Dr Bruno Amendola performing a clinical assessment for non-surgical rhinoplasty at PRP London Clinic, 33 Cavendish Square
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Non-Surgical Rhinoplasty (Nose Filler)

Non-Surgical Rhinoplasty & Nose Reshaping London

Medically-Led Nasal Contouring Using Advanced Hyaluronic Acid Dermal Fillers — Performed Exclusively by Dr Bruno Amendola

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Duration

30-45m

Sessions

1

Price From

£550

Downtime

Minimal

Key Benefits

  • Immediate, visible correction of dorsal humps, asymmetry, and nasal tip ptosis
  • No general anaesthetic, surgical incisions, or cartilage removal required
  • Minimal clinical downtime — return to normal activities within 24–48 hours
  • Fully reversible treatment using the enzyme Hyaluronidase if required
  • Performed exclusively by Dr Bruno Amendola — 25+ years experience, MBCAM, Save Face Accredited
  • Conservative dosing philosophy — typically only 0.3–0.6ml of filler per session
  • Results can be refined at the complimentary 2-week clinical review

Common Target Areas

Nasal Bridge (Dorsum) Nasal Tip Radix (Root of the Nose) Columella (Base of the Nose) Lateral Nasal Walls

Reshape Your Nose Without Surgery

For patients seeking nose reshaping london without the downtime, general anaesthetic, or permanence of a surgical procedure, a non surgical rhinoplasty london treatment provides a highly effective, medically controlled alternative. Often referred to as a liquid nose job london or simply nose filler london, this procedure utilises high-density Hyaluronic Acid (HA) dermal fillers — typically Juvederm Voluma — to correct asymmetries, smooth dorsal humps, and lift the nasal tip with immediate, visible results.

By strategically placing filler deep onto the nasal bone and cartilage framework, our lead physician alters the light reflection on the nose, creating the optical illusion of a straighter, more refined profile through non surgical nose reshaping london. The entire procedure takes 30–45 minutes in a single session, requires no incisions or cartilage removal, and patients return to normal activities almost immediately. Crucially, all HA fillers used in our clinic are fully reversible with the enzyme Hyaluronidase should any adjustment be required.

At PRP London Clinic, located at 33 Cavendish Square, London W1G 0PW, we approach every nose filler london case with the same clinical rigour as a surgical consultation. This is not a beauty treatment — it is a medical procedure performed in a clinical setting by a physician with over 25 years of experience and a deep understanding of the complex nasal vascular anatomy that makes this one of the highest-risk areas for injectable treatments.

Led by Dr Bruno Amendola: London's Specialist in Non-Surgical Rhinoplasty

Dr Bruno Amendola

Dr Bruno Amendola

GMC 4346629

The nose contains one of the most complex and high-risk vascular networks in the human body. The angular artery, dorsal nasal artery, and lateral nasal artery form an intricate anastomotic network where even a minor injection error can cause catastrophic vascular compromise. For this reason, non surgical rhinoplasty at our clinic is performed exclusively by Dr Bruno Amendola — the only physician on our clinical board who undertakes this procedure.

Dr Bruno Amendola (GMC: 4346629) brings over 25 years of medical experience to every case. A full member of the British College of Aesthetic Medicine (MBCAM) and Save Face Accredited, Dr Bruno holds an International Postgraduate Degree in Aesthetic Medicine from Rome and has been fully registered in the UK since 1997. His mastery of complex facial anatomy, conservative dosing philosophy, and advanced needle-point technique make him one of the most sought-after physicians for patients seeking the best non surgical rhinoplasty london has to offer.

What Can Non-Surgical Rhinoplasty Treat?

A non surgical nose job is highly versatile, but it works by adding volume, not removing tissue. Dr Bruno uses this optical principle to treat several specific clinical indications at our nose reshaping london clinic:

Dorsal Humps & Bumps

The most common reason patients seek nose reshaping london. By placing filler above and below a bump on the bridge, Dr Bruno renders the profile objectively straight. This is the classic dorsal hump filler london correction — conservative volumes of 0.3–0.5ml are typically sufficient to camouflage a moderate bump entirely.

