• Tracy Spring

Non-surgical Nose Contouring



Your nose has a significant impact on your appearance. The nose anchors our facial features. Many people aren't necessarily thrilled with the nose Mother Nature bestowed upon them.

Rhinoplasty is not only very costly but a surgical procedure that carries risks. After the fact, incisions and bruising must heal, and there's the possibility of scarring; not to mention the amount of time required for recovery. There's also the possibility that you're still unhappy with your nose after going under the knife (possibly unhappier than you were to begin with).


Now, thanks to the latest technology in facial aesthetics, the nose can be refined in a minimally invasive way.




PDO threads for the nose


Advanced injectors are now using PDO threads to lift and subtly shape the nose, improving the look of lost volume, scarring, or drooping that can happen with age. PDO threads can visibly alter the shape and projection of the nose. PDO (or polydioxanone) is a material used by surgeons for surgical sutures. The threads are bio-compatible and get absorbed by our bodies over time. They're placed under the skin and used to elevate the bridge and tip of the nose.



Dr. Pierone’s strategic placement of the PDO threads can make the nose appear more lifted and symmetrical overall.  PDO threads can also subtly improve breathing because of the way they lift the nose.


Patients can go about day to day activities immediately after treatment.


HA filler for the nose


Hyaluronic acid fillers can also be precisely injected to enhance the shape and projection of the nose, or to correct bumps, scars, and asymmetry. Hyaluronic acid (HA) is a sugary, gel-like substance that occurs naturally throughout our skin’s structure and connective tissue. It lubricates joints and keeps things moist.


When injected under the skin, it fills out lines on the face, plumps lips and can enhance contours like the cheeks.



Here is a patient who had Dr. Pierone inject HA filler to correct a bump in her nose.


(If you are ever unhappy with your final result, HA fillers are reversible. Injecting a special enzyme causes the filler to dissolve within 24 hours.)


Combination of PDO threads and filler


Dr. Pierone will often use a combination of both threads and filler to enhance the shape of the nose. Here is another one of Dr. Pierone’s patients. He used both PDO threads to lift her nose and a bit of Vollure (an HA filler) to contour:






Can these nose treatments have side effects?


Some mild swelling or redness at injection sites is normal, and a bit of bruising may occur. These side effects will resolve within a few days.


Nose filler must be performed by an experienced injector who is aware of the possibility of infection and vascular complications associated with filling this area. If not handled by someone competent, filling the nose can lead to skin necrosis or even blindness. While these complications are rare, they illustrate the importance of finding a highly qualified and trustworthy injector.




Choosing which doctor will perform your treatment is a big decision. Not only because you want to avoid complications, but because you want the best possible outcome. A doctor experienced with placing nose threads will know the exact number of threads you'll need for the optimum result, for example.


PDO threads and fillers are also an excellent first step if you think you might want rhinoplasty one day. They give you the chance to "try out" a new and improved nose without the commitment, risk, or expense of surgery.