Best and longest lasting nose filler?

In our practice, we specialize in the use of microdroplet Silikon-1000 for permanent non-surgical nose job treatments. This is particularly well suited for camouflaging a small dorsal hump. In general, several treatments are necessary for a desired result, however, Silikon-1000 never carries risks of necrosis, embolism, stroke, blindness, or biofilm. I hope this helps! Sincerely, Dr Joseph

Voluma is a wonderful hyaluronic-acid based dermal filler that can even out bumps on your nose to make it appear straighter. Sometimes straightening out the bumps can even create the illusion of a shorter nose because a smoother nose is less distracting. Voluma can last about a year or two. It looks and feels very natural. With that said, the nose is a dangerous area to inject because of communication with the blood supply of the eye.  Consulting a board-certified dermatologist or facial plastic surgeon will determine if you are a good candidate for a nonsurgical nose job with Voluma or a better candidate for a rhinoplasty. 

Thanks for your question.  Small irregularities and asymmetries in the nose can be improved with fillers and one can either use permanent or temporary fillers. Among the permanent fillers are FDA approved, Bellafill ® or fat transfer (which, of course, comes from your own body). Fillers will rarely improve nasal obstruction or make the nose smaller. For a life long result, a rhinoplasty is still generally the gold standard. Recommend an in person consult with a board certified plastic surgeon specializing in rhinoplasty to discuss your options.

Minor defects of the bridge (dorsum), central nose and tip of the nose can be very precisely and quickly corrected with fillers.  Improved definition of the tip, and straightening of the dorsum may be achieved. This may also result in  a straighter, thinner appearing nose. Reduction of a prominent dorsum or tip requires surgery.  Studying pictures of treated patients will give you an idea of what may be achieved with this technique.
Various temporary fillers are available Radiesse, Voluma and Lyft are options. Fillers which may last many years include Bellafill and fat injections.  Depending on your expectations for longevity and budget (pricing between $500 and $1900) a product can be chosen to best fit your needs.
There are no fillers that have been tested in this area by the FDA and therefor are considered "off label use".  Careful conservative correction should be performed. Silicon although initially resulting in good results may cause lumping or allergic reactions in the future which are very difficult if not impossible to correct.
Please consult in person with an experienced Board Certified Plastic Surgeon prior to making treatment decisions

I would use either Voluma or Vollure HA filler in a non surgical rhinoplasty if I was going fr longer lasting filler. But I always try to start with Juvederm ultra/plus first, just incase the result is not satisfactory.