Asymmetry & Crooked Nose Correction

A non surgical rhinoplasty crooked nose correction works by filling concavities on one side of the bridge to restore median alignment. This is often requested by patients who have sustained previous nasal trauma or who were born with a deviated nose.

Tip Projection & Drooping Tip

A drooping nasal tip can be lifted by introducing structural support at the base of the columella. Dr Bruno uses small, precise deposits of filler to project the tip upward, creating a more youthful, defined profile angle.

Bulbous Tip Refinement

While we cannot shrink cartilage non-surgically, a bulbous tip non surgical rhinoplasty technique places filler strategically to catch the light and visually narrow the appearance of a rounded or wide tip.

Wide Nose & Bridge Augmentation

Building a higher, more defined nasal bridge is a common request during a non surgical rhinoplasty for wide nose consultation. Filler is layered along the dorsum to add height and definition, particularly effective for patients with flat dorsal profiles.

Post-Traumatic Irregularities

Patients who present with a broken nose correction often benefit from non-surgical treatment. As demonstrated in our gallery cases, filler can restore harmony and straightness to a nose previously fractured in one or more places.

The Procedure: Technique, Products & What to Expect

Understanding exactly what happens during your non surgical rhinoplasty london appointment helps set realistic expectations and reduces anxiety. Here is a detailed overview of Dr Bruno Amendola's clinical approach:

Product Selection

Dr Bruno primarily uses Juvederm Voluma (Vycross technology, manufactured by Allergan) for nasal contouring. Voluma's high G-prime (firmness) rating makes it the gold-standard product for structural support on the nasal bridge and tip, where the filler must resist gravitational spread. In select cases, Teosyal or Restylane products may be used depending on the patient's anatomy and treatment goals.

Injection Technique

Unlike many aesthetic clinics, Dr Bruno employs a precise needle-point technique for non-surgical rhinoplasty rather than a cannula approach. This involves 2–4 carefully mapped injection points along the nasal anatomy, allowing for millimetre-level control over filler placement. Each deposit is small (typically 0.05–0.15ml per point), and the total volume used is conservative — most patients require only 0.3–0.6ml in total, with more complex cases occasionally requiring up to 1ml.

Treatment Duration

The procedure takes 30–45 minutes from start to finish. This includes the clinical assessment, topical numbing, filler application, and an immediate post-treatment review. Results are visible immediately upon injection.

Step-by-Step: Your Non-Surgical Rhinoplasty Treatment

Every non surgical rhinoplasty london treatment at PRP London Clinic follows a structured, medically governed clinical protocol. Here is what to expect from your initial consultation through to your follow-up review:

1

Initial Clinical Consultation

Your journey begins with a thorough one-on-one consultation with Dr Bruno Amendola. He will assess your nasal anatomy from multiple angles, discuss your aesthetic goals, review your medical history (including any previous nasal surgery or trauma), and determine whether you are a safe candidate for non-surgical rhinoplasty. This is also the time to discuss realistic expectations — Dr Bruno will be transparent about what filler can and cannot achieve for your specific anatomy.

2

Facial Analysis & Treatment Planning

Dr Bruno performs a detailed facial analysis, examining your nose in the context of your overall facial proportions. He identifies the specific areas requiring correction — dorsal hump, tip projection, asymmetry, or bridge augmentation — and maps the precise injection points. The filler product (typically Juvederm Voluma), volume, and technique are determined based on this analysis.

3

Topical Anaesthesia Application

A topical numbing cream is applied to the nasal skin and left in place for 15–20 minutes to ensure maximum comfort during the procedure. The dermal filler itself also contains integrated lidocaine, providing an additional layer of anaesthesia during injection.

4

Precision Filler Injection

Using a needle-point technique, Dr Bruno injects small deposits of Hyaluronic Acid filler at 2–4 pre-mapped points along the nasal anatomy. Each deposit is typically 0.05–0.15ml, with aspiration testing performed at each point to confirm the needle is not within a blood vessel. The total volume is conservative — most patients require 0.3–0.6ml. Results are visible immediately as each point is injected.

