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.
Can you have a non surgical nose job with fillers after having undergone rhinoplasty surgery elsewhere? The answer is yes, if you choose a non surgical rhinoplasty specialist like Dr. David Mabrie in San Francisco. While there is an increased risk with fillers after prior surgical rhinoplasty, the procedure can still be performed safely and effectively by a well-qualified Injector.
Rhinoplasty surgery has the highest rate of revision of any plastic surgery procedure—up to 20 percent. But revision surgery comes with risk, expense, and a lengthy recovery—and no guarantees you’ll get the outcome you want. The gel-like consistency of fillers makes it ideal for rebuilding and creating smooth contours with soft, predictable results. Unlike revision nose surgery, which is not adjustable and often requires a synthetic implant or harvested cartilage, fillers can be applied in a precise, controlled manner.
ABOUT OUR PATIENT This early 50’s woman wanted to correct the flat appearance seen on the nasal tip that resulted from surgery several years back. Aesthetic goals were to hide where her nasal tip was “pushed in”, giving the nose a longer more natural appearance.MFI TREATMENT PLAN Restylane was used to the na... Read More
ABOUT OUR PATIENT Our loyal patient of over 6 years achieved a wonderful result of non-surgical rhinoplasty. The indentions in her nose bothered her and she dreamed of a defined nasal tip. Without going through the stress of a surgical rhinoplasty and dealing with the downtime of surgery, she accomplished a beautiful nose with derma... Read More
ABOUT OUR PATIENT This patient initially visited my San Francisco office interested in finding the right kind of filler treatment for bags under her eyes. I noticed her nose was somewhat misshapen and injured as well. She told me it was the result of a Rhinoplasty she had many years ago. There has been a hump reduction during the Rhinopl... 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 Our patient in her 30’s had two prior rhinoplasties and was unhappy with the outcome. She wanted to fix the indentation and smooth out her nasal bridge. MFI TREATMENT PLAN With a dermal filler called Restylane, we filled the concavities in her nasal bridge and gave her more definition in her nasal... Read More
ABOUT OUR PATIENT "Botched operation." As a board-certifies plastic surgeon, those two words have a lot of weight to them. Of course, they fill me with concern and empathy, but they also give me a sense of inspiration. That's because I love helping people who live with cosmetic surgical defects regain their sense of confide... Read More
ABOUT OUR PATIENT This patient in her early 30s had a surgical rhinoplasty with another surgeon when she was 19. She wanted to improve her results, in particular she felt that her tip was “droopy” (turned downward). She wanted to avoid a second rhinoplasty surgery and hope that non surgical rhinoplasty could help.MFI T... Read More
ABOUT OUR PATIENT This woman in her 30's had a previous rhinoplasty as a result of trauma to her nose when she was 18 years old. She had wanted to improve her nose for over 15 years, but was afraid of undergoing a second rhinoplasty procedure because her nose was already small and she didn't want to make it any smaller. She found... Read More
How To Use Filler To Fix Previous Rhinoplasty: Your Treatment Options at MFI
While surgical rhinoplasty can be a good option for big changes to the size, shape, and structure of the nose, it is not as well suited for subtle refinements—especially after a previous nose surgery. If your rhinoplasty results need improvement, we offer several non surgical treatment options at MFI. These are the most common treatments we perform on our post-surgical rhinoplasty patients. 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.
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After
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.
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After
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.
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After
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.
Before
After
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.
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After
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.
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After
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.
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After
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.
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After
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.
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After
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.
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After
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.
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After
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.
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After
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.
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After
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.
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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.
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After
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.
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After
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.
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After
We used Restylane to build up and define this woman's nasal tip. After her initial 2 appointments, she returns annually to maintain her results.
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After
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.
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After
We used Restylane to build up and define this woman's nasal tip. After her initial 2 appointments, she returns annually to maintain her results.
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After
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.
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After
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.
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After
The tip of this woman’s nose looked "pushed in" after rhinoplasty. Dr. Mabrie used filler to elongate and refine the tip for an improved appearance.
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After
We used Restylane to correct this young woman's asymmetrical nose. The result is a straighter, narrower-appearing structure with a refined, symmetrical tip.
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After
The tip of this woman’s nose looked "pushed in" after rhinoplasty. Dr. Mabrie used filler to elongate and refine the tip for an improved appearance.
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After
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.
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After
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.
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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.
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After
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.
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Lower Nostril Height
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.
The MFI Advantage
As a facial plastic and reconstructive surgeon, Dr. Mabrie specialized in surgical rhinoplasty for more than 10 years and trained at Johns Hopkins and Stanford. He has in-depth, hands-on experience with the complexities of nasal anatomy and was one of the first surgeons to offer “liquid rhinoplasty” in the Bay Area. He has performed the procedure daily for more than 15 years. At MFI, we have mastered the art and science of applying fillers to specific anatomic locations to contour and sculpt the nose for optimal results and safety.
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
Your First Visit
Your successful non surgical rhinoplasty experience starts with a thorough consultation with Dr. Mabrie at our chic, friendly San Francisco office. First, you’ll have an in-depth conversation to get clear on your aesthetic goals and expectations. Next, we take professional-level photographs of your nose from all angles. We utilize these photos at every visit to identify your concerns and monitor your progress. Using both the photos and the in-person examination, we map out a customized treatment plan tailored to your anatomy and goals.
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?
While there is an increased risk when injecting fillers after prior surgical rhinoplasty, it can still be performed safely by a qualified Injector. When compared to the risks of a second rhinoplasty surgery, a non surgical nose job is significantly safer.
In addition to bruising and swelling, more serious complications can include infection, vascular occlusion (injecting into an artery), and, in rare cases, blindness. The risk of vascular occlusion is approximately 1% in patients with no prior nose surgery and 3 to 5% in patients who have had nose surgery. This is due to the presence of scar tissue from the prior surgery, diminished blood flow to the area, and the possible movement of blood vessels due to anatomical changes from surgery.
Vascular occlusion can rapidly progress to tissue necrosis if not identified and treated quickly by dissolving filler. An experienced Injector should be prepared with safety protocols and the tools necessary for optimal patient safety.
At MFI, we are prepared to address any adverse events and also increase the safety of this procedure by:
Using a blunt-tip microcannula to avoid puncturing an artery
Avoiding high-risk, vascular areas
Immediately dissolving filler with hyaluronidase in the case of vascular occlusion
When considering non surgical rhinoplasty after a nose job, choosing an experienced, expert Injector is essential for 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.
The MFI Advantage
As a facial plastic and reconstructive surgeon, Dr. Mabrie specialized in surgical rhinoplasty for more than 10 years and trained at Johns Hopkins and Stanford. He has in-depth, hands-on experience with the complexities of nasal anatomy and was one of the first surgeons to offer “liquid rhinoplasty” in the Bay Area. He has performed the procedure daily for more than 15 years. At MFI, we have mastered the art and science of applying fillers to specific anatomic locations to contour and sculpt the nose for optimal results and safety.
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
Quick visit to Dr Mabrie before the holidays. I want to give a shout out to Rochelle “Ro” for taking...
I have been a loyal patient of Dr. Mabrie at the Mabrie Institute for over 4 years, and no one compares...
I love MFI! Dr. Mabrie is a master when it comes to enhancing and sculpting the gorgeous features we...
I had an incredible experience with Dr Mabrie and his team from start to finish. Over the course of...
