My most helpful answer is to define the difference between liquid rhinoplasty and surgical rhinoplasty. What determines which approach to take involves 1)the configuration of your nose and 2)your goals. Liquid rhinoplasty entails injecting filler into the nose to camouflage a bump or to give volume to a deficient area. There are only a few configurations that lend themselves to this route, because most noses with bumps already have too much volume, and an injectable will make the nose look bigger in that instance.. Liquid rhinoplasty can be done without anesthesia, and is a treatment-room (as compared to operating-room) procedure. Results are immediate and downtime is usually non-existent or minimal. Liquid rhinoplasty is usually temporary. Surgical rhinoplasty, on the other hand, entails operating on the nose to remove tissue, reconfigure tissue, file bones, resculpt cartilage, remove bumps, create projection, etc. By rearranging bone and cartilage, the entire structure of the nose can be reworked. Surgical rhinoplasty is performed under anesthesia in the operating room. The recovery time for surgical rhinoplasty is usually somewhere between 7-10 days. Results are permanent. Both have benefits, so my best advice is for you to see a board certified plastic surgeon in person for a physical exam and to discuss your goals and expectations.