5

Sculpting & Symmetry Assessment

After injection, Dr Bruno gently moulds and sculpts the filler into its final position. He assesses symmetry from multiple angles — front, profile, three-quarter — and makes any micro-adjustments needed. The patient is shown the result using a mirror for immediate feedback.

6

Post-Treatment Review & Aftercare Briefing

Detailed written aftercare instructions are provided covering the first 48 hours and 2 weeks post-treatment. Dr Bruno reviews key precautions: avoid touching the nose, no heavy glasses, no strenuous exercise for 24 hours, and sleep on your back. A complimentary 2-week follow-up appointment is scheduled for assessment and any fine-tuning.

7

2-Week Follow-Up & Optional Touch-Up

At your complimentary 2-week clinical review, Dr Bruno assesses how the filler has integrated with the tissue, checks for any settling asymmetry, and determines whether a small touch-up is required to achieve the optimal result. This follow-up is a standard part of the treatment protocol, ensuring every patient achieves the best possible outcome.

Correcting Unsatisfactory Nose Filler from Other Clinics

We receive a significant number of enquiries from patients who are unhappy with nose filler received elsewhere — whether from beauty salons, non-medical practitioners, or clinics that lacked the anatomical expertise required for safe nasal injections. Common issues include visible lumps, asymmetric placement, overfilling, filler migration, and in some cases, vascular compromise that was not managed correctly.

Dr Bruno Amendola can assess these cases on an individual basis. Depending on the clinical situation, correction may involve:

  • Hyaluronidase Dissolution: If the previous filler was HA-based, Dr Bruno can dissolve it safely using the enzyme Hyaluronidase before considering any corrective re-injection.
  • Corrective Re-Injection: In some cases, strategic placement of small amounts of filler can correct asymmetry or irregularity caused by previous treatments.
  • Referral for Surgical Assessment: If the damage extends beyond what can be corrected non-surgically, Dr Bruno will provide an honest assessment and, where appropriate, refer the patient for a surgical consultation.

If you are searching for revision non surgical rhinoplasty london to correct work from another provider, please book a clinical assessment. We will give you an objective, honest opinion on what is and is not achievable.

Non-Surgical Rhinoplasty vs. Surgical Rhinoplasty: Making the Right Choice

One of the most common questions we receive at our nose reshaping london clinic is whether a patient should choose a non surgical nose job or commit to a full surgical rhinoplasty. Both have distinct clinical advantages and limitations:

FactorNon-Surgical RhinoplastySurgical Rhinoplasty
Procedure Time30–45 minutes1.5–3 hours under general anaesthetic
AnaesthesiaTopical numbing cream + lidocaine in fillerGeneral anaesthetic
DowntimeMinimal — mild swelling for 24–48 hours1–2 weeks off work; splint for 7–10 days; full healing 6–12 months
Results Duration12–18 months (requires maintenance)Permanent
ReversibilityFully reversible with HyaluronidaseIrreversible without revision surgery
What It Can DoAdd volume, smooth bumps, lift tip, correct asymmetryAdd or remove tissue, reduce size, restructure cartilage, correct breathing
What It Cannot DoPhysically reduce nose size or correct breathing issuesN/A — can address almost all nasal concerns
Risk ProfileLow overall; vascular occlusion is the primary serious riskInfection, scarring, anaesthesia risks, revision rate of 5–15%
CostLower per session; cumulative over timeHigher upfront; one-time investment

For patients wanting to 'trial' a new nose shape before committing to surgery, a non surgical rhinoplasty london procedure offers the ideal opportunity to visualise potential results with zero permanence. Conversely, patients requiring significant size reduction or structural changes to cartilage and bone are better served by a surgical rhinoplasty consultation.

Non-Surgical Rhinoplasty Cost London

When evaluating the cost of non surgical rhinoplasty, patients are investing in the medical expertise, anatomical knowledge, and safety protocols of the performing physician — not simply a syringe of product. The nose filler london price reflects the high-risk nature of this procedure and the advanced training required to perform it safely.

What Influences the Cost?

