Nose Reshaping

A specialist treatment we approach with caution

Liquid rhinoplasty — using hyaluronic-acid filler to refine the shape of the nose without surgery — is genuinely useful for the right candidate, and genuinely dangerous when performed without strict candidate selection, anatomical understanding and immediate access to emergency reversal.

The nose is the highest-risk area in non-surgical aesthetics. The dorsal nasal, columellar and angular arteries in this region anastomose with the central retinal artery, which means that inadvertent intravascular filler injection can, rarely, cause skin necrosis or vision loss. We discuss this explicitly in consultation. We mitigate risk with cannula technique where possible, small volumes, slow injection, careful placement and immediate hyaluronidase availability. And we decline a meaningful percentage of enquiries — referring instead for surgical opinion when filler is not the right tool.

What liquid rhinoplasty can do

Filler can only add volume. Used well, this means:

• Smoothing a small dorsal hump by adding volume above and below it, creating a straighter profile line
• A subtle tip lift for mild tip droop
• Correcting minor asymmetries — often after trauma or as residual irregularity from previous surgery
• Balancing the profile in combination with chin filler

It cannot reduce nose size, fix significant deformity, address major deviation or replace surgical rhinoplasty. We say so honestly.

When we recommend chin filler instead

The profile is a relationship between nose, lips and chin. A subtly recessed chin makes the nose look larger than it is, and a small amount of chin filler often improves the profile more — and at much lower risk — than nose filler. We frequently recommend chin filler to clients who arrived enquiring about a non-surgical nose job, and many leave with chin filler alone.

Who we will not treat

We will not perform liquid rhinoplasty on clients who:

• Want their nose to look smaller (filler cannot do this)
• Have significant deformity that requires surgical correction
• Have had a recent surgical rhinoplasty (we wait at least 12 months)
• Have undissolved nose filler from another clinic
• Are unwilling to accept the small but real vascular risks after detailed counselling

Honest refusal is, in this area, part of safe practice.

On the day at Aesthetic Clinique

A 40-minute appointment includes detailed assessment, photography (front, three-quarter and profile), marking, numbing and treatment. We use blunt-cannula technique where possible, slow injection, and tiny volumes — typically 0.3–0.7ml in total across the whole nose. Hyaluronidase is on site at every appointment, with a documented emergency protocol.

Aftercare and emergency vigilance

Most clients have only mild swelling and occasional small bruising for 2–3 days. Any persistent pain, blanching of skin, blue-grey discoloration, or visual change must be reported immediately — these can be signs of vascular compromise requiring urgent hyaluronidase. We explain this in writing and verbally, and you have direct contact details after treatment.

Longevity and follow-up

Results typically last 12–18 months. We always prefer a small top-up at maintenance rather than larger volumes at any single session. Repeated nose filler does cause fibrotic skin changes over years, which is one reason we dose conservatively from the outset.