FAQs

Please see our most commonly asked questions below

What kind of results can be achieved?

The realistic results from this treatment are to straighten bumps and dips in the nose which are usually at the top of the nose, lifting a drooping tip (that can sometimes make the nose feel like it’s got a hook shape), sharpening the tip of the nose and straightening very slight deviations. Nose filler makes the nose appear smaller by adding volume from the filler, which can often be hard for patients to comprehend. It seems counterintuitive that adding to the nose would make it look small, but the bumps and strong curves in the nose will often create an illusion that the nose is more prominent than it actually is. Straightening the bridge with filler camouflages any bumps and drooping to leave you with a straight nose from any side view. Filler in the nose can completely transform the side profile and is often used in conjunction with chin and jawline filler if you’re looking to add balance to your face and side profile. If you are looking to change the overall appearance of your side profile, it’s best to come and see us for a consultation where we will assess your full face and find the best treatment option for you.

Who is this treatment suitable and not suitable for?

If you are looking to narrow a wider nose, reduce the size of the tip or reduce nostril size, then a surgical rhinoplasty will be a better option to give the results you are looking to achieve. However, if it is mainly the three quarter and side profile that bothers you then it is suitable for you. If your nose is very large in proportion to your face then it might not be suitable for you. The ideal noses are ones that are not large overall but the shape is not ideal. Noses that have been operated on in the past are not suitable for fillers as the anatomy is unpredictable so we personally do not feel it is a safe treatment due to the risk of vascular occlusion. If you have a history of anaphylaxis or allergy to wasp stings, fillers may not be suitable for you. This is because you are likely to be allergic to the filler dissolving enzyme. We always have to ensure we are able to dissolve the filler in an emergency (see below for risks and side effects).

How long does it last?

On average nose filler, will last for 12-18 months. However, this is an average time and for some people, the filler may dissolve more quickly because of their metabolism and for some people, it may last longer. We find that with subsequent treatments, the results often last longer. After the first 3 sessions, you may find you do not need to come back for a couple of years.

What is the recovery/downtime?

Unlike surgery, the results of nose filler are instant, with very minimal swelling and downtime. Some swelling and small bruising can happen and the tip of the nose is the last to heal. Most people can go to work and social events on the same day. We advise you not to wear makeup for the first 4 hours and avoid intense exercise for the first 5 days.

What are the side effects and risks?

Like all medical treatments, there are side effects and risks. Mild swelling and bruising are to be expected, as is some discomfort. If your nose is asymmetrical, it can be difficult to achieve symmetry. It is important to follow the aftercare to minimise migration risk and ensure the results last as long as possible. We sometimes find patients get tiny superficial broken blood vessels on the skin after treatment from the pressure of the filler. This is not harmful at all and usually subsides. In some cases, it does not. It is usually very easy to cover with makeup. These superficial capillaries can also be lasered off. If you have a history of cold sores, any needles to the face can trigger a breakout of it. So please inform us in advance if you have had any cold sores in the past year. There is a very small risk of filler entering a blood vessel and blocking off the blood supply to the skin. This is called a vascular occlusion. As a medical clinic, we have all the equipment and enzymes available to reverse this and dissolve the filler. It is a condition that either happens during the appointment or in the first 48 hours after. We give extensive aftercare advice and are available to get in touch within this period to dissolve it. We have also reviewed every single treatment we carry out in clinic to modify the techniques to minimise the risk.

How painful is the treatment?

There is very minimal pain for nose filler in the bridge (radix) of the nose. The tip and base of the nose can be a bit more painful. If you are apprehensive about pain or have a low threshold to pain, please ensure you take 1g of Paracetamol 1 hour before the procedure and inform the clinician so we can use numbing cream.

Duration

The appointment is 30 minutes long, but the treatment itself is very quick. If you have filler in multiple areas, the appointment will be longer. All clinicians have slightly different techniques. At No Filter Clinic, we take out time and build up the nose slowly with numerous microdroplets. The difference of a few millimetres can make a big difference. So if you are getting lots of needle pricks, rest assured, this is our technique and is also safer than injecting a larger amount with one prick as there is lower risk of it blocking a blood vessel. Our priority is to ensure the treatment is safe and carried out to the highest standard.

No. of sessions

Sometimes the desired results will be achieved by the first session but some people may need a second session once the swelling has subsided to reach the desired results. We recommend that you wait at least a month before your second treatment.

How will I look straight after?

You will be able to see the results of nose filler immediately. You may have some mild swelling and bruising, but this will subside within 2 weeks. You can attend events the same day but must follow the aftercare rules. Some mild redness and bruising is normal.

How is it done?

We initially undertake a thorough assessment of your whole face and your nose to see if it is suitable for you and explain the extent of the results that are possible. We then disinfect the area and mark out the areas for injection. We use a firm filler that lasts 12-18 months and use a small needle to inject the areas. We start with the bridge if this area needs treatment. Then we treat the tip of the nose directly and see if the base of the nose (nasal spine) needs injecting to provide support to the tip and elevate it. We do numerous tiny injections to get the best result (a difference of millimetres can change the result with noses) and this is also considered a safer technique. Injecting larger amounts with one needle prick can lead to a higher risk of vascular occlusion.