  • Physician Expertise: Non-surgical rhinoplasty at PRP London is performed exclusively by Dr Bruno Amendola, a physician with 25+ years of experience and MBCAM membership. This level of expertise commands a premium over treatments performed by nurses or non-medical practitioners.
  • Product Quality: We use only premium, CE-marked Hyaluronic Acid fillers from established pharmaceutical manufacturers (Allergan, Teoxane, Galderma). These products carry higher safety profiles and more predictable clinical outcomes.
  • Clinical Setting: All treatments are performed in our clinical premises at 33 Cavendish Square, London W1G — a dedicated medical aesthetic clinic, not a beauty salon.

Bespoke Quotations

Because every nasal anatomy is unique, exact pricing for your non surgical nose job london cost is provided following a thorough, in-person clinical assessment with Dr Bruno Amendola. This ensures you receive an honest recommendation based on your anatomy, not a one-size-fits-all price list.

Safety, Risks & Our Emergency Protocols

Patients frequently ask our medical team: is non surgical rhinoplasty safe? When performed by an extensively trained aesthetic physician with deep anatomical knowledge, the safety profile is favourable. A 2021 meta-analysis by DeVictor et al. (Otolaryngology—Head & Neck Surgery) analysed 8,604 patients and found an overall complication rate of just 2.52%, with the vast majority being minor bruising. However, this is fundamentally a high-risk injection zone and patients must be fully informed.

Common Side Effects

Standard non surgical rhinoplasty side effects include temporary redness, minor swelling, and mild tenderness for 24–48 hours post-treatment. Bruising may occur at needle entry points and typically resolves within 5–7 days.

Serious Risks: Vascular Occlusion

The most severe complication associated with nasal injections is a vascular occlusion — where filler inadvertently enters or compresses a blood vessel. If unmanaged, this can lead to skin necrosis or, in extremely rare global cases, visual disturbance. The DeVictor meta-analysis reports vessel occlusion at 0.35% and vision-related events at 0.09% across all studied cases. To mitigate these non surgical rhinoplasty risks, Dr Bruno utilises:

  • Advanced anatomical mapping of the angular, dorsal nasal, and lateral nasal arteries before every injection
  • Precise needle-point technique with aspiration testing at each injection site
  • Conservative volume philosophy — using the minimum effective dose (typically 0.3–0.6ml total)
  • Emergency Hyaluronidase stocked in-clinic for immediate dissolution should any vascular compromise be suspected
  • Emergency medical protocols in place with full resuscitation readiness

Post-Treatment Aftercare & Recovery

Proper aftercare following your non surgical rhinoplasty london treatment is essential to optimise results and minimise the risk of complications. Dr Bruno provides every patient with detailed written aftercare instructions. Key guidelines include:

First 24–48 Hours

  • Avoid touching, pressing, or massaging the nose — the filler needs time to integrate with the tissue
  • Sleep on your back with your head slightly elevated to reduce swelling
  • Avoid strenuous exercise, saunas, steam rooms, and hot baths
  • Do not consume excessive alcohol, which can increase bruising

First 2 Weeks

  • Avoid wearing heavy glasses or sunglasses that rest on the nasal bridge, as sustained pressure can indent or displace settling filler
  • Avoid facials, chemical peels, or other skin treatments on or around the nose
  • Do not fly within 48 hours of treatment (cabin pressure changes can increase swelling)

2-Week Review

All non-surgical rhinoplasty patients are invited back for a complimentary 2-week clinical review with Dr Bruno. This appointment allows him to assess how the filler has settled, check for any asymmetry, and determine whether a small touch-up is required. Fine-tuning at this stage is part of the treatment process, not an indication of an unsatisfactory initial result.

Am I a Good Candidate for Non-Surgical Rhinoplasty?

Ideal CandidateMay Need an Alternative Approach
Dorsal hump, bump, or curve on the bridge you want smoothed or straightenedWanting your nose to be physically smaller — filler only adds volume, not removes tissue
Drooping nasal tip that needs subtle lifting and projectionSignificant functional breathing issues or deviated septum (requires ENT/surgical assessment)
Crooked or asymmetric nose requiring improved alignmentPrevious surgical rhinoplasty with significantly altered blood supply (high vascular occlusion risk)
Flat nasal bridge wanting added height and definitionActive infection, inflammation, or cold sores in the nasal area
Wanting to trial a nose shape change before committing to permanent surgeryPregnant, breastfeeding, or known allergy to hyaluronic acid
Post-traumatic irregularities from a previous nasal fractureUnrealistic expectations — this procedure refines profiles, it does not transform nose size
Previous surgical rhinoplasty patient unhappy with result (assessed case-by-case)Seeking permanent results without maintenance (surgical rhinoplasty may be more appropriate)

Contraindications: Who Should Not Have This Treatment?

