I use Restylane Perlane or Radiesse for contouring the nose .I have some patients well over a year and half out from the filler and it looks the same as the day it went in, fully corrected. Surgery is always more definitive but also is much more involved. Fillers for nose contouring in the right hands can be done in minutes rather than hours and with little to no anesthesia, with little to no discomfort. So a quick, simple, safe, effective result can be achieved in experienced hands , in the office, at a fraction of the cost of surgery and without all of the risks of surgery . The downside is that it may not be permanent and may need a touch up in the future. Speak with your dermatologist or facial plastic surgeon to find out more