Portrait of attractive middle-aged woman
There’s been a good deal of buzz about non-surgical nose-reshaping (rhinoplasty) or filler rhinoplasty recently. During these procedures, a facial plastic surgeon like Sam Rizk, MD, uses fillers, typically hyaluronic-acid based injectables, to reshape the nose — without surgery.

The results of filler rhinoplasty do not come close to the dramatic reshaping that can be achieved with traditional surgical rhinoplasty, but fillers can make minor corrections to the nose such as filling in depressed areas or smoothing the appearance of a bump. These non-surgical procedures don’t address breathing difficulties or functional concerns in the nose.

While filler rhinoplasty is non-surgical, it still confers some risks namely swelling, bruising, infection and lumps or bumps under the surface. (These risks tend to be seen with filler injections anywhere on the face.) Specific complications for filler rhinoplasty may include deformity, skin necrosis (death), and rarely, blindness. There is also a potential risk of compromising blood supply to the nose.

Choosing a skilled plastic surgeon who knows a great deal about the anatomy of the nose like Dr. Rizk is the best way to minimize the risks associated with filler rhinoplasty and maximize the aesthetic benefits. Rhinoplasty experts also know how to treat any vascular compromise from fillers if they should arise.
There is also the risk of cosmetic dissatisfaction with filler rhinoplasty. Hyaluronic acid fillers are most commonly used because results close to two years in the nose, but are reversible (if need be) with an enzyme called hyaluronidase. By contrast permanent fillers (silicone and others) can be problematic when injected into the nasal tissue and should be avoided as the risks far outweigh the benefits.

Advice from Dr. Rizk:

“Non-surgical rhinoplasty can make a big difference in how a person looks and feels about themselves. Only skilled and experienced surgeons who have a thorough knowledge of the nasal anatomy and who are schooled on the management of potential complications should perform filler rhinoplasty. Make sure to ask your surgeon about their credentials as well as how many filler rhinoplasty procedures they have performed in the past before scheduling yours. When patient asks me if filler injection in rhinoplasty procedures are safe, I tell them that non-surgical does not necessarily mean safe or risk-free. In sum, filler rhinoplasty is only safe when it’s performed by the right surgeon, for the right reasons in the right patient with the right fillers and the right experience needed to avoid or troubleshoot any complications that arise.”