that filler lasts longer in the nose as it is a less mobile part of the face, recent research shows that the greater longevity is most likely due to lower rates of migration of the filler due to the nose not being mobile (as compared to the lips for example).

It is critical to avoid over-filling the nose with fillers. Injecting too much dermal filler too frequently leads to higher rates of migration, and a risk of causing a swollen nose that lacks definition. For this reason, only small volumes of dermal filler should be injected to the nose (less than one ml per treatment), and treatments should be spaced apart by nine months at a minimum. While being conservative means that you may not get a full or long lasting result the first time, it allows a much more defined and beautiful nose to be built over a few treatments. Those that have had two to three nose filler treatments find that their results last longer and longer each time up to a limit of around 18-30 months.

For those that have undergone their first nose filler treatment, you can have a one-off top-up treatment within the first 12 weeks after your initial procedure safely to help stabilise the results. About 25% of people who have the non surgical rhinoplasty the first time decide to proceed with a small top-up treatment, and then maintain at intervals of no less than nine months.

When maintained consistently, the results of your non surgical rhinoplasty can be very stable, and last many years. Consistency is the most important part of reshaping the nose with dermal fillers. In future, if you decide that you want to proceed with surgery, or want your old nose back, then the dermal fillers in the nose can be immediately reversed at any time. However, many people find that their long lasting results are so good that they are happy to come in for a maintenance treatment every few years, without ever having to undergo an invasive, risky and permanent surgical nose job.

Risks of a non surgical nose job

Injecting dermal fillers in the nose is very safe when performed by an experienced cosmetic doctor. While there are some rare risks, it is a great alternative to expensive and invasive surgery that carries significant risks related to anaesthesia, the actual surgery, and the results (if they are unsatisfactory it is extremely costly and difficult to correct, often requiring additional surgery).

Undergoing treatment by undertrained or inexperienced practitioners increases the risks of complications and poor results.

The most important risks of nose filler treatment is impairing the blood supply to the skin. This is known as ischaemia and occurs if dermal filler is accidentally injected into the arteries of the nose, or if too much filler is injected around the arteries, compressing them, blocking the blood flow. If left untreated, the affected skin can die and scar, known as necrosis. When performed by an experienced nose filler specialist, the risk of impaired blood supply is very rare. If it does occur, the skin may change colour and develop small pustules. Dissolving the filler will reverse the blockage, restoring blood flow. If this is done quickly, then the skin will fully recover.

If you have had rhinoplasty and are considering dermal filler injections to fix your nose job results, the risk of blocking blood flow to the skin will be higher. This is because the scar tissue caused by your rhinoplasty surgery will fixate the blood vessels, increasing the chance of a needle entering them. The scar tissue also reduces the space to inject filler, increasing the chance of compressing the blood vessels. An experienced cosmetic injector will be able to determine if it is safe to correct your rhinoplasty surgery result, and if so, how to perform the nose filler treatment correctly.

The rarest risk associated with dermal filler injections is blindness. This has occurred only a handful of times, and is generally caused by unsafe injection techniques. Having an in depth understanding of anatomy and safe injection techniques significantly reduces the risk of this occurring (the risk being lower than being struck by lightening).

A risk of all cosmetic procedures, including the non surgical nose job, is not liking your result. The non surgical rhinoplasty has an extremely high satisfaction rate when performed correctly. Many concerns can be addressed, including dorsal humps, crooked shapes, hook noses, and droopy nose tips. The key advantage of nose fillers over a surgical nose job is that it is reversible. Many people who have been dissatisfied with the result of their nose surgery have felt that they should have tried nose fillers as it completely mitigates the scary and intimidating of having to live with a result you aren’t satisfied with.

Other temporary side effects of nose injections with filler include slight redness, mild swelling, and bruising. It is important to allow a few days for the results to settle in. You will see the final result after two weeks.

Non surgical nose jobs are exploding in popularity simply due to their many advantages over traditional nose surgery, including lower cost, no downtime, increased safety, and reversibility.

The best non surgical nose job with nose fillers in Melbourne, Sydney and Brisbane, Australia

Many people are unhappy with the shape of their nose. Whether it’s a minor concern, or a significant one that prevents you from taking photos from particular angles, dissatisfaction with your nose can have an unwanted effect on your confidence.

By having a non surgical rhinoplasty in Melbourne or Sydney with Dr. Aaron you can rid yourself of these worrying concerns in less than 20 minutes, with no downtime or expensive rhinoplasty surgery. Even better, the results are immediately reversible in the very rare case it’s not for you.

Dr. Aaron is one of Australia’s most experienced, respected, and well-known providers of nose fillers in Melbourne and Sydney, so when having your non surgical nose job treatment with him, you can ensure you are in safe, experienced and skilled hands.