Patient safety is our primary clinical directive. Due to the severe non surgical rhinoplasty risks associated with compromised nasal vasculature, Dr Bruno Amendola will decline to treat patients who present with specific contraindications:

  • Previous Surgical Rhinoplasty: Surgery permanently alters the blood supply to the nose. Injecting filler into a post-surgical nose significantly increases the risk of vascular occlusion and tissue necrosis. Dr Bruno will assess post-surgical cases individually, but treats them only rarely and with extreme caution.
  • Severe Functional Breathing Issues: Dermal fillers are a cosmetic treatment and will not correct a deviated septum or improve restricted airways. Patients with breathing complaints are referred for ENT assessment.
  • Excessively Large Noses: Because this procedure adds volume, patients seeking a physical reduction in the overall size of their nose must be referred for a surgical rhinoplasty consultation.
  • Active Nasal Infections: Any active acne, sores, cold sores, or skin infections in the treatment area must be fully resolved prior to injection.
  • Previous Permanent Filler: Patients with non-HA permanent or semi-permanent fillers in the nose present unpredictable risks and are generally not suitable for additional HA treatment.

Clinical Disclaimer

All information on this page is provided for educational purposes and does not constitute medical advice. Non-surgical rhinoplasty is a medical procedure that carries inherent risks including, but not limited to, vascular occlusion, bruising, swelling, asymmetry, and in rare cases, tissue necrosis or visual disturbance. Individual results vary based on anatomy, skin quality, and clinical history. A full clinical assessment with Dr Bruno Amendola is required to determine suitability. All before-and-after photographs show real patients treated at PRP London Clinic; results are not guaranteed. This page was last medically reviewed on 28 March 2026.

Non-Surgical Rhinoplasty at 33 Cavendish Square, London

PRP London Clinic is located at 33 Cavendish Square, London W1G 0PW — in the heart of London's medical district, moments from Oxford Circus and Bond Street stations. Our clinical premises provide a private, discreet medical environment for all nose filler london and non surgical rhinoplasty london consultations and treatments.

Whether you are searching for non surgical rhinoplasty near me london, nose reshaping clinic london, or the best non surgical rhinoplasty london has available, we invite you to experience the difference that genuine medical expertise makes. Every patient receives a thorough clinical assessment before any treatment is recommended or performed.

Book Your Clinical Assessment with Dr Bruno Amendola

If you are considering nasal profile refinement without the commitment of surgery, schedule a consultation with Dr Bruno Amendola at our Cavendish Square clinic. We will provide an honest, objective assessment of your anatomy to determine if you are a safe and suitable candidate for non-surgical rhinoplasty. Our approach is always conservative — we will never recommend treatment that is not in your clinical best interest.

Myths vs Facts

M

Nose filler can make a large nose look physically smaller.

F

Filler only adds volume — it cannot remove tissue. However, by straightening a bump, lifting the tip, or adding bridge height, the optical illusion created often makes the nose appear more proportionate and subjectively smaller relative to surrounding facial features.

M

Any beauty practitioner can safely perform a liquid nose job.

F

The nose has a highly complex, end-artery blood supply involving the angular, dorsal nasal, and lateral nasal arteries. A 2021 meta-analysis of 8,604 patients reported vascular occlusion in 0.35% of cases and vision-related events in 0.09%. This is a high-risk medical procedure that should only be performed by an experienced GMC-registered physician who can diagnose and manage vascular complications immediately.

M

Nose filler will improve my breathing.

F

Non-surgical rhinoplasty is entirely aesthetic. It alters the external contours of the nose but has zero impact on internal structures like a deviated septum. Patients with breathing difficulties should be assessed by an ENT specialist.

