Mabrie Facial Institute 166 Geary Street Floor 1300 San Francisco, CA 94108 Phone: (415) 445-9513 Text/SMS: (866) 618-9459 Monday–Friday 8 a.m.–5:30 p.m.
Expert Non-Surgical Rhinoplasty for Beautiful, Natural Results
At Mabrie Facial Institute, non-surgical rhinoplasty is an art of structural refinement — not just adding filler, but sculpting the nose with precision and design.
Through our signature Architectural Contouring™ approach, we treat the nose the way an architect treats a structure: carefully analyzing form, proportion, and how light interacts with shape. Using strategic filler placement, we refine nasal contours, balance facial proportions, and enhance overall harmony — all without surgery or significant downtime.
ABOUT OUR PATIENT Many of our patients come to us looking for minor tweaks to the nose after they’ve already done surgical rhinoplasty. The reason? While surgery can provide major corrections, oftentimes it’s not precise enough to make the nasal bridge completely smooth or the tip quite perfect.This patient, a man in his early 40s,... Read More
ABOUT THIS PATIENT This African American male in his 50s sought out Dr. Mabrie at Mabrie Facial Institute to enhance his facial profile and address concerns about the appearance of his nose. Over the years, he had become increasingly self-conscious about the shape of his nose, especially it's rounded full tip and undefined bridge. He was p... Read More
TREATMENT We applied Restylane to her nose, Juvederm Voluma to her chin, Restylane Refyne to her lips as well as Botox to her brows. THE OUTCOME The patient is shown 3 months after her initial treatment and we are loving the results! Read More
ABOUT OUR PATIENTEven the most subtle imperfections can be bothersome when you see them in the mirror or in photos every day. Our patient, a woman in her late 40s, felt insecure about her nose—especially in photos. Factors including a history of physical trauma, a deviated septum, and a natural hump contributed to an appearance o... Read More
ABOUT OUR PATIENT This patient, an early 30s female, came to Mabrie Facial Institute with specific aesthetic concerns following a primary and revision rhinoplasty 10 years ago. Despite prior surgical interventions, she was left with visible dents along the nasal bridge and prominent cartilage irregularities. Her previous surgeon noted that... Read More
ABOUT OUR PATIENT Our patient had previous rhinoplasties following breaking her nose and was unhappy with her results. Without going through the stress of a surgical rhinoplasty and dealing with the downtime of surgery again, we accomplished a beautiful nose with dermal fillers, that did not take up too much downtime.MFI... Read More
ABOUT OUR PATIENT This African American man in his 20's had a big problem: he had long felt his nose detracted from the rest of his face. While he appreciated its shape in general, he felt it made him look too childlike. During his search for a surgeon experienced in Ethnic Rhinoplasty, my videos caught his eye, so we met in m... Read More
Filler can be used to create subtle but powerful structural changes in several areas of the nose:
The Bridge: Enhancing height, refining width, and camouflaging irregularities.
The Tip: Adding definition, correcting asymmetries, and subtly rotating a drooping tip.
The Base (Columella and Nostrils): Supporting a retracted columella and smoothing nostril rim irregularities to improve nasal base symmetry.
True refinement comes from viewing the nose holistically — considering how each area flows into the next, from all angles.
This perspective is consistent with our broader Illumination 360˚ philosophy: an approach that sees beauty not as isolated features, but as a harmonious interaction of structure, light, and balance across the entire face.
Nasal Bridge Filler
Nasal Bridge Enhancement with Filler
Strategic filler placement along the nasal bridge can address a variety of aesthetic concerns, creating a more refined and balanced profile. Depending on each patient’s unique anatomy and goals, bridge filler may be used to:
Refine a Wide Bridge: By adding height and central definition, we can create the visual effect of a slimmer, more elegant bridge.
Straighten a Crooked Nose: Subtle filler adjustments can balance asymmetries, helping to create the appearance of a straighter nasal line without surgery.
Correct Contour Irregularities: Filler can smooth depressions, dips, or unevenness along the bridge, restoring a more continuous and harmonious contour.
Augment a Flat or Low Bridge: In patients with a low or flat nasal bridge, filler can build height and projection, enhancing profile strength and facial proportions.