How can the non-surgical rhinoplasty help me?

If you want a totally new nose, or just a subtle tweak without expensive, invasive and risky surgery, then the non surgical nose job is a great alternative. By carefully injecting dermal fillers your nose can be reshaped to improve a number of common bothersome nose shapes. The procedure is very comfortable, and anaesthetic can be used if needed. The non surgical rhinoplasty can achieve the following:

• improve a crooked nose, giving you a straight and defined nose;
• disguise bumps by injecting dermal filler above and below the hump;
• build a nasal bridge by injecting nose fillers around the nose bridge to make it more defined and pronounced;
• refine and ‘lift’ the nose tip: by adding targeted dermal fillers to the nose tip and around the supporting areas, the non surgical rhinoplasty can help to create a more delicate and balanced nose tip that works in harmony with the nose as a whole;
• change the general shape of the nose, making it straighter, slimmer, or giving it a gentle curve.
• increase the size of a small nose by injecting dermal fillers, improving the balance and proportion of the face, especially on the side profile view.

How is the non-surgical rhinoplasty performed?

Non surgical nose job: the four steps to achieving your dream nose.

1. The nose is formally assessed and measured by your injecting practitioner using precise instruments such as callipers, and the key landmarks are mapped with markings using a small pencil.
2. The skin is extensively cleaned using a strong antiseptic solution. Most commonly, a 70% alcohol swab is used to remove bacteria, and reduce the risk of infection.
3. Hyaluronic acid dermal filler is then injected into the preplanned areas of the nose using a tiny needle to achieve the desired shape.
4. The filler is moulded to ensure a smooth and consistent shape.

The results from your non surgical nose filler treatment are seen immediately and there is no recovery period. It is the perfect treatment for people bothered by the shape of there nose, and it can improve the appearance of the nose for all but a select few cases. The most common types of noses injected with dermal fillers are those with a dorsal hump, a hook shape, a droopy tip, or where the nose bridge lacks definition and projection.

Anaesthetic cream is not required for the nose filler treatment. The skin of the nose bridge has low sensitivity, and the tip is very quick to inject. As tiny needles are used, almost everyone who undergoes the non surgical nose job has far less discomfort than they were expecting.

Some practitioners inject dermal filler in the nose using a long blunt needle known as a cannula. This is inserted at the tip of the nose after an entry point is made using a larger needles. Injecting dermal filler with a cannula in the nose is more painful, less precise, and has a higher risk of migration of the filler. For this reason, needle is the preferred approach in most circumstances. Cases were a cannula is preferable may include noses that require a significant augmentation of the bridge, as is the case when treating those with very flat noses.

Nose fillers vs nose thread lift

Nose filler works by using precise injections of dermal fillers (most commonly biocompatible hyaluronic acid) under the skin to add volume and reshape the nose. Depending on the area of injection, different concerns can be addressed. A dorsal hump can be disguised, a crooked nose straightened, and a droopy tip lifted by adding height and projection.

Nose thread lifts work by inserting fine threads of biocompatible material (most commonly polydioxanone or PDO threads) to reshape the nose. The threads are inserted at the nose tip under the skin, and are passed along the dorsum of the nose to elevate the nose bridge, dorsum and tip. The threads also stimulate the production of collagen.

Difference between nose fillers and nose threads:

Nose fillers:

• minimal discomfort and no downtime;
• takes 10-15 minutes;
• highly precise, with even the slightest concerns able to be improved;
• immediately reversible;
• temporary results lasting 12-24 months on average;
• ability to define the nose bridge, disguise a dorsal hump, slim the dorsum and precisely lift the tip;
• less traumatic compared to nose threads.

Nose threads:

• moderate discomfort and minimal downtime;
• takes 30-45 minutes;
• less precision, with the whole nose treated, even if only one part of the nose is the problem;
• not reversible;
• temporary results lasting 6-18 months;
• ability to define the nose bridge and slim the dorsum;
• can give the tip a droopy and swollen appearance;
• more traumatic compared to nose fillers;
• stimulates collagen, making subsequent treatments (whether with nose threads, nose filler or nose surgery) higher risk and more technically difficult.

When comparing nose threads with nose fillers, the non surgical rhinoplasty with filler is the preferred option for almost all types of noses. One potential exception is for people needing to lift and define a very flat or non existent nasal bridge. Even then, filler can achieve the same result with more precision, less pain, and with the option to reverse the result if it is not satisfactory.

People may prefer nose threads if they have had a reaction to previous dermal filler injections, however they must be careful with the implications of placing material in the nose and stimulating collagen in this delicate area.

Very rarely, nose threads may be combined with nose dermal filler injections. This is usually for those that have a very small, undefined and flat nasal bridge and who lack projection and definition of their nose tip.

