What is a nonsurgical nose job?
Your nose is the center of your face, so what if you feel like it’s just not you? A nonsurgical nose job can change the shape of your nose by adding volume with injectable fillers like Juvéderm, Restylane, or Voluma. There’s no downtime with a nonsurgical rhinoplasty, and it’s very quick, about 5–10 minutes. It’s also relatively comfortable.
Is a nonsurgical nose job right for me?
A nonsurgical rhinoplasty can be a good choice if you’d like to:
- camouflage small humps
- raise a flat bridge, fill indents
- make your nose more symmetrical
- try a temporary change without the cost and downtime of surgery
If you feel like your nose is too large or you have a large hump, drooping nasal tip, or difficulty breathing through your nose, a traditional nose job (rhinoplasty) will likely be the better option for you.
RealSelf’s Chief Medical Officer, Dr. Lara Devgan, calls surgical rhinoplasty “the gold standard, because it’s inherently more powerful. It’s permanent, and it allows me to add and subtract, to reshape and recontour tissues. If someone has a deviated septum or a very wide nose, widely splayed nostrils, a very bulbous nasal tip, or a nose that’s just over projected (overly large for their face), those situations are really hard to fix with a nonsurgical rhinoplasty.”
Over time, surgery also ends up being more cost effective than temporary fillers, if you want to maintain your results.
How much does a nonsurgical nose job cost?
“The cost of this procedure, like any other procedure, depends on the case, complexity, location, surgeon, and filler,” says Dr. Jeffrey Jumaily, a Beverly Hills facial plastic surgeon, in a nonsurgical nose job Q&A. “Nonsurgical nose job does not use a lot of filler, but it does take a lot of time, work, and skill by the surgeon to get an optimal result.”
What should I expect during a nonsurgical nose job?
A nonsurgical nose job is typically done with topical anesthesia. Your doctor will select the right filler for your goals and inject it into the bridge, tip, or other areas of your nose to add volume.
Your results should be visible immediately after your treatment, and you may have a small bruise that you can cover with makeup. It’s quick enough to be done over your lunch break, and you can typically return to work without any evidence of the procedure.
Several weeks after your treatment, you may have a follow-up visit with your doctor to review your before-and-after photos and see if your goals were reached.
What are the potential risks and side effects of a nonsurgical nose job?
Overcorrection, nodules, bumps, and visible filler are possible side effects of any nonsurgical nose job. Infection, or biofilm formation, occurs on rare occasions with hyaluronic acid fillers.
“The biggest risk is the potential for blood vessel occlusion during or after injection,” says Dr. Matthew Richardson, a Frisco, Texas facial plastic surgeon, in a RealSelf Q&A. “This could lead to skin death or other issues if not treated properly.” If it’s caught quickly, skin death can be reversed with an injection of hyaluronidase, which speeds the breakdown of hyaluronic acid fillers.
“The biggest key with any potential risk is prevention,” he continues. “This is why it is critical to find an injector who performs both surgical rhinoplasty and nonsurgical nose jobs, as these physician injectors will be skilled at making the proper cosmetic nasal changes and doing so in a safe manner.”
Dr. Devgan sees the biggest risks from silicone fillers. “If you accidentally inject a blood vessel around the nose, you are just stuck: there is nothing you can do to reverse it.” She believes that “even though that’s an extremely rare event with an experienced injector, it’s really not worth the risk” of tissue death or blindness.
“Number two, injecting free silicone is permanent, and you’re not sure how your body will respond. You can get distortion, enlargement and disfiguration over time.”
Dr. Ali Sajjadian, a plastic surgeon in Newport Beach, California, and President of the Rhinoplasty Society says “I honestly cannot recommend anyone placing Silikon-1000 in the nose or face.” He cautions that “no matter how small the particles are, they can form clumps, which can block important arterial supply for the eyes and nose, causing blindness and tissue loss.”
Dr. Eric M. Joseph, a facial plastic surgeon in West Orange, New Jersey, says that there’s “no risk of blood vessel occlusion or blindness with Silikon-1000,” and the right doctor can minimize other risks. “The expertise of your physician is critical for achieving safe and pleasing results,” he says. “You should ask your doctor about all of the possible side effects of a nonsurgical nose job before moving forward.”
Are there effective alternatives to a nonsurgical nose job?
While there are no other effective nonsurgical alternatives, surgical rhinoplasty can make permanent, more significant changes to your nose, especially if you feel that your nose is too large or have breathing problems.
What is nonsurgical nose job recovery like?
A nonsurgical nose job is relatively simple and requires little to no downtime. Slight swelling or bruising may appear around injection sites, but it’s typically mild. Most people are able to return to work immediately after their injections.
How long will my nonsurgical nose job results last?
The longevity of your results depends on the type of filler used.
“Hyaluronic acids such as Restylane and Juvéderm can last six months to two years,” says Dr. Jaime Perez, a Tampa, Florida plastic surgeon, in a RealSelf Q&A. “Other products such as ArteFill, Sculptra, and Radiesse will be more permanent. However, I do not recommend them because of the high rate of complications associated with the use of these products as fillers in the nose.”
According to Dr. Devgan, everyone metabolizes fillers differently, so the longevity will vary. “Most of the fillers doctors use for this, like Voluma or Restylane Lyft, can last 1 to 2 years, in an ideal situation. But there are patients where those fillers don’t last that long. I try not to disappoint people by giving a long range, so I’d say the average is 8 to 16 months. I’ve seen patients after 3 years who still have good results, and I’ve also seen patients after 3 months who need to do it again.”
“Nonsurgical nose job using microdroplet Silikon-1000 may lead to safe, permanent, and natural looking results,” says Dr. Eric Joseph, a facial plastic surgeon in West Orange, New Jersey, in a RealSelf Q&A. “Microdroplet Silikon-1000 works particularly well for permanent nonsurgical nose job treatments. Several treatments are typically necessary for achieving a permanent desired result.”
What if I don’t like my nonsurgical nose job results?
Depending on the filler used for your nonsurgical nose job, you may be able to reverse your results. Hyaluronic acid fillers can be dissolved using hyaluronidase, though Dr. Joseph says that the effects may not be completely reversed, and he cautions that “hyaluronidase may also dissolve naturally occurring hyaluronic acid in the skin and cause skin thinning and indentations.”
Silikon-1000, a silicone filler, is permanent and can’t be removed.
Can a nonsurgical nose job lift the nose tip?
If your nasal tip drops when you smile (rather than having a low tip even at rest), Botox may be able to lift your nose tip.
“When you smile, a muscle in the upper lip, called the depressor nasi septi, pulls down the tip of the nose,” says Dr. Otto Joseph Placik, a Chicago plastic surgeon, in a RealSelf Q&A. “In some individuals, this can be quite pronounced. By injecting Botox into this muscle, the muscle is weakened causing the nose to remain up when smiling.”
Still, some doctors recommend treating a droopy nasal tip with rhinoplasty surgery, since the effects of Botox can be limited.