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Liquid Rhinoplasty

Non Surgical Nose Job 
Aka the "Liquid Rhinoplasty"

​Liquid Rhinoplasty / Liquid Nose Job / Nonsurgical Rhinoplasty

This is the use of filler in the nose to soften a "hump", perk a nose tip or fix asymmetry. It can be used in conjunction with neuromodulators as well as PDO threads. This procedure offers excellent, consistent and often very long lasting results.

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This is one of the highest risk filler procedures due to the anatomy of the nose.

  • Severe Complications

    • Vessel occlusion causing skin necrosis ~0.08% (8 in 10,000). Nose injections are associated with 20% of skin necrosis cases. 

      • Can be delayed or immediate.

      • Permanent damage if not caught right away but treatable if caught early.​

      • Often treatable if caught early.

    • Vessel occlusion causing blindness in one eye ~0.09% (9 in 10,000). Nose injections are associated with 40% of filler related vision loss cases. 

      • Almost always immediate.

      • Permanent damage almost certain - ophthalmologists trained in the procedure to correct this is not common.

  • Standard Risks ​​

    • Bruising​

    • Bleeding 

    • Infection

    • Skin reaction

    • Asymmetry

    • Undesirable result

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Our dedication to safety - Ultrasound 

Just like on the outside - Not everyone's anatomy is identical. We utilize high quality full sized ultrasound (not a wireless handheld) with specialized probe to evaluate the tissue and underlying vessels prior to injection and during injection when needed to avoid critical structures. 

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View some of Sarrah's before and after photos below. Note that the tagged names are pages that currently or previously belonged to her. All images are her own work.

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​See our pricing page here.

Receipts (Research)

Nose Filler Complications

Beleznay, K., Humphrey, S., Carruthers, J. D., & Carruthers, A. (2015). Complications following injections of soft-tissue fillers: Prevention and treatment. Aesthetic Surgery Journal, 35(8), 859–877. Retrieved from PubMed: https://pubmed.ncbi.nlm.nih.gov/26136400/

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Skin Necrosis and Ischemia Rates

Alam, M., Yoo, S. S., & Wrone, D. A. (2023). Patterns of filler-induced facial skin ischemia: A systematic review of 243 cases. Plastic and Reconstructive Surgery, 151(4), 851–861. Retrieved from PubMed Central: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10518124/

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Filler Blindness

Beleznay, K., Carruthers, J. D., Humphrey, S., & Jones, D. (2023). Update on blindness from filler: Review of world literature. Aesthetic Surgery Journal, 44(10), 1091–1103. Retrieved from PubMed: https://pubmed.ncbi.nlm.nih.gov/37736468/

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Variance in Facial Anatomy
Lee, W., Oh, W., Park, S. H., & Ahn, S. M. (2021). A safe Doppler ultrasound-guided method for nasolabial fold correction with hyaluronic acid filler. Aesthetic Plastic Surgery, 45(7), 2986–2994. Retrieved from PubMed: https://pubmed.ncbi.nlm.nih.gov/32505134/

 

Reduces Bruising

Naylor, K., Carruthers, A., Carruthers, J., & Jones, D. (2025). Integrating facial ultrasound into medical esthetics practice: A prospective quality improvement study. Journal of the American Academy of Dermatology. Retrieved from JAAD: https://www.jaad.org/article/S0190-9622%2825%2902216-9/fulltext

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Ultrasound for Vascular Complications
Munia, M. A., Silva, F. M., & Oliveira, C. A. (2020). Doppler ultrasound in the management of vascular complications after hyaluronic acid fillers. Journal of Clinical and Aesthetic Dermatology, 13(12), 41–45. https://pubmed.ncbi.nlm.nih.gov/35309877/

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Ultrasound guided Filler Placement
Sigrist, M. W., Trevidic, P., & Cotofana, S. (2024). Best practices for the use of high-frequency ultrasound to guide filler injections in the upper face. Diagnostics, 14(16), 1718. Retrieved from https://pubmed.ncbi.nlm.nih.gov/39202206/

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Ultrasound Improves Outcome with Neuromodulators

Wu, Y., Zhang, L., & Others. (2024). A prospective and randomized study comparing ultrasound-guided versus blind injections of botulinum toxin in the glabellar region. Journal of Cosmetic Dermatology. Retrieved from Wiley Online Library: https://onlinelibrary.wiley.com/doi/abs/10.1111/jocd.16365

 

Ultrasound for Improves Filler Safety
Almushayt, S. J., & Others. (2025). The role of ultrasound in facial hyaluronic acid dermal filler procedures: Enhancing safety and accuracy. Journal of Dermatologic Surgery and Oncology. https://pubmed.ncbi.nlm.nih.gov/39884168/

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