Previously, those who wanted to change the shape of the nose went straight into the surgeon’s office. There was no other option. However, recently doctors, beauticians have learned to use injectable drugs (for example, gels based on hyaluronic acid) to adjust the profile in less than 15 minutes. Learn from the experts all the details non-surgical rhinoplasty.

the Inventor of the technique of non-surgical rhinoplasty is an American beautician Alexander Rivkin (he had a procedure back in 2002), although hundreds of plastic surgeons and dermatologists now offer this service worldwide. Photos “before and after” is so unbelievable that many people think to change the shape of the nose you can at least at lunchtime. However, all is not so simple.

How it works?

most of the fillers give a temporary effect (from three months to two years, depending on the type of drug).

Many people do not understand why the injections, if the result is fleeting. For example, Volumema lasts a year and a half. As soon as the drug dissolves, many people are switching to Bellafill injection therapy (on the basis of collagen, commonly used to treat acne scars). Effect after its introduction maintained over the years, says Alexander Rivkin.

Methods of correction

Injection of botulinum toxin

people with a developed muscle of the nasal tip of the nose usually goes down (so-called “hanging” nose). Botulinum toxin relaxes the facial muscles and inhibits the appearance of wrinkles. Modern formulations of the drug is virtually harmless, but there are individual contra-indications.

If there is drooping of the nasal tip when smiling or talking, it would be better to botulinum toxin injections into the muscle that raises upper lip and wing of nose

— says head of anti-age Department clinics LazerJazz, coach Aptos, dermatologist-cosmetologist Marina Minasova.

Pros: after the procedure, no rehabilitation, practically has no contraindications. As a result, the correction turns out to be very sensitive.

Cons: impossible to radically adjust the shape of the nose.

injectable fillers

With the low nose and the bridge of the nose more effective and simple way to adjust the shape are injectable fillers.

Although the injection less traumatic (not that surgical correction!), after the introduction of the filler, its volume decreases due to biodegradation, therefore, to maintain the effect it is necessary to periodically repeat the procedure, — said the expert.

Pros: minimal invasive, fast, and efficient with the low nose and the bridge of the nose.

Cons: with their p��might not make the tip sharper, raise him up, to get rid of a hump and narrow a wide nose. You also need to repeat the procedure about once a year to maintain the effect.

In the nose area of complex circulation, so doctor error during injection is fraught with edema, ischemic lesions on the skin and thrombosis of the vessels supplying the frontal part of the face and the nose.

the Filament correction

In recent years got more and more popular methods of correction of the nose threads. With their help you can significantly adjust the shape of the nose, raise the tip and make it harder to align the asymmetries, smooth out a hump, you can even visually shorten the nose. But this method has its limits — it is impossible to narrow the nose and remove the hump entirely.

Pros: the procedure is fast, effective and safe, the result is stored for a long time.

Cons: there is rehabilitation, there may be bruising and swelling.

lipolytics are

These drugs eliminate the subcutaneous fat and interstitial fluid — that their abundance gives the nose a massive appearance.

Pros: will help reduce the nose.

Cons: impact lipolytics can spread to the cartilage structure and dystrophinopathy “frame” of the nose. To correct such effects have surgically.


They destroy subcutaneous fat, affecting the cartilage and septum, than allow you to narrow down the backrest, to reduce the volume of the cartilage part and the tip.

Plus: permanent result.

Cons: alas, to predict the exact result extremely difficult. Uncontrolled metamorphosis can result in the softening of the cartilage and occlusion of blood vessels with subsequent ischemia, which appears whitish spots at the injection site.


If there were a scale of pain, then Botox would be at the bottom (you can barely feel the injections), injections in the cheek were located closer to the top. Injections in lips — somewhere in the middle. A non-surgical rhinoplasty? All the experts say that it is almost painless. But some patients still prefer to use a local anesthetic to numb the area. However, it helps even regular ice.


the Advantages of non-surgical plastics are obvious: the “new” nose without a scalpel and anesthesia, quick recovery and a relatively low cost. But even safe at first glance, the methods have disadvantages. All injection is a risk. Can appear swelling, bruising and bleeding. The nose is a particularly sensitive area of the face.

Procedure in the nose area are the most dangerous because the blood supply to the nose is quite weak. This is not a procedure that you can do “action”. Before you decide on non-surgical rhinoplasty, you need to ensure the competency of the doctor and ask them to warn about all potential risks, — said the expert.

also, Plastic surgeons often oppose this kind of correction. They believe that a true rhinoplasty cannot be without surgery — surgical changes of the structures of the nose, working with bone and cartilage tissues, and mucous membranes. And such things beauticians to do, according to them, can not: the necessary surgical skills and knowledge of ENT.

Personally, I do not do this procedure separately, but in exceptional situations can use after surgery as an auxiliary tool. For example, had rhinoplasty, but the back dipped, was a bit concave. In this case you can enter a small part of the drug and thus raise it. When the drug dissolves, at that place has formed its own connective tissue and the back itself will be as it should. That is, in this case, the filler plays the role of a temporary retainer, but no more, — explains his position Otari Gogiberidze, a leading plastic surgeon clinic “Time of Beauty”.

according to the expert, on a regular basis to adjust the shape of the nose injecting drugs is not worth it.

Permanent tissue trauma may lead to scarring. But, alas, often happens so: the patient changes the shape of the nose with fillers, and after a few months it goes and inevitably requires correction, says Otari Gogiberidze.

the Most dangerous, in the opinion of the surgeon when not injected hyaluronic acid, and non-resorbable biopolymers. It can cause thinning of the tissues, necrosis and deformation of the nose. And in the end still have to go to a plastic surgeon to fix the situation. Only work with this will, of course, more complicated than “virgin” nose.

With the previous expert agrees and plastic surgeon Dmitry Skvortsov, owner of the award “Crystal Lotus — 2019” in the nomination “the Best plastic surgeon for rhinoplasty”.

To correct small defects injection techniques are appropriate, but to predict and provide lasting natural result only by a plastic surgeon. There are so-called “preserving rhinoplasty” and, in particular, ultrasound is less traumatic correction of the nose with the help of piezocone. Volume, course and appropriate method of correction in detail define in consultation with a qualified and experienced specialist he says.


the Average cost of rhinoplasty in Russia is 250 thousand rubles. Non-surgical rhinoplasty with the use of gel Voluma will cost �� 60 thousand rubles per year. Not to say that the procedure saves money, but is performed without General anesthesia and has no irreversible changes.