Through precise architectural contouring, we tailor each treatment to enhance the nose’s structure while maintaining a natural, authentic appearance.
Some patients lack projection or definition and need their nasal dorsum/nasal bridge augmented. By building up the bridge and making it more angular, we can also make a wide nose look thinner.
A bump or hump on the bridge of the nose can distort the profile and make the nose overly prominent. Streamlining the nasal bridge is a component of many of the non surgical rhinoplasties Dr. Mabrie performs.
When the bridge of the nose looks broad and sometimes flat, we can build with filler to create a defined, narrower appearance. This is a good example of using filler to make a wide nose look thinner.
A crooked bridge can be visually "straightened" by balancing the lines with the strategic application of filler.
Tip Refinement and Definition
Tip Refinement & Definition with Filler
Through precise structural enhancement, filler can be used to refine the nasal tip’s shape, improve symmetry, and subtly rotate the tip for a more balanced, sculpted appearance.
Depending on the patient’s anatomy and goals, tip filler may be used to:
Add Definition to a Rounded or Undefined Tip: By enhancing the upper portion of the tip, we create new light-catching angles that make the tip appear more structured, refined, and distinct from the bridge.
Improve Tip Asymmetry: Targeted filler placement can balance uneven sides of the tip, smoothing out asymmetries and creating a more centered, harmonious look.
Rotate a Drooping Tip: By adding filler to the top of the nasal tip — not the base — we can project the apex forward and upward. This subtle reshaping lifts the tip’s position, creating a more youthful, supported profile without surgery.
Every refinement is customized to the patient’s unique anatomy, using filler as a sculptural tool to enhance structure, not simply to add volume.
For patients with a drooping tip, well-placed injections can increase rotation and create an upward lift.
Filler for Nostrils / Columella
Columella and Nostril Rim Refinement with Filler
Subtle enhancements to the nasal base can create powerful improvements in nasal symmetry, support, and contour. Using precision filler placement, we address two common structural concerns:
Retracted Columella Correction: In cases where the columella (the strip of tissue between the nostrils) sits too high or lacks projection, targeted filler placement can gently lower and support this area. This creates a more balanced nasal base, improves the nasolabial angle, and enhances the overall harmony of the nose in both profile and frontal views.
Nostril Rim Contour Improvement: When the nostril rim appears notched, irregular, or elevated, filler can be used to subtly build and smooth the contour, restoring a more natural, continuous curve to the nostril edge. This refinement improves symmetry, softens sharp transitions, and enhances the aesthetic balance of the nasal tip and base.
Every treatment is carefully customized to maintain a natural appearance, ensuring that the nose remains expressive and authentic to the patient’s features.
This gentleman’s nose is a great example of small refinements making a big difference. Dr. Mabrie used filler to strengthen the bridge, soften an indentation, define the nasal tip, and lower the nostrils.
In addition to strengthening this woman’s bridge and defining her nasal tip, Dr. Mabrie used filler to lower the rim of the nostril and build up the columella.
Post-Surgical Nasal Refinement with Filler
Prior nasal surgery can sometimes leave behind irregularities, asymmetries, or areas of volume loss. At Mabrie Facial Institute, we specialize in using precision filler techniques to refine post-surgical results, improving nasal contour, restoring balance, and enhancing symmetry without additional surgery.
Depending on each patient’s anatomy and prior surgical history, filler can be used to:
Smooth bridge irregularities or depressions
Restore volume loss along the bridge, tip, or sidewalls
Camouflage mild asymmetries or surface irregularities
Support and balance the nasal base when needed
We approach post-surgical correction with the same Architectural Contouring™ philosophy we apply to primary cases — treating the nose as a three-dimensional structure that interacts with light, proportion, and surrounding features.
While not all post-surgical concerns can be fully corrected with filler alone, strategic enhancement can often achieve meaningful, natural-looking improvements in profile and frontal view harmony. We perform non surgical nose job after rhinoplasty surgery using fillers to restore symmetry and a natural, attractive shape.
A hump reduction rhinoplasty surgery caused the middle cartilaginous portion of this woman's nose to collapse, making the tip look round and pronounced. With filler, we created the defined and consistent shape she wanted.
