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.
This is one of the highest risk filler procedures due to the anatomy of the nose.
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Severe Complications
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Vessel occlusion causing skin necrosis ~0.08% (8 in 10,000). Nose injections are associated with 20% of skin necrosis cases.
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Can be delayed or immediate.
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Permanent damage if not caught right away but treatable if caught early.
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Often treatable if caught early.
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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.
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Almost always immediate.
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Permanent damage almost certain - ophthalmologists trained in the procedure to correct this is not common.
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Standard Risks
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Bruising
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Bleeding
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Infection
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Skin reaction
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Asymmetry
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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.
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.
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/
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/
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/
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
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/
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/
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/