Is There a Permanent Non-surgical Rhinoplasty?

Doctor Answers 11

Generally not recommended

There are several alternatives for a non-surgical rhinoplasty. Permanent alternatives would include silicone or ArteFill; however, these are generally not recommended due to late inflammatory problems that may arise. Safer non-surgical options for temporary fillers include Juvederm, Restylane, and Radiesse. These fillers can give an instant rhinoplasty and are best suited for those who require a 'larger' nose or who have a bump or hump on the nose or to correct minor irregularities or asymmetries.

Orange County Plastic Surgeon
5.0 out of 5 stars 225 reviews

Yes but it's not recommended

the only permanent "non-surgical" rhinoplasty would involve using silicone injections or Artecoll/Artefill. Most respected rhinoplasty surgeons would not recommend either as they can cause inflammatory reactions that are difficult if not impossible to treat without major disfiguring corrective surgery. In fact, most respected rhinoplasty surgeons would not recommend using any type of filler in the nose other than to correct minor contour irregularities that may result from a primary surgical rhinoplasty.


Dr. Ahn

Min S. Ahn, MD, FACS
Westborough Facial Plastic Surgeon
4.6 out of 5 stars 35 reviews

Permanent fillers can be used, but only extremely carefully

We don't use permanent fillers because of reports of reactions to the products currently in use. Radiesse as a 12-18 month filler can be used and we have had no problem with it.

Fillers are used to fill depressions and most noses require removal of cartilage, bone or soft tissue. Therefore, indications for non-surgical rhinoplasty are limited.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

Non surgical nose job

There are permanent fillers, but some physicians including myself, do not inject them into the nose. I have a very broad experience with the removal of permanent fillers from the face. 


Dr. Karamanoukian 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Permanent Nonsurgical Rhinoplasty

A nonsurgical rhinoplasty can be used to fill in shadow defects, to straighten a crooked nose, to flatten a hump, or fill an indentation. It can also be used to make the tip more symmetric and raise the tip.

We use Radiesse, Perlane, and Voluma in the nose as they have the longest lasting potential. Perlane and Radiesse tend to last 10-15 months in the nose where as Voluma can last 12-20 months. Thicker skin types, such as African American and Asian skin, do better with Radiesse and Perlane as they do a better job of resisting the counter tension from the nasal skin that has been elevated to create a higher dorsum or bridge.  A long term solution, such as a injectable implant, is not available, or in the case of injectable silicone, is not always consistent.

Mike Majmundar, MD
Atlanta Facial Plastic Surgeon
4.6 out of 5 stars 49 reviews

Permanent Non-Surgical Rhinoplasty

At this time, there is no proven safe, FDA-approved permanent non-surgical rhinoplasty filler. Though many companies are currently working on developing it, it has yet to come out and may be a while to prove it's safety and efficacy. Until then, I recommend trying a non-surgical nose job, so that you can learn what amount of filler and where you like. That way, your permanent rhinoplasty will be just what you're looking for. 

Cameron Rokhsar, MD, FAAD
New York Dermatologic Surgeon
4.5 out of 5 stars 35 reviews

Non-surgical rhinoplasty

Currently all popular products used for non-surgical rhinoplasty are resorbable. In the past people have used permanent products to achieve long lasting results but adverse reactions and difficulty with treating overcorrection or problems have made this largely unpopular. If a permanent product could be developed which could be adjusted or easily removed, this could become an option in the future but currently there are no accepted treatments. If you search, you could find individuals who are willing to administer off label injections of Silicone but I would discourage its use for routine non-surgical rhinoplasty

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 82 reviews

Non-surgical Rhinoplasty using Silikon-1000 can safely give permanent, natural, results.

I was taught the art of using Silikon-1000 to correct nasal irregularities during my fellowship. When used properly, you can safely get completely natural, permanent results.

Since Silikon-1000 is a permanent filler, your results depend entirely on the technique, and expertise of your physician. You should consult a board-certified dermatologist or facial plastic surgeon experienced in the micro-droplet technique. You should see many photos before proceeding.

In my hands, Silikon-1000 works particularly well in the nose. My patients and I have been very gratified by their results.

I've attached a link to my Non-Surgical Rhinoplasty page for your perusal.

I hope this is helpful, and best regards.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 421 reviews

Permanent non-surgical Rhinoplasty not recommended

I would not recommend Permanent Non-Surgical Rhinoplasty. The main reason is many of these fillers can damage the nose soft tissue. This makes subsequent treatments difficult if not impossible. If you are interested in this procedure, I would recommend the semi-permanent hyaluronic acid fillers which can be reversed.

I understand the feeling that you don't want to keep coming back for filler "adjustments" to your nose, but this is much better than having a problem that is not easy to fix.

Daniel Reichner, MD
Newport Beach Plastic Surgeon
4.9 out of 5 stars 46 reviews

Not advisable

I agree that most permanent fillers are not recommended procedures for the nose. The main issue with a permanent filler is that a permanent filler is a permanent problem. It is very difficult if not impossible to remove a permanent filler once it is in the soft tissues of the nose. If your nose would develop granuloma, infection, asymmetry, etc, there is not a simple solution.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
4.8 out of 5 stars 166 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.