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.
Precision Enhancements. Elevated Results. No Scalpel Required.
If you’ve previously undergone rhinoplasty and are seeking subtle refinements or corrections without undergoing another surgery, you’re not alone. Rhinoplasty has the highest revision rate of any cosmetic surgery—up to 20%. Whether you’re experiencing residual asymmetries, contour irregularities, or are simply looking to improve balance, non-surgical enhancement may offer the elegant solution you’re looking for.
At Mabrie Facial Institute, we offer a specialized, advanced approach to post-surgical nose refinement using dermal fillers. Guided by our Illumination 360™ philosophy and grounded in Architectural Contouring™, our method brings surgical-level planning and execution to non-surgical rhinoplasty. The result is a more refined, symmetrical, and light-balanced appearance—without the downtime, risk, or recovery of another surgery.
Why Choose Non-Surgical Nose Refinement?
After rhinoplasty surgery, patients may notice:
Asymmetries or irregular contours
Dorsal flattening or scooped profile
Shadowing or dips around the tip or bridge
Incomplete correction or new aesthetic concerns
These changes may be subtle—but they matter. Our non-surgical technique allows us to precisely address these concerns with fillers, creating smooth transitions and restored harmony. Using small, strategic enhancements, we help you achieve the refined shape you envisioned.
ABOUT OUR PATIENT This patient, now in her early 30s, had a surgical rhinoplasty at age 19 with another provider. While the surgery addressed some concerns, she was left feeling that her nasal tip appeared droopy and lacked the definition she was hoping for.Uninterested in undergoing a second surgery, she came to MFI to explore non-... Read More
This patient, a woman in her early 40s, came to us looking to refine the results of a surgical rhinoplasty she had 10 years ago. While her initial procedure reduced a nasal hump, she noticed that when she smiled, her nose appeared “sunken,” and the tip seemed to drop. She wanted a more balanced and lifted look withou... Read More
ABOUT OUR PATIENT After breaking her nose, this patient underwent multiple rhinoplasties. Despite those surgeries, she was left unhappy with the final result and hesitant to go through another surgical procedure with its associated stress and downtime.Looking for a less invasive option, she came to MFI to explore non-surgical rhinop... Read More
ABOUT OUR PATIENT This loyal MFI patient has been with us for over six years. One of her long-time concerns was the indentations in her nasal bridge and the lack of definition in her nasal tip. While she had considered surgery, she preferred to avoid the stress, cost, and downtime of a surgical rhinoplasty.Instead, she turned to non... Read More
ABOUT OUR PATIENT In her early 50s, this patient came to MFI looking for a solution to improve the appearance of her nose after a surgical rhinoplasty performed years earlier. Her main concern was a flattened nasal tip that appeared pushed inward, which left her nose looking shortened and imbalanced. Rather than undergoing another surgery,... Read More
ABOUT OUR PATIENT This patient came to our San Francisco office seeking a solution for under-eye bags and volume loss. During our consultation, I also noticed a structural irregularity in her nose. She explained it was the result of a prior rhinoplasty performed years ago.The original surgery involved a hump reduction, which unfortu... Read More
ABOUT OUR PATIENT This young woman came to MFI hoping to improve the asymmetry caused by a previous rhinoplasty performed several years ago. She was particularly concerned about her nose appearing to lean to one side and how different her profile looked from each angle.MFI TREATMENT PLAN After a detailed assessment, Dr. Mabrie de... Read More
Rather than simply “filling” imperfections, we use injectable treatments to sculpt the nose with intention. With Architectural Contouring™, we evaluate the nose from multiple angles and identify how it interacts with the light—frontal view, profile, three-quarter, and base. We then use filler to:
Rebalance proportions
Reduce harsh shadows and dips
Straighten the profile
Smooth irregularities
Define and contour the bridge or tip
Each treatment is tailored to your unique anatomy, history, and aesthetic goals. We also use magnification, advanced lighting, and surgical techniques such as tissue tensioning and multi-plane microcannula placement to deliver consistent, elegant results.
For a full list of non surgical rhinoplasty treatment options, visit our non surgical rhinoplasty page.
Nasal Bridge Filler
An angular, defined bridge is considered universally attractive and can enhance the overall appearance of your face. Unfortunately, many rhinoplasty patients develop problems in this area after surgery. The flexibility of non surgical rhinoplasty with filler enables us to improve the symmetry, proportions, and contours of this part of the nose.
