Pricing and cost for nonsurgical nose jobs typically comes down to the experience, skill-level and geographic location of the provider. The reversible nature of using hyaluronic acid filler for the procedure does provide a level of safety; however, given the delicate nature of the nasal vasculature, the safest and most effective results will come from a provider with mastery of the anatomy. Cost for nonsurgical rhinoplasty in the Los Angeles and Beverly Hills area will typically range between $800 and $3000 per session, with each treatment’s effect lasting 9-18 months on average. Pricing in general is commensurate with the training, expertise and skill-level of the provider.
Bruising and swelling are the most common possible complications, with swelling typically resolving within the first week and bruising occurring in ~20% of patients. When bruising or ecchymosis does occur, it will resolve within the first 1-2 weeks, and often is easy to conceal with makeup. Avoiding NSAIDs like Ibuprofen, aspirin and other foods and medications such as alcohol prior to the treatment can help to minimize the risks of bruising and swelling. Predictably, the best nonsurgical rhinoplasty will not be the cheapest nonsurgical rhinoplasty.
More significant complications have been reported in the literature, including vascular compromise resulting in skin necrosis and sloughing of skin, to the even more catastrophic complication of blindness. These complications can occur with filler injections of any kind, but due to the delicate nature of the blood supply of the nose, occlusion or blockage of any of these small blood vessels can create a disastrous complication. The best way to avoid these catastrophic complications is to seek out a rhinoplasty surgeon experienced and skilled in nonsurgical rhinoplasty.
Some irresponsible surgeons and practitioners have resorted back to injecting silicone and other permanent or semi-permanent fillers into the nose, ignoring the decades of well-documented experience in the medical literature dealing with the complications and failures of permanent and semi-permanent facial filler injections. Scarring, fibrosis, granuloma formation, chronic inflammation, and cosmetic deformity are all common long-term complications from these types of injections. When you see any surgeon advertising this kind of nonsurgical rhinoplasty, turn the other way and run.
The price of nonsurgical rhinoplasty represents a cost savings compared to surgical nose job in the short term. For patients ok with a temporary change, and a result that is limited in scale and scope relative to a surgical rhinoplasty, then nonsurgical nose job can be a great way to “try out” how a change in nose shape feels. Long-term filler injections, even when performed by experienced and skilled surgeons, can result in deleterious effects to the nasal anatomy as well, so for patients seeking a more significant change, patients seeking changes to the nasal tip and nostrils, and patients seeking a permanent change, surgical rhinoplasty may prove the best option long-term.