M

Non-surgical rhinoplasty is risk-free because it's not surgery.

F

While less invasive than surgery, the nose is one of the highest-risk areas for injectable treatments due to its vascular anatomy. Vascular occlusion, though rare, can have serious consequences including tissue necrosis. This is precisely why we restrict this treatment to Dr Bruno Amendola — a physician with 25+ years of experience and advanced anatomical training.

M

Nose filler always migrates and spreads over time.

F

When performed correctly with the appropriate high G-prime filler (such as Juvederm Voluma) and injected at the correct tissue depth, nasal filler has one of the lowest migration rates of any facial area. The nose is largely static with minimal muscle movement, which helps the filler maintain its position. Results typically last 12–18 months.

M

You can get the same results with a cheaper filler or at a beauty salon.

F

Product quality directly affects safety and outcomes. Premium CE-marked HA fillers from established pharmaceutical manufacturers have undergone rigorous clinical testing. Cheaper, unbranded fillers carry higher risks of granulomas, migration, and adverse reactions. The clinical setting and physician expertise are equally critical — a beauty salon is not equipped to manage a vascular emergency.

Non-Surgical Rhinoplasty (Nose Filler) Cost

TreatmentPrice
Non-Surgical Rhinoplasty

Per session. Medically-led nasal contouring using premium hyaluronic acid filler.

£550per treatment

Prices are indicative. Please book a consultation for a personalised quote.

Frequently Asked Questions

Because the nose is a largely static area of the face with very little muscle movement, high-density HA fillers like Juvederm Voluma degrade very slowly here. Clinical results from our non surgical rhinoplasty london treatments typically endure for 12 to 18 months, and occasionally longer depending on individual metabolism and the specific filler product used. Maintenance sessions can be scheduled to sustain results over time.
The cost of non surgical rhinoplasty at PRP London Clinic reflects the expertise of the performing physician (Dr Bruno Amendola — 25+ years experience, MBCAM), the premium CE-marked filler products used, and the clinical safety protocols in place. Because every nasal anatomy is unique, a bespoke quotation is provided following your in-person clinical assessment. We encourage patients to evaluate nose filler london price in the context of physician qualifications and clinical setting, not product volume alone.
When performed by an extensively trained physician with deep anatomical knowledge, non surgical rhinoplasty has a favourable safety profile. A peer-reviewed meta-analysis of 8,604 patients reported an overall complication rate of 2.52%, with bruising being the most common event. However, the nose is a high-risk injection zone, and serious complications such as vascular occlusion can occur if performed by an inadequately trained practitioner. At PRP London, this procedure is performed exclusively by Dr Bruno Amendola with emergency Hyaluronidase always available.
Common non surgical rhinoplasty side effects include mild swelling (24–48 hours), minor bruising at injection sites (resolves within 5–7 days), temporary redness, and mild tenderness. These are expected and resolve on their own. More serious but rare complications include vascular occlusion, which is why this treatment must be performed by a physician with advanced training and access to emergency dissolution protocols.
Yes — a non surgical rhinoplasty crooked nose correction is one of the most common indications we treat. By placing filler into the concavities on one side of the bridge, Dr Bruno can restore median alignment and create a visually straighter profile. However, if the crookedness is caused by a severely deviated septum affecting breathing, a surgical ENT referral is more appropriate.
A bulbous tip non surgical rhinoplasty can create the optical illusion of a more refined tip by placing filler strategically to alter light reflection and contour. However, filler cannot physically shrink cartilage. For patients with significantly thick nasal skin or cartilage excess, a surgical tip plasty may deliver more definitive results. Dr Bruno will provide an honest assessment during your consultation.
A non surgical rhinoplasty for wide nose works by adding height and definition to the nasal bridge, which creates the optical illusion of a narrower nose. The procedure does not physically narrow the alar (nostril) width. For patients whose primary concern is nostril width rather than bridge definition, surgical alar reduction may be more appropriate.
One of the primary advantages of using Hyaluronic Acid fillers is complete reversibility. If the clinical outcome is unsatisfactory for any reason, the product can be safely and completely dissolved using an enzyme called Hyaluronidase. This enzyme breaks down the HA filler within hours, returning the nose to its pre-treatment state. This is a significant safety advantage over surgical rhinoplasty, which is irreversible.
Discomfort is minimal and well-managed. We apply a topical numbing cream to the nasal skin for 15–20 minutes prior to injection. Additionally, the Juvederm Voluma filler contains integrated lidocaine (a local anaesthetic), which numbs the tissue as it is injected. Most patients describe the sensation as mild pressure rather than pain.
From a clinical standpoint, we advise patients to avoid wearing heavy glasses or sunglasses that rest on the nasal bridge for up to 2 weeks post-treatment. Sustained pressure from frames can indent or displace the settling filler. If you must wear glasses, consider using lightweight frames or temporary contact lenses during the initial settling period.
This is assessed on a case-by-case basis. Previous surgery permanently alters the vascular supply to the nose, significantly increasing the risk of vascular occlusion when filler is subsequently injected. Dr Bruno does treat some post-surgical cases (as shown in our gallery), but only after thorough assessment and with extreme caution. Many post-surgical cases are declined in the interest of patient safety.
Non-surgical rhinoplasty uses injectable Hyaluronic Acid fillers to add volume, smooth bumps, and refine the nose — it takes 30–45 minutes with minimal downtime and is fully reversible. Surgical rhinoplasty involves general anaesthetic, incisions, cartilage and bone restructuring, and weeks of recovery — but can physically reduce nose size and correct breathing issues. Non-surgical is ideal for patients wanting refinement without permanence; surgical is required for structural changes.
Dr Bruno primarily uses Juvederm Voluma by Allergan for non-surgical rhinoplasty. Voluma is a high G-prime (firm) Hyaluronic Acid filler specifically designed for structural volumisation. Its firmness makes it ideal for the nasal bridge and tip, where the filler must resist gravitational spread and maintain precise placement. All products used are CE-marked, manufactured by established pharmaceutical companies, and sourced directly from authorised distributors.
Dr Bruno takes a conservative dosing approach. Most patients require only 0.3–0.6ml of filler for a satisfactory result. More complex cases — such as post-traumatic corrections or significant dorsal humps — may require up to 1ml. The exact volume is determined during your clinical assessment based on your anatomy and treatment goals. Overfilling the nose is both an aesthetic and safety risk, which is why conservative dosing is essential.