Fill a Collapsed Nasal Bridge
It’s not uncommon for the bridge to “collapse” due to the removal of bone and cartilage during rhinoplasty surgery. This can cause indentations, retractions, notching, and divots, all of which can be smoothed with the skillful application of filler.
Rhinoplasty surgery had caused the middle cartilaginous portion of this woman's nose to collapse. The skillful application of filler gave her the shape and definition she wanted.
We filled the concavities in this woman's nasal bridge with Restylane and gave her more definition in her nasal tip. After a month, she came back to build up the foundation for a beautiful complete result that she keeps up every year.
Rhinoplasty surgery had caused the middle cartilaginous portion of this woman's nose to collapse. The skillful application of filler gave her the shape and definition she wanted.
We filled the concavities in this woman's nasal bridge with Restylane and gave her more definition in her nasal tip. After a month, she came back to build up the foundation for a beautiful complete result that she keeps up every year.
Widen a Narrow Bridge
Overly aggressive rhinoplasty techniques can produce a bridge that appears too narrow, often with sharp edges. We can apply filler to soften these edges and create a more natural, harmonious appearance.
A history of "botched" nose jobs had caused this young woman's nose to look pinched in the middle and upturned at the tip. Three treatments created the natural looking nasal contours she was looking for all along.
We placed filler along this woman's bridge to straighten the nose and give it some width and height for a stronger profile. Restylane-L was used due to its density and malleability for the nose.
A history of "botched" nose jobs had caused this young woman's nose to look pinched in the middle and upturned at the tip. Three treatments created the natural looking nasal contours she was looking for all along.
We placed filler along this woman's bridge to straighten the nose and give it some width and height for a stronger profile. Restylane-L was used due to its density and malleability for the nose.
Straighten the Bridge
Surgical rhinoplasty can result in a crooked bridge from the frontal view or a “ski slope” appearance from the profile view. The bridge can be visually “straightened” by balancing the lines with the strategic application of filler.
Two previous rhinoplasties had left this woman's nasal bridge crooked and indented. After two appointments, filled the concavities and gave her a straight, defined nose.
Although subtle, this woman's bridge was slightly crooked, and we skillfully applied filler to make it straighter and stronger. We also added definition to her tip and lowered her nostrils.
Two previous rhinoplasties had left this woman's nasal bridge crooked and indented. After two appointments, filled the concavities and gave her a straight, defined nose.
Although subtle, this woman's bridge was slightly crooked, and we skillfully applied filler to make it straighter and stronger. We also added definition to her tip and lowered her nostrils.
Decrease Humps, Lumps, Bumps
Scar tissue and poor rhinoplasty techniques can cause a variety of contour irregularities. By adding filler to the bridge and tip, we straighten the nasal profile and smooth out the appearance of the humps, lumps, and bumps.
An earlier nose job had resulted in a pinched, overly rotated tip and a concave nasal bridge for this young woman. Filler was used to soften and correct the imbalanced nasal tip and decrease the exaggerated concavity along the lower portion of her bridge.
A previous nose surgery had left this man with a nose that twisted to his left and a humped nasal bridge. We used filler to straighten out the bridge, reduce the appearance of a dorsal hump, and correct asymmetry at the nasal tip.
An earlier nose job had resulted in a pinched, overly rotated tip and a concave nasal bridge for this young woman. Filler was used to soften and correct the imbalanced nasal tip and decrease the exaggerated concavity along the lower portion of her bridge.
A previous nose surgery had left this man with a nose that twisted to his left and a humped nasal bridge. We used filler to straighten out the bridge, reduce the appearance of a dorsal hump, and correct asymmetry at the nasal tip.
Nasal Tip Filler
The tip of the nose is often a source of dissatisfaction after surgical rhinoplasty. By artfully injecting a filler during non surgical rhinoplasty—typically Restylane®—into the apex of the nose, we can create a variety of improvements.
Rebuild Collapsed Tip
A collapsed nasal tip may occur after surgical attempts to make the nasal tip smaller. Filler may be used to rebuild and reshape the 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.
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.
Widen Narrow Tip
Rhinoplasty can leave you with a narrow, short, or “pinched” tip, often with sharp edges. We correct this by adding soft, natural-looking volume with filler.
Dr. Mabrie was able to fill out this woman's nasal tip, as well as elongate and straighten the bridge, all in one appointment!
Correct Contour Irregularities
The tip of the nose can sometimes collapse due to structural changes made during surgery. Patients may experience indentations, retractions, divots, notching, or asymmetry. Filler can smooth out these irregularities and produce natural-looking proportions.
