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Nonsurgical nose job Procedure and resultsMedically reviewed by Catherine Hannan, M.D. — By Mary West on May 19, 2022A nonsurgical nose job, or rhinoplasty, is an alternative to cosmetic surgery. It changes the shape of the nose using filler injections rather than cuts or grafts.
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Unlike surgery, the effects of a nonsurgical nose job are temporary. They only last until the filler dissolves. For this reason, a person undergoing the procedure will need repeat injections to maintain the appearance of the nose.
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Nonsurgical rhinoplasties can make mild or moderate alterations to the nose shape, but clinicians do not use the procedure to make major changes in appearance or to address conditions inside the nose. Keep reading to learn more about the uses, risks, and cost of a nonsurgical nose job, as well as what to expect during the procedure and recovery. What is a nonsurgical rhinoplasty
The medical term for a nose job is rhinoplasty.
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Usually, a rhinoplasty involves making an incision in the nose and altering its structure through cuts or tissue grafts. Nonsurgical rhinoplasty, or liquid rhinoplasty, does not involve any surgery.
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Instead, a medical professional injects a liquid filler under the surface of the skin using a needle to change the nose’s shape. The procedure takes less than 1 hour and produces immediate results.
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However, as the fillers dissolve over time, the effects are temporary rather than permanent. Clinicians conceptualized nonsurgical rhinoplasties in 2006. According to a 2020 study, it was the second most common minimally invasive cosmetic procedure in the United States in 2018.
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Compared to surgical rhinoplasty, it is less expensive and has fewer risks and a shorter recovery time. However, the Food and Drug Administration (FDA) has not approved the use of fillers in the nose. What can nonsurgical rhinoplasties do
Nonsurgical rhinoplasty can make mild to moderate changes in the shape of the nose.
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It cannot take any tissue away or make the nose smaller, but it can even out:indentations, such as a deep nasal bridgea convex or concave noseasymmetry
Some techniques, such as reducing the nose tip, can also give an impression of a narrower nose, even without reducing its width. Some clinicians believe nonsurgical rhinoplasty can provide functional improvements, but this use is controversial.
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The procedure is not appropriate for people who want major visual changes to the nose. It also cannot correct internal issues, such as a deviated septum or a nasal functional problem. Before and after
What fillers are involved in a nonsurgical rhinoplasty
Previously, clinicians used bovine collagen and silicone in nonsurgical rhinoplasties.
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Now, they tend to use hyaluronic acid (HA) or calcium hydroxylapatite (CH), both of which they consider safer and more reliable. HA is the most common and is the filler of choice for 80% of nonsurgical rhinoplasty procedures. Clinicians like it due to its softness and natural feel.
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It also dissolves quickly and is reversible. Although CH does not offer the advantage of being easy to reverse, its effects last longer.
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With this in mind, HA fillers need more frequent injections to maintain the desired shape of the nose. However, CH may cause more discomfort following the procedure. What to expect during the procedure
The process of nonsurgical rhinoplasty begins with an initial consultation with a doctor to discuss goals and take photographs of the nose.
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They may make recommendations or give advice about what the procedure can achieve for the person. On the day of the procedure, the doctor will:Analyze the anatomy of a person’s face, making marks and measurements.Clean and disinfect the skin and may apply a topical anesthetic to numb the nose.Make one or more injections into the nose, which may cause a slight pinching sensation.
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The procedure takes less than 1 hour. Instructions for recovery may include:sleeping with the head elevated on the first nighttaking acetaminophen (Tylenol) for pain reliefmaking a follow-up appointment in 1–2 weeks for a clinician to review results
For 2–3 days after the procedure, a person needs to avoid manipulating the nose and engaging in vigorous activity. Also, depending on the location of the injections, they may have to avoid wearing eyeglasses or sunglasses for a while to avoid creating an indentation.
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Individuals should ask their clinician how long to wait before applying makeup and showering. At the follow-up appointment, they may add a little extra filler if necessary. Side effects of nonsurgical rhinoplasty
Immediately after the rhinoplasty, a person may experience:painswellingbruisingbleedingredness or inflammation around the injection site
These side effects tend to be mild and self-limiting, meaning they improve on their own.
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Risks of a nonsurgical rhinoplasty
Serious complications from this procedure are rare, as long as a person receives the treatment from a reputable doctor. They can include:
Early-onset risks
These risks can occur soon after the procedure and include:asymmetrical appearancea hypersensitivity reaction, which may cause itching, fever, and paina blue hue under the skininfectionsurface irregularities
Rarely, nonsurgical rhinoplasties cause vascular occlusion. This is when a blood vessel becomes blocked, causing mottling or ulceration of tissue.
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If the blood vessel supplies the eye or brain, it may lead to blindness or stroke. Due to this risk, people should never get nonsurgical rhinoplasties or nose fillers from a nonmedical source. Make sure the practitioner is a licensed medical professional.