Clinical Evidence & Scientific References

Jasin (2013): Nonsurgical Rhinoplasty Using Dermal Fillers

M.E. Jasin · Facial Plastic Surgery Clinics of North America, 2013PMID: 23731585

Supports: Review outlining nonsurgical rhinoplasty as a viable alternative to surgery using newer injectable fillers with less immunogenicity and greater longevity. Covers surgical anatomy relevant to injection planning, filler selection properties, treatable nasal deformities (dorsal humps, tip ptosis, contour irregularities), and the role of injectables in post-rhinoplasty correction.

Limitations: Narrative review, not a clinical trial. No quantitative efficacy or safety data. Published 2013; filler technology and techniques have advanced since.

View on PubMed →

DeVictor, Ong & Sherris (2021): Complications Secondary to Nonsurgical Rhinoplasty — A Systematic Review and Meta-Analysis

S. DeVictor, A.A. Ong, D.A. Sherris · Otolaryngology—Head and Neck Surgery, 2021PMID: 33588622

Supports: Meta-analysis of 37 publications (23 cohort studies, 14 case reports, 8,604 patients). Overall adverse outcome rate 2.52%. Most common: bruising (1.58%), hematoma (0.13%). Major complications rare: vessel occlusion (0.35%), vision loss (0.09%), skin necrosis (0.08%), infection (0.07%). Confirms nonsurgical rhinoplasty with injectable fillers is safe overall.

Limitations: Includes case reports alongside cohort studies. Further studies needed to optimise filler delivery techniques to decrease adverse outcome rates.

