Is There a Permanent Non-surgical Rhinoplasty?

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.

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. Best, Dr. Karamanoukian 

Yes, Bellafill is a filler that is FDA approved to last 5 years; however, much of the evidence suggests that it can last 10 years or more.  Bellafill is an injection much like using Restylane or Radiesse in the nose.  We have used it several times in the nose and it works very well.  If you've never had filler in the nose, it's a good idea to use a shorter acting filler first to make sure you like the result and then try Bellafill thereafter.  Nose injections can be dangerous so make sure your provider is using a cannula and has experience working in the nose. 

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

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.
Microdroplet Silikon-1000 works particularly well for permanent nonsurgical nose job treatments. Several treatments are typically necessary for achieving a permanent desired result. There is no risk of blood vessel occlusion or blindness.
I've attached a link to my Non-Surgical Rhinoplasty gallery page for your perusal.
I hope this is helpful, and best regards.

There is no such thing as a permanent nonsurgical rhinoplasty since all the injectables we currently have on the market are temporary. Only surgical rhinoplasty is permanent.

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.

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.

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.

It is very
important to know that a non-surgical rhinoplasty is a VERY advanced and
technically challenging procedure to do safely. Too much filler in any given
area can cause issues with blood supply to the skin on the nose so it is
essential that you have a physician who is comfortable in rhinoplasty perform
the procedure. There must be an utmost respect for the anatomy and blood supply
of the nose. In experienced hands it can be done safely and beautifully with
results that enhance the appearance of the nose and really help patients feel
more confident.
Depending on the
filler used, the results typically last between 1 and 2 years. Permanent fillers should not be used as they cannot be reversed in the case of a complication. The procedure is
performed after topical numbing creme is applied and should be performed in a
meticulous fashion. This means that the procedure typically takes about 45
minutes.
Deciding whether you are or are not a candidate for a non-surgical nose job really depends on your goals. The best candidates for a non-surgical nose job are typically the following types of patients: 1) Those who want the bridge of their nose raised or who want a hump hidden to achieve a more feminine profile 2) Patients with a nose that deviates to one side or the other. Filler can help make it look more straight 3) Patients with features in the tip that appear too harsh or pointy and need softening. Fillers can help create a much smoother and balanced appearance. What non-surgical nose jobs can't do are help patients narrow their nose, make it project (stick out) less, or help with breathing. For these issues a surgical rhinoplasty is required.
I hope that helps!
Jeffrey Watson, MDHarvard Trained/Board CertifiedRhinoplasty SpecialistFacial Plastic and Reconstructive Surgeon