After previous rhinoplasties left this woman with concavities and a blunted tip, we used Restylane to restore structure to her nasal bridge and give her more definition in the nasal tip.
A previous rhinoplasty left this woman’s nose appearing flattened or “pushed in.” Dr. Mabrie used Restylane to the bridge and tip to give her nose a longer, more natural appearance.
This young woman had nasal asymmetry resulting from a previous rhinoplasty. Her nose “leaned” to one side and her profile views were noticeably different. Dr. Mabrie used filler over 3 appointments to restore balance, structure, and support.
How Much Does a Non Surgical Nose Job Cost?
The cost for non surgical rhinoplasty with Dr. Mabrie at MFI includes your first and second appointment and up to 2 syringes of filler over 2 visits. Please visit our dedicated pricing page for the most current information.
Once your nose is just right, you move into the maintenance phase of treatment. From this point on, we only need to see you once every 9 to 12 months, and touch-ups typically only require 1 syringe.
Qualified borrowers may be eligible for 0% financing for 6 to 12 months through CareCredit and Alphaeon medical financing.
The MFI Advantage: Architectural Contouring™
At Mabrie Facial Institute, non-surgical rhinoplasty isn't just about adding filler — it's about sculpting structure and shaping light.
Through our signature Architectural Contouring™ approach, we create refined nasal structures that complement each patient's natural beauty — enhancing proportion, symmetry, and flow across the face.
Why Our Results Are Different:
Architectural Precision, Surgical Expertise
Dr. David Mabrie's background as a trained facial plastic surgeon — with advanced training at Johns Hopkins and Stanford — brings a surgical-level understanding of nasal anatomy to every non-surgical rhinoplasty. This expertise allows us to plan treatments the way a surgeon plans an operation: respecting structure, anticipating aging changes, and building lasting, natural refinement.
Blueprint-Based Design
Every treatment begins with a customized architectural plan, analyzing your facial anatomy, natural asymmetries, and the way light interacts with nasal contours.
Precision, Not Just Volume
We don't simply add filler — we sculpt. Strategic placement creates light and shadow planes that define the bridge, refine the tip, and harmonize the profile.
Safety First
With over two decades of surgical and non-surgical experience, we prioritize patient safety, vascular protection, and exceptional, lasting outcomes.
The Result?
A nose that looks sculpted, refined, and beautifully your own — enhanced by expert design, not altered by chance.
The appearance of the nose, like the rest of the face, is determined by the form and structure beneath the skin. The external nose consists of two nasal bones, cartilage, and skin, and how these are shaped can be the result of several factors.
Genetics – The nose you were born with is the result of genetics. The size, shape, and other characteristics of your nose are influenced by what part of the world your ancestors are from and which genes you inherited.
Trauma – If your nose has been fractured, it may have healed improperly, causing a crooked or slanted bridge or even bumps or indentations.
Aging – The tissues that form the tip of the nose can become bulbous, undefined, or droopy with age.
Surgery – Nose surgery can weaken the nasal bones or cartilage, resulting in indentations or other irregularities.
Should I Get A Non Surgical Nose Job or Rhinoplasty Surgery?
At MFI, we believe non surgical rhinoplasty from the outset, for many patients, can produce even better results than surgery, which is why we are so passionate about the procedure. The data shows that the patient experience and satisfaction are much higher with non surgical rhinoplasty vs. surgical for several reasons:
Results are immediate, adjustable, and reversible.
Swelling, pain, risk, and recovery time are greatly reduced.
Final cosmetic results are often better.
While only surgery can revise the bone and cartilage, injectable fillers can sculpt nasal contours for truly customized results.
Non Surgical Nose Job
Consultation and Planning for Your Non Surgical Nose Job With Filler
Your First Visit
Your non surgical rhinoplasty follows a thorough consultation with Dr. Mabrie at our fun and stylish San Francisco office. He evaluates both the three-dimensional shape of the nose and its relation to the rest of the face.