View on PubMed →

Kumar et al. (2021): Non-Surgical Rhinoplasty Using Hyaluronic Acid Dermal Fillers — A Systematic Review

V. Kumar, A. Jain, S. Atre, D. Shome, R. Kapoor, K. Doshi, S. Vadera · Journal of Cosmetic Dermatology, 2021PMID: 33900020

Supports: Systematic review of 11 studies (2,896 citations screened, 2005-2021) showing average patient satisfaction >90% for non-surgical rhinoplasty with HA fillers. Confirms it as a good, minimally invasive alternative to conventional rhinoplasty. Temporary complications: transient oedema, erythema, post-injection pain, bruising. Rare: vascular impairment, haematoma.

Limitations: Paucity of quality experimental and prospective data. Heterogeneous study designs and outcome measures across included studies.

View on PubMed →

Jalali (2024): Nonsurgical Rhinoplasty Using the HA Filler VYC-25L — Safety and Patient Satisfaction in 492 Patients

A. Jalali · Journal of Cosmetic Dermatology, 2024PMID: 37740484

Supports: Retrospective analysis of 492 consecutive patients (984 sessions, mean follow-up 11.1 months). FACE-Q scores: 90.2% Satisfaction with Nose, 99.2% Satisfaction with Outcome. No cases of necrosis, blindness, lumps, granuloma, or delayed-onset nodules. Vascular occlusion (0.6%) resolved with hyaluronidase.

Limitations: Retrospective single-injector study. Single filler product (VYC-25L/Vycross). Bruising in 25% and residual asymmetry in 3.7% of patients.

View on PubMed →

*PRP London Clinic provides these references for educational purposes. Our Clinical Board regularly reviews emerging peer-reviewed literature to ensure our protocols align with the latest advancements in regenerative medicine.

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Medical Suitability Note

As a GMC-regulated practice, a mandatory consultation is required for all new patients to assess suitability and clinical need. This treatment may not be appropriate for everyone. All procedures are performed by GMC-registered doctors whose credentials can be verified on the official GMC register.

Clinical Technology & Equipment

Regenerative Substance

Juvéderm® Hyaluronic Acid Dermal Fillers

by Juvéderm

Manufacturer Info →

Premium cross-linked hyaluronic acid dermal filler range with VYCROSS® technology for smooth, long-lasting facial volumisation and contouring.

Certifications

CE Marked Medical Device VYCROSS® Technology

Technical Specifications

Active Ingredient
Cross-linked Hyaluronic Acid
Technology
VYCROSS® (smooth gel consistency)

Clinical Applications

Lip Augmentation Cheek Enhancement Chin Augmentation Non-Surgical Rhinoplasty 8-Point Non-Surgical Facelift Nasolabial and Marionette Lines

Official Resources

juvederm.co.uk
Regenerative Substance

Restylane® Hyaluronic Acid Dermal Fillers

by Restylane

Manufacturer Info →

Stabilised hyaluronic acid dermal filler range using NASHA® and OBT™ technology for natural-looking facial volumisation, contouring, and skin rejuvenation.

Certifications

CE Marked Medical Device NASHA® / OBT™ Technology

Technical Specifications

Active Ingredient
Stabilised Hyaluronic Acid
Technology
NASHA® (Non-Animal Stabilised Hyaluronic Acid) / OBT™ (Optimal Balance Technology)

Clinical Applications

Lip Augmentation Cheek Enhancement Chin Augmentation Non-Surgical Rhinoplasty 8-Point Non-Surgical Facelift Nasolabial and Marionette Lines

Official Resources

restylane.co.uk
Regenerative Substance

Revolax® Hyaluronic Acid Dermal Fillers

by Revolax

Manufacturer Info →

High-purity, cross-linked hyaluronic acid dermal filler range manufactured using advanced Bio-Cell technology for smooth injection and natural results.

Certifications

CE Marked Medical Device KFDA Approved

Technical Specifications

Active Ingredient
Cross-linked Hyaluronic Acid
Purity
High-purity (Bio-Cell Technology)

Clinical Applications

Lip Augmentation Cheek Enhancement Chin Augmentation Non-Surgical Rhinoplasty 8-Point Non-Surgical Facelift Nasolabial and Marionette Lines

Official Resources

revolax.com

This technical specification is provided for informational purposes only. All medical devices and substances are used exclusively by GMC-registered practitioners at PRP London Clinic. Individual results may vary.