Nose Fillers

This non-surgical lunchtime nose job is an ideal to create a sharper nose using the latest natural dermal fillers derived from hyaluronic acid. Nose Fillers have been around for many years and its rise in popularity is largely attributed to a few key factors: 

(1) its low downtime as it is non-surgical 

(2) the instant nose bridge augmentation results 

(3) reversibility (you can dissolve the fillers away with hyaluronidase enzyme if you don't like the results). 


A 'Ideal' Nose


A nose that is considered 'ideal' is one which is harmonious with the other favorable facial features. At The Sloane Clinic, our perception of beauty helps define what makes an ideal shape for a female or male nose. There is also always a bit of an artistic element to this, thus the ideal cannot always be boiled down to simple lines and numbers alone. However, artists and plastic surgeons alike can devise some guidelines or proportions that represent the aesthetic ideal by studying beauty and faces that are universally thought to be beautiful. Artists have long made studies of beauty and aesthetic proportions and, today, facial plastic surgeons must similarly understand beauty in order to make changes that can enhance their patients’ beauty. 

Just a few years ago, if you wanted a new nose - smaller, straighter, smoother - you could either a.) have a rhinoplasty or b.) that's it. You had no other options. But with the rise of injectable fillers came an innovative technique capable of transforming your entire profile in under 15 minutes: the non-surgical nose job. Working with the same hyaluronic acid gels used for lips and cheeks, a doctor can correct curves, bumps, and lumps, making your nose appear smaller (even though it's technically getting bigger). At The Sloane Clinic, we help you decide on whether nose fillers is right for you. 

5 Things you need to know about Nose Fillers 

1. Natural Fillers are Temporary 

Most cosmetic fillers are temporary. The injections last anywhere from three to eighteen months, depending on the type you choose, before slowly dissolving. People often scoff at the procedure's fleetingness but that is the draw for some patients who fret about any permanent change being irreversible. What's great about natural hyaluronic acid fillers is the high safety profile in the right hands and the fact that you can dissolve them away immediately if the outcome is less than satisfactory, not something you can do with many other cosmetic decisions. 

2. It's Dangerous In The Wrong Hands 

All injections come with risks-swelling, bruising, bleeding. But the nose is a particularly delicate area of the face. "I think that people need to understand the safety principles of injecting, and a have a healthy fear of the nose. In terms of what's dangerous, the nose ranks up there as the most dangerous," says Dr Kenneth Lee, medical director of The Sloane Clinic. That's because the blood supply to the nose is quite weak, particularly in noses that have already undergone a previous surgery. "If you put a whole bunch of filler into the tip or nostril, you can overrun the blood supply to your skin and cut it off," he says. This non-surgical nose job isn't a procedure you want to shop around for on Groupon. Speak to your doctor about their experience with non-surgical nose jobs and be sure they outline all the potential risks. This is why we advise all patients who desire nose fillers to seek a qualified and highly trained doctor who has extensive experience in treating this area. The same filler in different hands may give you vastly different results. 

3. It's Not Just For Bumps


There are many noses that can benefit for a small adjustment or enhancement with fillers. It doesn't have to be a major change. Some patients can be dissatisfied with a small bump on their nose, others may just want to highlight their nose bridge a little more. 

In the case of someone who has a pronounced bump on the bridge of their nose. By filling the area around the bump, you can create the illusion of a perfectly straight nose. "The most important lesson is that people think you're adding to the nose, but you're actually adding and making it look smaller," says Dr Chua Han Boon. But you can also correct a droopy tip (filler will help lift it up) and mildly crooked noses (filler will correct any sharp angles). People who are not a candidate? "If it's just too big I can't make it smaller, if the bump is too big or too extreme, or if they had their nose broken, I can't help with that. Or if the nose is too thick, I can't thin it out," he says, noting that a traditional rhinoplasty would be needed in those cases. There is one exception, however. In certain cases where scar tissue is causing a widening of the nose, a shot of steroids can help it subtly shrink (crazy, right?). "You don't want to inject too much, a little bit is okay and when it works it's permanent-you're dissolving the scar tissue under the skin," notes Dr Chua. 

