Nonsurgical Rhinoplasty: What It Is and Why It Is High Risk

Nonsurgical rhinoplasty is the use of an injectable filler, usually hyaluronic acid, to change the appearance of the nose without surgery. The aim is to camouflage irregularities: softening a dorsal hump by filling above and below it, aligning mild deviations or giving more definition to the tip, depending on the assessment.

It is a volume-adding technique. That is why it does not make the nose smaller: it changes how lines and shadows are perceived.

Why is the nose high risk?

The nose is one of the regions with the highest vascular risk on the face. Its blood supply comes from thin, terminal arteries, with many connections to the circulation of the eyes. This creates two serious problems:

• Vascular occlusion with necrosis of the skin of the dorsum, tip or nasal alae, since the skin of the nose has little room for collateral circulation.
• Embolization to the ophthalmic artery, rare but described, with a risk of vision loss.

Patients with a previous rhinoplasty deserve extra caution, because the vascular anatomy and planes may be altered.

What precautions are essential?

Detailed anatomical knowledge, a product with a profile suited to the region, small volumes, hyaluronidase available in the clinic and a protocol for managing vascular occlusion defined before starting. Indication and technique are decisions of the qualified professional, according to the rules of their professional council in Brazil.

In Harmy

The nose is not one of Harmy's marking points, so nonsurgical rhinoplasty is not simulated by the app.

Also called: nonsurgical rhinoplasty with hyaluronic acid, filler rhinoplasty, nonsurgical nose reshaping.