You’ll have a candid conversation to get clear on your aesthetic goals and expectations and go over safety concerns. Then we take professional-level photographs of your nose from all angles, using them at every visit to identify your concerns and monitor your progress. Based on both the photos and the in-person examination, we map out a customized treatment plan which may include:
Augmenting the bridge
Reducing a bump, hump, or indentation on the bridge
Making the bridge appear narrower
Straightening the bridge
Defining a bulbous tip
Rotating a droopy tip
Refining the columella
Reducing nostril prominence
Correcting post-surgical complications
Please plan to spend about 2 to 3 hours in the office for your first visit, which includes consultation, prep, treatment, pre- and post-treatment photography, aftercare education, and scheduling your next appointment.
Your Non Surgical Rhinoplasty Procedure Takes Two Treatments
Getting the best from your nose filler procedure requires a minimum of two appointments. This staged approach allows us to first create structure and support. The filler is injected using a blunt-tipped microcannula or a microneedle for improved comfort and increased safety. Dr. Mabrie injects at a precise anatomic depth where there are fewer arteries and uses a low-pressure injection technique. Then in about 4 to 6 weeks, once the swelling has subsided, we make subtle refinements until you have exactly the look you want.
For the best filler experience, follow these tips in advance of your appointment:
A few days before your appointment, restrict blood thinners, such as anti-inflammatories, fish oil, and alcohol. Limiting these will reduce your risk of bruising from nose filler.
DO NOT discontinue prescribed, medically necessary medications.
Eat and drink a normal breakfast or lunch prior to your appointment; low blood sugar can make patients lightheaded during treatment.
Recovery & Aftercare
You may experience swelling, bruising, tenderness, and redness immediately after treatment. These are normal side effects and are most apparent 24 to 48 hours after treatment. They can last up to 2 weeks but typically subside within 2 to 5 days. Most patients return to their routine activities the same day.
Swelling
While swelling with this procedure is typically minimal, it peaks the day after treatment
This may cause temporary asymmetry, lumps, or bumps
Will gradually resolve to reveal your final results over 4 to 6 weeks
Bruising
While bruising is possible, it is usually minimal
Redness & Discomfort
Often minimal and lasting just a few days
Your nose may be tender to the touch
Downtime
No downtime required
May return to work immediately after treatment
May resume normal exercise the next day
Because we know you have questions about your recovery process, we created an entire page dedicated to BOTOX and dermal filler aftercare.
Aftercare Pro Tips
Safety: What Are the Risks of Nose Fillers?
As with any facial dermal filler injection, there is some risk of vascular occlusion (when an artery or vein is blocked by filler). There is also a very small (1-500,000) risk of blindness. The risks are higher in the nasal area, making it all the more important that you choose a provider who specializes in nose fillers. The injector must be very familiar with the nasal anatomy and, in particular, the vascular anatomy.
At Mabrie Facial Institute, we have the knowledge and experience needed to minimize risk, as well as recognize signs of complications and effectively treat them. We use a blunt-tipped microcannula, avoid high-risk vascular areas, and have the products and the training to dissolve the filler immediately if there are any signs of vascular occlusion.
Although very rare, there is a risk of injury to the skin, especially those who are concerned with refining the nasal tip. After treatment, it is important to watch for signs of vascular compromise, paleness of the skin, increasing pain, or redness.
Non Surgical Rhinoplasty FAQs
What are the advantages of a non surgical nose job vs. rhinoplasty surgery?
In addition to being reversible, dermal fillers are versatile, so Dr. Mabrie can achieve delicate, very specific improvements that look natural. This type of precision may not be possible with nose surgery. Results are visible very soon after the procedure (if not immediately), and you can provide real-time guidance to ensure the results meet your expectations and goals. The quick, comfortable procedure takes only 15 to 30 minutes, whereas surgery can take 4 to 6 hours and requires general anesthesia. There is no downtime with non surgical rhinoplasty, whereas surgery requires an extended recovery, and results take up to a year to materialize. Learn more by reading this blog post.
Can nose filler make your nose smaller?
Nonsurgical rhinoplasty cannot reduce the size of your nose, but it can create changes that give your nose the appearance of being smaller. For example, softening or smoothing the angle of projection makes the nose seem less prominent. Building up the bridge can give a wide nose a slimmer, more angular appearance. Correcting asymmetries and irregularities can bring your nose more into balance with your other features. Learn more about how to make your nose look smaller.
