I have many patients who may come in for consultation interested in non surgical rhinoplasty. They are referring to cosmetic changes to the nose that might be made with fillers such as Restylane, Juvederm, or Radiesse. As a surgeon, I am not a large advocate of non surgical rhinoplasty for a number of reasons.

The first reason is that what you have to understand about filler injection to the nose is that it will make your nose bigger. Most people who present for rhinoplasty want a smaller nose. Filler is typically placed above a hump between the nose and start of the forehead to give the appearance of a strong straight profile or bridge of nose. It can also be placed on one side or another to give the impression of a straighter nose. But this will also make the nose wider. If you are accepting of a bigger nose, then this may be a solution for you.

The inside of the nose is not a clean or sterile environment and if any filler inadvertently is injected or communicates with the inside of the nose, that area may get infected.

Non surgical nose job treatment with filler may lead to scarring under the skin making future surgery in the area more difficult.

Filler injection to the nose will not resolve any functional or breathing problems that surgery would.

Non surgical rhinoplasty with filler is temporary (duration dependent on type of filler injected).

You cannot do numerous things to the nose with filler such as rotate the tip, narrow the nose, refine the tip, narrow the nostrils, or bring down a hump.

I do feel that filler injection into the nose can help with patients who have already undergone rhinoplasty to assist with any minor depressions or irregularities.

Dr. Funk is a rhinoplasty or nose job surgery expert in Houston, Texas