Can it be reversed?

At No Filter Clinic London, we only use fully reversible fillers. This is because they are safer than permanent fillers and we can dissolve them in the case of an emergency (Vascular occlusion) and if for whatever reason you are not happy with the result. This gives fillers a significant advantage over surgery as they are not permanent. This does not mean you should get fillers just to try them out, as the dissolving is not a simple procedure. You should only get fillers done if you have researched them thoroughly, feel comfortable getting the procedure done and are happy accepting the small risks and side effects which are all manageable. If you have a history of anaphylaxis or allergy to wasp stings, fillers may not be suitable for you. This is because you are likely to be allergic to the filler dissolving enzyme (Hyaluronidase). We always have to ensure we are able to dissolve the filler in an emergency (see risks and side effects).

What is the aftercare?

We send a thorough aftercare email to all our patients but please find a summary below.

What to do after treatment

Get some Arnica tablets from any pharmacy, this helps with bruising and swelling. Please do not wear make-up for 4 hours after treatment. In the evening of the treatment, you may gently wash your face and use your regular wash and lotions. Please skip retinols and acids for the first night. Remain upright either sitting or standing for as long as possible and sleep with 3 pillows at night whilst there is swelling and oedema present. Do not sleep with pressure on the face and try to sleep on your back.

If you are uncomfortable with the swelling you make take Loratadine/Cetirizine (normally used for hayfever) to help decrease this. If there is excessive swelling you may contact the clinic to obtain a prescription for steroids to help resolve your inflammation more quickly; prescriptions drugs are not appropriate if the degree is swelling is within normal parameters. Aside from this, there is, unfortunately, no quicker way to resolve swelling as it is a normal bodily reaction to trauma. You may resume bathing the day after the procedure. Wash your face very carefully, applying no pressure to areas treated for 4 weeks.

What NOT to do after treatment

- No strenuous exercise or gardening for at least 1 week.
- Do not massage the area treated for the first 4 weeks following treatment.
- No facials or waxing for the first 2 weeks in the areas treated.
- Avoid any pressure on the area treated for up to a month.
- Avoid wearing glasses for a month
- Avoid excessive heat, sauna, steam rooms, hot yoga.
- Do not take aspirin, ibuprofen or other anti-inflammatory medication for 24 hours after treatment as this may increase bruising. You may take paracetamol or codeine if you are uncomfortable.
- Do not consume alcohol for 24 hours after receiving treatment. This increases the risk of bruising.
- Do not have radiofrequency, IPL, laser or any other heat treatments near the treated area for 2 weeks.

How many mls do I need?

We never use more than 1 ml for noses. The price is UP TO 1 ml although we advise our patients you are not paying for the mls, you are paying for the skill and expertise. If you do need more volume, it is often best to wait 3 months and get a second treatment. If you build up volume slowly, your skin will have time to stretch and you will get much better and more natural results.

Which fillers do you use?

We use all the premium brands available. We use a mixture of Teoxane RHA4/Ultradeep, Stylage XXL, and Juvederm Voluma/Volux depending on the patient and their individual need. We only ever used hyaluronic acid-based fillers as they are fully reversible. This is essential for your safety.

How do I prepare before the appt?

Before your Appointment

1. Please stop using topical Retinols, Glycolic Acid, Lactic Acids, Salicylic Acid and Tretinoin 5 days before your treatment. This will minimise pain and bruising. However, if you have been using these for a long time and your skin is likely to flare up without them, you do not need to stop them. If you are on Roaccutane, please get in touch before your appointment so we can discuss it and give individual advice.

2. Please stop using any Vitamin E supplements and Ibuprofen/Neurofen 5 days before your treatment. Please do not stop using any Aspirin (or any other medication) prescribed by your GP.

3. Laser treatments for the face, microneedling and chemical peels have to be avoided 1 week before and after the treatment.

4. Please do not drink alcohol 24 hours before and after the procedure.

5. Make sure you eat something before your appointment and are well hydrated. This prevents feeling lightheaded during the procedure.

6. It is advisable to take 1 g of Paracetamol (2 tablets) 30 mins - 1 hour before your appointment as it will significantly reduce any discomfort during the procedure.

7. Please attend the appointment alone. There is limited space in the clinic and anybody with you will be asked to wait outside the building.

8. Please come to the appointment with makeup removed and minimal jewellery.

9. Please note, we are not able to carry out any Dermal Filler treatments if you are due to fly in the next 3 days. This is because of the small risk of vascular occlusion in the first 48 hours. Wrinkle relaxing injections, Profhilo and Aqualyx are fine.

How does the pricing work?

There are different pricing structures. Please see price list for more information.