What is the best filler for a non surgical nose job?
At MFI, Restylane® is the preferred filler for nonsurgical rhinoplasty because of its durability and natural-looking results. Restylane is made from hyaluronic acid, a naturally occurring sugar molecule found in the body, meaning it is safe and biocompatible. Additionally, Restylane is highly malleable, making it easier for your Injector to shape it and create the natural-looking contours. For these reasons, plus its long-lasting results, Restylane is widely regarded as the best filler for a non surgical nose job.
Can I get nose fillers after rhinoplasty?
It’s a common misconception that individuals who have had nose surgery should not have fillers placed in the nose. It is true that patients with previous surgical rhinoplasty have an increased risk of vascular occlusion, therefore, they must be evaluated case by case for candidacy. That said, we have treated numerous patients with fillers after surgical rhinoplasty with great success. In fact, in the hands of a very experienced and skilled provider, this can be an excellent alternative to undergoing revision surgery.
Can fillers make my wide nose look thinner?
Yes! In fact, this is one of the most common concerns we treat with nonsurgical rhinoplasty at MFI. By adding filler along the nasal bridge, we create a straighter and more refined appearance. Filling in the bridge helps create the illusion of a narrower nose, especially if there are irregularities or depressions that make the nose appear broader. This technique minimizes the appearance of width while adding a sense of structure.
For some patients, enhancing the nasal tip with filler can make the overall nose look more defined and balanced. By lifting or shaping the tip slightly, we can draw attention away from the width, subtly reshaping the nose to appear narrower.
What if I don’t like my non surgical rhinoplasty results?
One of the greatest benefits of non surgical rhinoplasty is that the procedure is reversible in most cases. If a patient is unsatisfied for any reason, a special enzyme-based product called Hylenex® can be injected into the treatment area within the first 24 hours. This immediately dissolves hyaluronic acid fillers such as Restylane, JUVÉDERM®, and Restylane® Lyft. RADIESSE® is not a hyaluronic acid and cannot be reversed. Ultimately, the effects of dermal fillers are temporary as they are naturally reabsorbed by the body over the course of a few months.
The MFI Advantage: Architectural Contouring™
At Mabrie Facial Institute, non-surgical rhinoplasty isn't just about adding filler — it's about sculpting structure and shaping light.
Through our signature Architectural Contouring™ approach, we create refined nasal structures that complement each patient's natural beauty — enhancing proportion, symmetry, and flow across the face.
Why Our Results Are Different:
Architectural Precision, Surgical Expertise
Dr. David Mabrie's background as a trained facial plastic surgeon — with advanced training at Johns Hopkins and Stanford — brings a surgical-level understanding of nasal anatomy to every non-surgical rhinoplasty. This expertise allows us to plan treatments the way a surgeon plans an operation: respecting structure, anticipating aging changes, and building lasting, natural refinement.
Blueprint-Based Design
Every treatment begins with a customized architectural plan, analyzing your facial anatomy, natural asymmetries, and the way light interacts with nasal contours.
Precision, Not Just Volume
We don't simply add filler — we sculpt. Strategic placement creates light and shadow planes that define the bridge, refine the tip, and harmonize the profile.
Safety First
With over two decades of surgical and non-surgical experience, we prioritize patient safety, vascular protection, and exceptional, lasting outcomes.
The Result?
A nose that looks sculpted, refined, and beautifully your own — enhanced by expert design, not altered by chance.
If you are interested in learning more about non surgical nose job with filler, request a consultation online, or call us at
(415) 445-9513 to schedule your appointment with Dr. Mabrie. If you’ll be visiting us from outside the area, our Fly in for Your Procedure page was created just for you to help make planning your trip as smooth as possible.
A Reputation Built on Results
Always amazing. EVERY. SINGLE. TIME. Dr. Mabrie and his people are all fantastic!
I couldn’t be more pleased. From my entrance to exit, the staff was warm, friendly and comforting. Attentive...
Super relaxing, welcoming, comprehensive, and professional experience at MFI. During and after the initial...
First timer here! I saw Dr. Mabrie for some Botox and filler and the experience was pretty smooth and...
