Non-Surgical Rhinoplasty

Non-surgical rhinoplasty offers a considered way to refine the nasal profile using precise placement of hyaluronic acid fillers. Although small amounts of volume are introduced, the intention is to create the visual impression of a smaller, more balanced nose. By redefining contour, adjusting proportion and guiding how light shines on the nasal bridge and tip, the nose can sit more harmoniously with the rest of the face.

My approach is informed by dual training in Plastic Surgery and injectable practice, together with international recognition in both surgical and non-surgical rhinoplasty (including awards from the London Rhinoplasty Course and ISAPS). This foundation allows each treatment to be performed with quiet precision, anatomical clarity and aesthetic finesse.

Aesthetic Rationale

Non-surgical rhinoplasty is not about creating a different nose. It seeks to restore balance within the context of the entire face.

Minor adjustments in the radix, dorsum or tip can influence the profile as a whole, creating a more coherent and proportionate appearance.

Refinement may include:

Subtle dorsal height or definition
Radix–tip balance
Soft correction of contour irregularities
Improved light flow along the bridge
Gentle tip definition, projection or rotation

The emphasis remains on maintaining identity while enhancing structural harmony.

Technical Approach

Anatomically guided

Decisions about injection plane, depth and vector are informed by a surgical understanding of cartilage, ligamentous support and vascular anatomy.

Minimal, purposeful enhancement

Precision is prioritised over volume. Small, intentional adjustments create refinement without enlargement.

Precision through needle technique

For nasal refinement, I use a needle rather than a cannula. This allows for direct tactile feedback against bone and cartilage, and provides greater control over depth, angle and micro-adjustments. In a region where millimetres define the overall profile, this level of precision is essential.

Not a templated procedure

While textbooks sometimes describe a three-point injection technique, real anatomy is far more variable. Each nose requires its own plan, shaped by differences in cartilage support, radix position, soft-tissue thickness and overall facial proportion. Even among Asian patients, nasal structure ranges widely. From lower bridges to higher, more Western-type profiles, treatment is guided by these nuances rather than a fixed pattern.

Why nasal threads are not used in my practice

In my opinion, threads do not offer the finesse or control required for nasal refinement. They rely on tension within tissue planes rather than precise, millimetre-level shaping. Most patients require thoughtful adjustments at the tip or nasal base, where the margin of error is exceptionally small. For this reason, threads are unsuitable for the type of controlled contouring the nose demands. Patients seeking the changes threads claim to offer are often better treated with deliberate non-surgical refinement or, where appropriate, a structured surgical approach.

Ethnic and structural nuance

As explored in my SEASON 2025 lecture on Western and Eastern aesthetic ideals, treatment is tailored to respect variations in nasal anatomy and proportion while preserving individual character.

Refinement After Surgical Rhinoplasty

In selected patients with previous surgical rhinoplasty, small amounts of filler can refine residual irregularities or support areas of under-projection. Scar tissue and altered planes require careful assessment, but when appropriate, conservative augmentation can restore smoother contours without further surgery.

Proportion and Structural Balance

In some patients, particularly those of East Asian heritage, the midface and nasal base may be relatively under-projected. Subtle augmentation at the nasal base can provide forward support, influencing how the dorsum and tip sit in relation to the face.

This can also create the visual effect of slightly narrowing the nose, as surrounding contours lift and transitions improve.

Balanced projection of the chin may also be considered to maintain coherence across the facial profile.

The intention is always proportional coherence with subtle adjustments that support the nose while respecting the natural character of the face.

Safety-Led Practice

The nose is an anatomically complex region. A surgical-level understanding of vascular risk underpins every step of the treatment.

Consultation

Assessment begins with the broader facial framework: forehead contour, glabellar angle, midface projection, lip balance and chin-nose proportion. This ensures that refinements to the nose contribute to an overall sense of balance rather than isolated change.

To explore whether non-surgical rhinoplasty aligns with your aesthetic aims, you are welcome to arrange a consultation.