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Delayed-onset risks
These risks may surface months or years after the procedure, and include:changes in the color of the skinscarringforeign body granuloma, which is an immune response that usually occurs only with silicone injections but can also happen following other fillersbiofilms, which are a substance that protect microbes to allow them to grow
If foreign body granuloma occurs, doctors can treat them with steroids or surgical removal. For biofilms or infection, doctors may use antibiotics.
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If a person is having nonsurgical rhinoplasty to address mistakes from a previous surgical rhinoplasty, they need to wait a sufficient amount of time before undergoing the procedure. They can ask their doctor how long after the initial surgery they can receive fillers.
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Similarly, people who want a surgical rhinoplasty after liquid rhinoplasty need to wait at least 1 year between procedures. FAQs
Below are some answers to frequently asked questions about nonsurgical nose jobs. How long do nonsurgical nose jobs last
Generally, the results of a nonsurgical rhinoplasty last 9–18 months.
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To maintain the results, additional injections are necessary. How much do nonsurgical nose jobs cost
In the U.S., costs can range from $600–1,500, depending on location.
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How old does a person need to be to get a nonsurgical nose job
A person should not have any kind of rhinoplasty until they have stopped growing. This means it is not suitable for adolescents.
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Summary
Nonsurgical rhinoplasty is a cosmetic procedure that involves injecting fillers, such as HA, into the nose. It can create mild or moderate changes to the nose shape.
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The procedure is relatively quick, involves little downtime, and does not require general anesthetic. However, unlike a surgical rhinoplasty, the results are temporary.
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There is a small chance of complications from this procedure, some of which are serious. For this reason, it is essential for people to only get cosmetic fillers from a reputable medical professional.
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Last medically reviewed on May 19, 2022Cosmetic Medicine / Plastic Surgery 7 sourcescollapsedMedical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. We avoid using tertiary references.
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We link primary sources — including studies, scientific references, and statistics — within each article and also list them in the resources section at the bottom of our articles. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.Chu, Y., et al. (2020).
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Nonsurgical rhinoplasty using soft tissue fillers.https://parjournal.net/article/view/3814Dermal fillers. (n.d.).https://www.plasticsurgery.org/cosmetic-procedures/dermal-fillers/costDermal fillers (soft tissue fillers).
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(2021).https://www.fda.gov/medical-devices/aesthetic-cosmetic-devices/dermal-fillers-soft-tissue-fillersHarb, A., et al. (2020). The nonsurgical rhinoplasty: A retrospective review of 5000 treatments.https://journals.lww.com/plasreconsurg/Fulltext/2020/03000/The_Nonsurgical_Rhinoplasty__A_Retrospective.15.aspxNose job after nose filler.
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(n.d.).https://www1.plasticsurgery.org/psconnect/askasurgeon/detail.aspx?thread=545Raggio, B. S., et al. (2022).
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Filler rhinoplasty.https://www.ncbi.nlm.nih.gov/books/NBK554581Vitenas, P. (2018). How a nonsurgical rhinoplasty can provide amazing results.https://www.plasticsurgery.org/news/blog/how-a-nonsurgical-rhinoplasty-can-provide-amazing-resultsFEEDBACK:Medically reviewed by Catherine Hannan, M.D.
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— By Mary West on May 19, 2022
Latest newsWhat sets 'SuperAgers' apart? Their unusually large neuronsOmega-3 may provide a brain boost for people in midlifeSeasonal affective disorder (SAD): How to beat it this fall and winterCDC: Monkeypox in the US 'unlikely to be eliminated in the near future'Why are more women prone to Alzheimer's?
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New clues arise
Related CoverageWhat to know about rhinoplastyMedically reviewed by Catherine Hannan, M.D. A rhinoplasty is a surgical procedure to alter the shape and appearance of a person's nose.
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Learn more about the procedure here.READ MORECrooked nose: Surgery and exercisesMedically reviewed by Catherine Hannan, M.D. A crooked nose may have a curved shape or look off-center.
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It is possible to treat a crooked nose with surgery or nonsurgical techniques. Find out…READ MOREWhat's to know about deviated septum?Medically reviewed by Judith Marcin, M.D. It is quite common for people to not have a straight septum.
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However, this can cause some unwanted health effects, such as frequent bouts of sinusitis…READ MORECosmetic surgery: What you should knowMedically reviewed by Catherine Hannan, M.D. Cosmetic surgery is a type of plastic surgery that aims to improve appearance. Find out about the types available and get some tips on choosing wisely.READ MOREMedicare and plastic surgery: What to knowMedically reviewed by Deborah Weatherspoon, Ph.D., MSN
There are different types of plastic surgery and Medicare may cover the costs if the procedure is medically necessary.
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Read on for more.READ MORE
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