Hyaluronic acid fillers are used for this area. This family of dermal fillers can reshape contours as they are malleable, additionally they are reversible.

I do perform other types of dermal fillers including calcium hydroxyl apatite & Poly-L-Lactic Acid. These fillers are not reversible, and hence I do not use these two fillers for non-surgical rhinoplasty.

Dermal fillers are well tolerated with minimal discomfort as fillers contain local anaesthetic. The exception is the nasal tip as this region is sensitive; a numbing cream is used in this area.

Minimal recovery required as fillers are placed deeply. Bruising is rare. One can reduce the likelihood of bruise by stopping- Anti-inflammatories, Aspirin, Fish Oil, Vitamin E & other blood thinners for 12 days prior to the procedure.

After liquid rhinoplasty, you may experience mild pain, swelling, and redness where your injection was inserted. Within an hour or two, the injection should start to settle. The redness should start to subside, and you’ll be able to better see your desired results.

As far as downtime, people who swear by liquid rhinoplasty love that there’s practically no recovery time. You can be back to work the very same day. I ask my patients to refrain from heavy exercise for 24 hours. No goggles (swimming – diving- respirator masks) for 5 days.

The nose area carries higher risks for vascular compromise compared to other sites on the face. This is due to the blood supply of the area. Injecting with a cannula, following the midline areas as well as slow injection technique will reduce but not eliminate the risks of vascular compromise. This risk benefit ratio will be discussed in detail prior to filler placement.

As a dermatologist who specializes in scar revision, I occasionally inject the alar (lateral or sides of the nose) for the correction of significant scars. Treating atrophic scars secondary to cancer excision or revision of surgical rhinoplasties are examples. Scar tissue adds another dimension of risks & hence it is advisable to wait 12 months or more after your surgical procedure before attempting filler.

HA fillers are reversible with an enzyme called Hyalse. Careful placement of dermal fillers will markedly reduce misplacement and over correction. It is super important to communicate with the patient to understand their perception before, during and after the procedure.

In some cases, you as the patient control the correction aesthetics as I start and stop the procedure to ensure you are comfortable with the results.

Finding the correct answer is not straight forward as there are pros & cons of each treatment.

Pros of nonsurgical rhinoplasty 

• Nonsurgical rhinoplasty allows you to avoid going under general anesthesia and will save you a stay in hospital. The procedure takes less than 15 minutes.
• You’ll have a quick recovery.
• After this procedure, you can return to work and your regular activities as the same or next day.
• Results aren’t permanent, so if you’re not pleased with how it looks, it’s just a matter of time before the fillers metabolize. Alternatively an enzyme can reverse the nose job within 24 hours of injection.
• The cost of nonsurgical filler rhinoplasty is much lower than a traditional rhinoplasty.

Cons of nonsurgical rhinoplasty

• If you’re looking for a dramatic, permanent change to your appearance, this procedure might be disappointing for you.
• There are side effects, such as bruising and swelling. Rare side effects include arterial occlusion.
• There’s the possibility that a misplaced needle could result in visible bleeding under your skin or damage to your vision.
• Liquid rhinoplasty does not correct breathing problems associated with septal deviation.

Pros of traditional rhinoplasty

• The results of traditional rhinoplasty are bold and permanent.
• You won’t need another procedure to “re-up” or “refresh” the results in a few months or years.
• Insurance could possibly cover it if you have a related medical issue, such as breathing difficulties.

Cons of traditional rhinoplasty

• If you don’t like the result, there’s not much else you can do besides wait for it to heal and then get another rhinoplasty. Revision procedures are relatively common and range between 10-25% of rhinoplasties.
• This procedure is usually conducted in a hospital under general anesthesia.
• Risks of complications like infection are much higher.
• It costs significantly more than nonsurgical rhinoplasty.
• Unlike filler rhinoplasty, recovery is prolonged, often 2-4 weeks.

As a guide $1190 to $1990, depending on the complexity of injections. My go to hyaluronic acid fillers include the range from Allergan, Merz & Teoxane.