Permanent Filler for Non Surgical Nose Job?

The application of fillers to the nose, otherwise known as non-surgical rhinoplasty is not a real substitute for surgical rhinoplasty. Even though it can have a role in addressing some cosmetic issues that can improve by "camouflage" or "augmentation" techniques, it still carries a rare but major complication profile, including necrosis (part of the issue dying) or blindness, without a definitively known mechanism yet. In cases of suboptimal cosmetic results, when done with temporary fillers of hyaluronic acid based types, such as Resylane or Juvederm, it can at least be modified or dissolved, but a permanent filler such as Silikon or Artefill can cause a major issue, way beyond the scope of financial concerns.

Based on your info, you are a better candidate for surgical rhinoplasty. I advise you to discuss this with your board plastic surgeon, check actual before & after photos ( not the ones made with computer animation programs). 
The price of Rhinoplasty surgery depends on several factors such as the difficulty of your case and your request for your new nose. 
In my practice, prices for Rhinoplasty surgery reaches from 1900 Euro up to 4000 Euro range. I wish you all the best. 

I do not perform or recommend permanent filler injections for a non-surgical nose job. There are several reasons for this. First, if the patient is unhappy with the results, there is no way to effectively reverse the injections. Secondly, every procedure has risks, and if there are any side effects or complications from the injections, there are (again) no ways to reverse the injections.
I use hyaluronic acid-based products because these are very safe, long-lasting, and reversible. The newer hyaluronic acid-based injectable fillers usually last much longer than 6 months in the nose. I often tell patients that they can expect 18 months or more, depending on the product that we use and the individual's metabolism. Non-surgical nose jobs are great for patients who are opposed to surgery or simply don't have the budget or down time, but patients who desire permanent changes to the nose should consider rhinoplasty surgery.
Be sure to see a physician who specializes in both rhinoplasty surgery and non-surgical nose jobs in order to review the procedures in detail. Remember that non-surgical nose jobs are advanced techniques that should not be performed by novice injectors.
All the best,

Thank you for your question.  Not everyone is a candidate for a non-surgical nose job, but if you are, it can provide some really nice lasting results.  The duration of the procedure is based on the type of filler you use and the suppleness of the skin.  I do many non-surgical nose jobs in both patients who have residual asymmetry from surgical rhinoplasties or with a history of trauma.  I find that the scar tissue makes the expansion of the skin more challenging as the skin tends to push back on the filler.  For this reason,  I tend to use stiffer fillers such as Voluma.I find that the duration is longer for patients who don't have any history of trauma or surgery on their nose.  For those with scar tissue, I find that the results seem to get longer with each successive treatment.I would make sure you go to an experienced injector who understands the anatomy and can discuss with you both surgical and non-surgical options.

Hi there! I would certainly recommend non-surgical rhinoplasty using hyaluronic acid based dermal filler so you can get more of an idea first about whether you would be happy to proceed to permanent filler. Also it's nice to know that they are fully reversible. Non-surgical techniques can be used to improve contour / shape and tilt the tip of the nose. Personally I provide a 2 week check up and often do 'layer the product' as this ensures more result longevity. I see most of my clients for this procedure once a year. Hope this helps and best wishes,Dr Rupert