Filler Injection of Nose Augementation

Hi doctor,

Welcome to this training on non-surgical nose augmentation using dermal fillers.

This is one of the most precise — and also high-risk — procedures we offer in facial aesthetics. When done right, it can improve a patient’s entire profile in just minutes. But when done carelessly, it carries serious vascular risks — especially blindness.

So in this lesson, I’ll walk you through how I approach nose filler step by step — safely, predictably, and artistically — just like I do in clinical practice.

👃 What is Non-Surgical Nose Augmentation?

This procedure is about shaping and refining the nose using dermal filler instead of surgery. It’s especially useful for:

  • Smoothing out dorsal humps
  • Lifting or supporting the nasal tip
  • Improving nose symmetry
  • Correcting post-surgical irregularities
  • Enhancing radix height (between the eyes)

We’re not changing bone — we’re sculpting illusion through volume and contour.

✅ Who’s a Good Candidate?

You’re looking for patients who:

  • Have mild to moderate bumps or irregularities
  • Want a straighter nasal profile
  • Have a droopy nasal tip
  • Don’t want or aren’t ready for surgery
  • Have post-rhinoplasty asymmetry or minor collapse

But not everyone is a fit — avoid in patients with:

  • Extremely thin skin
  • Very short noses
  • Excessively wide noses
  • Unrealistic expectations of dramatic change

🧠 Anatomy You Must Know

This is a high-risk zone, so let’s quickly review the critical structures:

  • Angular artery — at the side of the nose, near the nasofacial sulcus
  • Dorsal nasal artery — runs along the midline
  • Supratrochlear and supraorbital arteries — connect to the ophthalmic artery
  • Facial artery — lateral nose and alar base

📌 Why this matters: if filler enters a vessel here, it can travel retrograde into the retinal artery, leading to blindness.

So never inject blindly or with pressure — technique and depth are everything.

💉 What Filler Do I Use?

Nasal filler needs to:

  • Be structural and cohesive
  • Have low hydrophilicity (you don’t want swelling)
  • Be precisely moldable
  • Be hyaluronic acid-based and reversible

My top picks:

  • Restylane Lyft
  • Juvéderm Voluma
  • Teosyal Ultra Deep
  • Belotero Intense (for subtle refinements)

Avoid soft or watery fillers — they can migrate or swell unpredictably.

✍️ Injection Techniques

Most injectors use needle, but cannula is gaining popularity for certain patients.

I personally use needle for structure, and cannula only when needed for safety blending.

🔸 Needle Technique (Most Common)

  1. Use a 27G needle
  2. Inject in the supraperiosteal plane — directly onto bone or cartilage
  3. Start at the radix (between the eyes) and work downward
  4. Inject tiny boluses (0.05–0.1 mL) per point
  5. Shape the:
    • Radix
    • Dorsum
    • Tip (optional, only with caution)

✅ Aspirate before each injection

✅ Inject slowly and with low pressure

❌ Never inject into the alar region

🔹 Cannula Technique (Optional / Advanced)

  1. Use a 25G blunt cannula
  2. Entry point: typically at the nasal spine or mid-columella
  3. Advance in a subcutaneous plane
  4. Use to:
    • Smooth the dorsum
    • Support the tip
    • Reduce bruising and trauma

⚠️ Cannula is safer in some ways, but less precise for detailed contouring.

💉 Typical Volumes

  • Minor correction: 0.3–0.5 mL
  • Moderate dorsal shaping: 0.6–1.0 mL
  • Post-rhinoplasty correction: varies (always be conservative)

Always build gradually — better to do multiple sessions than risk vascular compromise.

🛑 Mistakes to Avoid

  • ❌ Injecting too superficially → risk of Tyndall effect or lumps
  • ❌ Using too much pressure → risk of embolism
  • ❌ Overcorrecting dorsal hump → unnatural profile
  • ❌ Using non-reversible or highly hydrophilic fillers → bad outcome if complications occur

This is not a beginner’s treatment — only inject if you are confident with facial anatomy and vascular safety.

📋 Post-Treatment Instructions

What I tell patients:

  • Swelling and tenderness are common for 2–3 days
  • No glasses or pressure on the nose for 48 hours
  • Avoid makeup, sun, exercise, or hot environments for 24–48 hours
  • No massage unless specifically instructed

Final results settle in after 7–14 days.

⚠️ Complications You MUST Be Ready For

👨‍⚕️ Final Thoughts

Nose filler is one of the most rewarding — and most dangerous — procedures we do.

The results are fast and dramatic. But there is zero room for carelessness.

Go slow. Know your anatomy. Use minimal volume and maximum precision. Less is more in the nose — always.

🎓 Want the Full Nose Filler Training?

Inside my video masterclass, I show you:

  • Detailed vascular anatomy breakdown
  • Step-by-step live injection with needle
  • How I shape the dorsum and support the tip
  • Safety strategies to avoid occlusion or blindness
  • Real patient profiles — before and after

100% online. No hands-on course needed.

👉 Click here to enroll:

🔗 Join the Nose Filler Masterclass (Insert your Kajabi link)

Let’s enhance your nose contouring skills — with precision, safety, and artistry.

«
»