We used Restylane to correct this young woman's asymmetrical nose. The result is a straighter, narrower-appearing structure with a refined, symmetrical tip.
We used Restylane to correct this young woman's asymmetrical nose. The result is a straighter, narrower-appearing structure with a refined, symmetrical tip.
Straighten Upturned Tip
The skillful application of filler can create a straight line between the bridge and the tip, correcting the appearance of an upturned nose.
This woman's nose was both upturned and asymmetrical after a nose job. Filler restored symmetry and and a softer, more natural appearance to her nose.
Before
After
For this bride-to-be, it was important to soften and correct the upturned nasal tip. We used Restylane to decrease the exaggerated concavity along the lower portion of her bridge, as well as to the tip to create a straighter profile.
This woman's nose was both upturned and asymmetrical after a nose job. Filler restored symmetry and and a softer, more natural appearance to her nose.
Before
After
For this bride-to-be, it was important to soften and correct the upturned nasal tip. We used Restylane to decrease the exaggerated concavity along the lower portion of her bridge, as well as to the tip to create a straighter profile.
Filler for the Nostrils / Columella
The area under the nasal tip is visually prominent, and irregularities here can be highly noticeable. We can correct many issues with the nostrils and the columella (the strip of skin between the nostrils) without surgery.
We can “shrink” prominent nostrils by adding filler to visually lower the height of the nostrils.
Adjust Columella Height
You may have a retracted columella after nose surgery, or you may have the opposite problem: a low columella. Both of these can be adjusted with filler.
Smooth Contour Irregularities
We carefully apply filler to improve symmetry and smooth indentations, retractions, divots, and notching in this area.
How Much Does A Non Surgical Nose Job Cost?
The cost of a 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 to see the most current price 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.
Why Patients Choose Mabrie Facial Institute
Dr. David Mabrie, a facial plastic and reconstructive surgeon trained at Johns Hopkins and Stanford, performed surgical rhinoplasty for over a decade before pioneering non-surgical rhinoplasty in San Francisco. With more than 15 years of daily experience performing liquid rhinoplasty, he brings surgical-level precision to every treatment.
At MFI, we've mastered the art and science of applying fillers to key anatomical points, using our proprietary Architectural Contouring™ technique to sculpt the nose and restore symmetry—even after surgery. Our Illumination 360™ approach ensures that each enhancement improves how the nose reflects light and balances the face as a whole.
Whether you're seeking a revision rhinoplasty alternative or fine-tuning a previous result, MFI offers safe, sophisticated solutions designed for natural-looking, long-term results.
Concerns About Revising Surgical Rhinoplasty Results
If you’re unhappy with your rhinoplasty outcome, chances are you need some delicate refinements, and a second surgery may not be the best choice. Fortunately, non surgical revision rhinoplasty with filler can be a safe alternative with excellent results and high patient satisfaction.
Drawbacks Of Revision Rhinoplasty Surgery
Risk – A second nose surgery can create new trauma, new scar tissue, and possibly damage to the nose. The surgery requires general anesthesia and is invasive whether you are making big or small modifications to your initial outcome. Every time you lift the skin, you disrupt the blood supply, with a possibility of weakening the structure of the nose and causing new problems. Some surgeons do not perform revision surgeries due to the increased risks.
Complexity/Cost – Revision rhinoplasty is more expensive than the initial surgery because of the higher medical risk and complexity of the procedure. After the initial surgery, there can be irregular scar tissue, changes in anatomy, as well as compromised blood flow/poor skin conditions, adding additional challenges to surgery.
Length of Recovery – You may be concerned about a long, uncomfortable recovery process where it could take an additional 6 to 9 months for final results to be visible.
Advantages of Nose Filler After Rhinoplasty Surgery
Better for Refinements – Unlike surgery, nose filler results are immediate, predictable, adjustable, and reversible.
Quick and Easy – Treatment is minimally invasive with little discomfort and no downtime.
Cost Effective – Non surgical rhinoplasty is significantly less expensive than surgical rhinoplasty.
Non Surgical Nose Job
Consultation and Planning for Nose Filler After Rhinoplasty Surgery
What to Expect
Your journey begins with a detailed consultation and multi-angle photographic evaluation at our San Francisco location. We’ll review your surgical history, examine your anatomy, and develop a customized plan. Most patients require two treatment sessions spaced 6 weeks apart to allow for filler integration and optimal results.
Results are visible immediately and typically last 12–24 months, depending on the type of filler used and the anatomical area treated.