4. You get to control the outcome 

Unlike rhinoplasty, where its all or nothing, you can choose to 'layer' your nose fillers in baby steps. This is especially useful for patients who have never tried fillers before or are conscious about having too big a change to their appearance. "You can start with 1ml of Perlane to your nose and then wait for a week to see how you like the result" advises Dr Low Chai Ling, medical director of The Sloane Clinic. "If you wish to have it more lifted, you can always come back for another ml." 

5. The Recovery Is Relatively Easy 

If we were to create an injectable pain scale, Botox would be at the bottom (you can barely feel it) and bikini wax would be positioned near the top (it burns like the fire of 10,000 fiery suns). Lip injections would fall somewhere in the middle. And a non-surgical nose job? All accounts say it's nearly painless. At The Sloane Clinic, we use a topical cream to numb the area—though ice helps, too. In some cases, we may also use a local anaesthetic. Most patients find it very tolerable, with the tip of the nose being the most sensitive area. "It's a real lunchtime procedure. People can generally go right back to work." he says. "You can be a little red or a little bruised for a week, but we have lasers that can fix that too" adds Dr Chua Han Boon. 

What is the procedure like? 

Step 1 - The Sloane Clinic doctors will carefully assess your nose and mark out the treated area. This is crucial to attaining an optimal result. 

Step 2 - We apply a topical numbing cream to the area. In some cases, a small local anaesthetic is used. This will make the treated area numb. 

Step 3 - The fillers are carefully placed by small injections to the area. 

You are done! Congratulations on your new nose! 

Are all fillers suitable for nose augmentation? 

Not all dermal fillers are made the same. Similarly, not all are FDA approved or have undergone stringent safety testing. This accounts for the differences in end result, safety profile and ultimately the price. Furthermore, even fillers within the same range can have different particle sizes and properties, some fillers are softer and suitable for creating a softer contour or filling up hollows, others are hydrophilic (attracts water) and are suitable for creating a dewy complexion effect. Nose fillers require a special type of filler that has a higher G-prime and can hold up the shape and structure without spreading outwards. If a wrong filler is used, you may end you may having a different end effect for example widening of the nose bridge instead of a lifting effect. At The Sloane Clinic, we use FDA approved fillers from many ranges (Filler, Emervel, Boletero, Juvedermetc). This allows us the capacity to select the ideal filler to suit your nose type and desired end result. In certain cases (for example if you have a crooked nose as well as a bump), a combination of different fillers may be used to give you the optimal result. That is why we always recommend that you give our doctors the opportunity to speak to you to understand your needs and to assess your nose before proceeding to treatment. 

Is there any downtime? 

In general, nose fillers have less downtime than other nasal aesthetic procedures such as rhinoplasty and threadlifts. However as with all injections, pin-pricks may be visible and in some cases, there may be temporary and localized bruising which can be covered with makeup, before they resolve by themselves in a few days. There may be slight swelling for 24 hours, this may not be very noticeable to others but yourself. As your swelling subsides after, you should be able to fully appreciate the effect of your nose fillers. 

Is there anything I should avoid? 

To minimize your chances of bruising and swelling, we ask that you avoid taking aspirin, NSAIDs, vitamin E, gingko and alcohol for 24 hours before and after your procedure. You should also avoid wearing glasses after the procedure as they may sit on your nose bridge which is recently treated. You should be gentle while washing and caring for your face and keep your skin and the treated area clean at all times. If you are worried about bruising, yiu may get Arnica and Bromelain tablets from The Sloane Clinic which may help minimize your risk and help speed up the recovery from any bruising. If you do experience bruising, you may also request for a session of Vbeam over the bruised area at The Sloane Clinic; this anti-bruise laser helps to speed up the alleviation and recovery of the bruise, and is a nifty arsenal for my of our fashionistas on a tight social schedule. Otherwise, you need to know that bruising while rare is normal and will recover on its own even without any intervention. It will not affect the final outcome of your results. 

What other non-surgical nose jobs are there available? 

Besides fillers, you can also opt for threadlifts for the nose, known at The Sloane Clinic as Infinity Nose Threadlift. Threadlifts are suitable for people who wants sharper definition. Finally for a more complete enhancement of the nose, some patients opt for our 3D Nose Lift which holistically combines both Nose fillers and Infinity Nose Threadlifts. You can read more about them below. 

You may be interested our patient experience in: My Quest for a Sharper Nose without Surgery