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Books/Facial Aesthetics: The Anatomy of Natural Results/Non-Surgical Nose Job: The Limits of Nasal Fillers
Chapter 0810 min read

Non-Surgical Nose Job: The Limits of Nasal Fillers

Nose aesthetics is no longer just surgical. "Non-surgical nose correction" can be done with fillers; but it is not suitable for every nose. This section explains which noses can be corrected with fillers and which require surgery.

Main ideas in this chapter

  • Fillers cannot reduce the size of the nose; they can only correct and improve the profile.
  • Suitable indications: mild nasal hump, drooping nasal tip, mild asymmetry.
  • Unsuitable indications: large nose, breathing problems, significant deviation — these require surgery.

The logic of nose filler

Nose filler visually corrects irregularities on the surface of the nose by creating "sufficiently high" points. For example, if there is a hump in the middle part, the profile is straightened by adding filler above and below the hump. If the nasal tip is low, a point (supratip, tip) to support the tip is filled – the nasal tip appears to be lifted.

Appropriate and inappropriate indications

Appropriate: mild hump, low nasal tip, asymmetry correction, small adjustments after surgery, "interim solution" for patients not ready for surgery.

Inappropriate: large/long nose (filler cannot reduce it), significant septal deviation, breathing problems, prominent width of nasal wings. In these cases, filler only creates a visual illusion; the functional problem persists.

Attention:Nose filler is a high-risk area. The vessels supplying the radical arteries and dorsal nasal artery are superficial in the nose. Incorrect injection can create a risk of vascular occlusion, skin necrosis, and even blindness. It should only be performed by experienced physicians, using a fine cannula technique, and with small volumes.

When is the decision for surgery made?

If the "desired point" cannot be reached after three attempts with filler, if there is a difference between expectation and reality, if the patient keeps saying "let it improve a little more" — the decision for surgery should be considered. Some patients can continue with filler for years; some switch to surgery after 1-2 sessions. The decision is specific to the expectation.

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Cheekbone and Midface: Volume Architecture

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Lip Ratios and Natural Lip Fillers