Nose job surgery (rhinoplasty) vs non surgical rhinoplasty (non surgical nose job)

Nose dermal fillers are a quick, safe, temporary and reversible treatment option for those that are unhappy with the appearance of their nose. They involve small injections of hyaluronic acid dermal fillers to the areas of concern on the nose, improving its shape.

Surgical rhinoplasty, also known as a nose job, is an invasive and permanent treatment designed to reshape the nose. 

Non surgical nose fillers:

• safe treatment with minimal discomfort and no downtime;
• non invasive, with no incisions, or scars;
• treatment takes 10-15 minutes;
• results are immediate, lasting 12-24 months on average;
• can be immediately reversed if required;
• highly precise treatment that can improve dorsal humps, crooked noses and droopy nose tips;
• very high satisfaction rate when performed correctly (over 95%).

Surgical rhinoplasty:

• invasive treatment option requiring general anaesthetic;
• significantly higher price compared to nose fillers;
• requires time off work, with final results taking 12-18 months;
• results are permanent, and further treatments to improve results have an increased risk and are more complex;
• less precise compared to dermal filler injections;
• can correct most problems with the nose, including dorsal humps, a deviated septum, a droopy nose tip, wide alar, large nostrils, and reduce the size of larger noses;
• moderate satisfaction rate, with people occasionally requiring revision surgery to improve results.

When comparing nose fillers to nose surgery, dermal filler injections to the nose are a great option for the far majority of people looking to improve the shape of their nose. It has many key advantages over nose surgery, such as minimal discomfort, lower cost, no downtime, and reversibility. Surgical rhinoplasty is indicated for those who want a permanent solution, and who are accepting that revision surgery may be required if the result is unsatisfactory, who have wide nasal alar (wide set nostrils), large nostrils, a very vertical dorsum, and a large nose that would prevent reshaping with dermal fillers.

Most people who are bothered by the appearance of their nose prefer the non surgical option. For those that later decide that they want surgery, the dermal filler can simply be dissolved prior to the nose operation, and will have no effect on the results.

In cases where you have had nose surgery and do not like the results, or the appearance is not as you expected, dermal fillers can be injected in the nose to correct the result of a surgical nose job in most cases. Correcting a surgical rhinoplasty with dermal filler injections is a complex treatment that requires an experienced injector who is proficient and highly experienced in treating the nose with hyaluronic acid based dermal fillers.

Why do people want to change their noses?

Many people are bothered by the shape and size of their nose. Most commonly, it is something that has been a concern since childhood or during high school. They see bumps, unpleasing angles, and an unbalanced size, particularly in photos where their nose is seen from an unflattering angle. Some are bothered by all aspects of their nose, others are only bothered by their nose from the side profile, or selfie angle (taken at 45 degrees). People who have had trauma may notice a deviation, or new bump that was never there before, and others have inherited an undesirable nose from the parents.

These concerns can be mild and a slight annoyance, or significant, and affect your confidence, changing the way you interact with others. Perhaps you don’t allow people to take photos from particular angles, or maybe you don’t like sitting next to people so that they can’t see your nose from the side profile view. Whatever the concern, it affects many people from all background, and of all races and genders.

The nose is one of the most important facial features, and it can affect the entire appearance of once’s face. Depending on the shape and size of your nose it can either improve, or impair your overall appearance. 

New approaches to cosmetic treatments have allowed those who previously couldn’t afford nose surgery, or who don’t want to go under the knife, a great non invasive treatment option to improve the shape of their nose.

Nose fillers can increase the size for those with a nose that is too small for their face, and improve the shape for those with contour irregularities such as bumps, a wide dorsum, a droopy nose tip, and a crooked appearance. Nose surgery can reduce the size of a large nose, reduce the size of the nostrils, lift the nose tip, correct a deviated septum, and improve breathing difficulties.

There are great treatment options for all types of noses to help the many people who have spent years being bothered by, and self conscious of their nose. The desire for people to reshape their nose stems from ideals of beauty and facial balance and harmony.

Nose filler injections to reshape the nose is quickly becoming one of the most popular and life changing cosmetic treatments around the world.

Who is unsuitable for a non-surgical rhinoplasty?

Almost all types of noses can be improved with nose fillers. There are a few certain types of concerns that nose filler cannot treat. In cases where nose filler cannot improve your concerns, you should consider consulting a specialist rhinoplasty surgeon. The concerns that nose filler cannot improve are:

• slimming widely set nostrils;
• straightening a nose with a very vertically orientated dorsum;
• improving the shape of a very large nose.

While filler can still be injected in noses with these three features, whether or not it is appropriate depends on if there are other nasal deformities that can be improved, and if the person would be happy with small improvements in the shape and balance of their nose.