Nonsurgical rhinoplasty using dermal fillers

Jasin ME.

What this paper says

This review traces the development of filler rhinoplasty, explains how to choose a filler, lists the nasal deformities injectables can correct, and places the technique within a full plan for treating nasal deformities; the abstract reports no counts.

Overview

Newer injectable fillers last longer and cause fewer immune reactions than earlier products, making nonsurgical reshaping of the nose a practical alternative for some patients. The author argues that the injector needs to understand surgical nasal anatomy, especially in a nose that has already been operated on, to plan the treatment.

Sections of note

Review article; no patient series, filler volumes, duration or complication data appear in the abstract.
Newer injectables are described as less immunogenic and longer lasting.
Knowledge of surgical anatomy, particularly in post-rhinoplasty patients, is emphasized for planning.
The article outlines the evolution of nonsurgical rhinoplasty and the properties to weigh when selecting a filler.
It describes the types of nasal deformities that injectables can treat.
It defines the role of nonsurgical rhinoplasty within a comprehensive regimen for correcting nasal deformities.

What it means for a patient

Small dips, asymmetries and a low bridge can be improved with filler in an office visit, without surgery.
The result is temporary and the treatment is not suited to every deformity; the abstract does not list which are excluded.
A previously operated nose has altered blood supply and scar, which the author flags as needing special anatomic knowledge; the abstract does not discuss vascular complications.

Why this paper matters

Filler rhinoplasty was expanding rapidly in 2013, often performed by non-surgeons. This review sets out the anatomic basis for doing it safely and frames it as a complement to surgery. Data on longevity and complication rates are not provided in the abstract.

Terms

Nonsurgical rhinoplasty: reshaping the nose with injected filler instead of surgery.
Dermal filler: an injectable gel, most often hyaluronic acid, used to add volume.
Immunogenicity: the tendency of a substance to provoke an immune reaction.
Post-rhinoplasty patient: a person whose nose has already had surgery.
Longevity: how long a filler lasts before it is absorbed.
Nasal deformity: any departure from normal nasal shape, from birth, injury or surgery.

Summary written by rhinoplasty.cc from the abstract, 2026-09-08; not medical advice. The authors' own abstract follows.

From the abstract

“With the advent of newer injectables with less immunogenicity and greater longevity, nonsurgical rhinoplasty has become a viable alternative to surgery. An understanding of the surgical anatomy of the nose, particularly in a postrhinoplasty patient, affords the physician injector the opportunity to better plan the…”

Excerpt; the full abstract is on PubMed.