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. The injections themselves only take about 10 minutes and cause minimal discomfort.
Your Non Surgical Rhinoplasty Procedure Takes Two Treatments
Your corrective nose filler procedure requires a minimum of two appointments. This staged approach allows us to create structure, support, and superior, natural-looking results. Too much filler all at once can create obvious results, and it’s better to build and layer until we get it just right.
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
Immediately after treatment, you may experience swelling, bruising, tenderness, and redness. 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
Is It Safe To Get Nose Fillers After Rhinoplasty Surgery?
Yes—with the right expertise. While post-surgical anatomy may involve scar tissue and altered planes, Yes—with the right expertise. While post-surgical anatomy may involve scar tissue and altered tissue planes, our experience allows us to treat these patients safely and effectively. Our injector team is highly trained in facial anatomy, with over 20 years of experience treating complex nasal structures using a surgical-level approach.
Non-surgical rhinoplasty is an advanced procedure that requires precision, anatomical expertise, and a specialist’s touch. When performed after rhinoplasty surgery, the anatomy becomes even more complex due to scar tissue, reduced blood flow, and displacement of key blood vessels. These changes elevate the risk of complications—particularly vascular occlusion, a blockage of a blood vessel caused by inadvertent filler placement.
Risks include bruising, swelling, infection, and vascular occlusion. In rare cases, vascular occlusion can lead to tissue damage or even blindness. The estimated risk is approximately 1% in patients with no prior nasal surgery, and 3–5% in patients who have undergone rhinoplasty. Vascular occlusion can rapidly progress to tissue necrosis if not identified and treated quickly. For this reason, non-surgical rhinoplasty—especially after surgery—should only be performed by injectors with extensive experience in this highly specialized procedure.
At MFI, we are fully prepared to manage complications and take proactive steps to enhance safety. These include:
Using a blunt-tip microcannula to reduce the risk of puncturing a vessel
Avoiding high-risk vascular zones
Maintaining readiness to immediately dissolve filler with hyaluronidase if necessary
When considering non-surgical rhinoplasty after a nose job, choosing an experienced, expert injector is essential—for both your safety and the quality of your results.
Completely resolved after dissolving with hyaluronidase (Hylenex)
Filler After Rhinoplasty FAQs
Can I get nose fillers after rhinoplasty?
You may be a good candidate for non surgical nose job after rhinoplasty if you:
Are unhappy with your final surgical results
Are reluctant to have another surgery
Are willing to commit to 2 or more treatment appointments
How long after rhinoplasty surgery can I get fillers?
We advise that you wait at least 3 months after rhinoplasty to get nose fillers. This is the minimum amount of time needed for swelling to subside and your final rhinoplasty results to become apparent.
How long does non surgical rhinoplasty last?
Your non surgical rhinoplasty results should last about a year. We recommend touch-ups every 9 months to maintain your results and minimize the amount of filler required at follow up treatments.
Why Patients Choose Mabrie Facial Institute
Dr. David Mabrie, a facial plastic and reconstructive surgeon trained at Johns Hopkins and Stanford, performed surgical rhinoplasty for over a decade before pioneering non-surgical rhinoplasty in San Francisco. With more than 15 years of daily experience performing liquid rhinoplasty, he brings surgical-level precision to every treatment.
At MFI, we've mastered the art and science of applying fillers to key anatomical points, using our proprietary Architectural Contouring™ technique to sculpt the nose and restore symmetry—even after surgery. Our Illumination 360™ approach ensures that each enhancement improves how the nose reflects light and balances the face as a whole.
Whether you're seeking a revision rhinoplasty alternative or fine-tuning a previous result, MFI offers safe, sophisticated solutions designed for natural-looking, long-term results.
If your surgical rhinoplasty left you wanting more—or left you feeling less like yourself—we’re here to help. Our non-surgical nose refinement treatments offer a thoughtful, precise, and artistry-driven approach to restoring balance.If you are interested in learning more about non surgical nose job after rhinoplasty surgery, request a consultation online, or call us at
(415) 445-9513 to schedule your appointment with one of our highly trained specialists. 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
I recently had the pleasure of receiving treatment at the Mabrie Facial Institute, and I am beyond thrilled...
I am AMAZED with the natural look I achieved ! I look so refreshed and not so tired! I wish I came in...
Rochelle was very kind and helpful, and has a super sweet demeanor.
My experience at Mabrie Facial Institute was nothing short of amazing! Upon arriving the first thing...
