Lots of surface nasal deformities can be treated these days without surgery in a matter of only five or ten minutes. These include humps, bumps and "ski slope" deformites along the bridge of the nose or at the tip of the nose, saddle deformities, in which the top of the nose is sunken, surface irregularities left by prior surgical nose jobs, and even droopy nasal tips resulting from age-related cartilage loss at the tip of the nose or a family predisposition. Although permanent fillers would seem like they should be the ideal answer, I advise against their use. Once implanted they cannot be removed. Any lumps and bumps that may occur can become permanent and difficult or impossible to treat. And lastly, as bone and cartilage are naturally lost with age, a result that looks terrific today may appear bizarre five to ten years down the road. Radiesse, on the other hand, composed of calcium hydroxylapatite, a bone-like substance, is my personal favorite for volumizing and recontouring the nose. Since there is typically little movement in nasal regions to contribute to early breakdown of the injected material, the results can be expected to last between 18 and 24 months, after which a touch-up will be needed. Most patients are highly gratified by the rapid and often dramatic results obtained in only minutes by this technique. There is little or no downtime, so most people return to work or social activities immediately, making this a true, nonsurgical lunchtime beauty fix.