Dissecting the Asian Nose Filler

Asian nose filler treatment, also known as nonsurgical rhinoplasty (NSR), is an alternative to traditional surgical rhinoplasty that addresses common aesthetic concerns of the Asian nose. It is a minimally invasive, low-risk solution with instant and natural-looking results.

The downtime, permanent changes, potential complications, and significant financial investment of surgical rhinoplasty make it inaccessible to many Asian patients. The Asian nose non-surgical rhinoplasty is done in a clinical setting, takes less than an hour, and has little to no downtime.

In this post, you will learn everything you need to know about the Asian nose filler treatment before offering it at your practice.

Key Takeaways

Asian nasal anatomy features a low dorsum, broad and under-projected tip, short columella, and rounded nostrils.
Liquid rhinoplasty for the Asian nose using dermal fillers elongates the nasal profile, improves tip projection, and refines dorsal lines.
Modern Korean nose filler trends favor a natural-looking nasal line with a low glabella start, gentle dorsal linearity, and a small, softly defined tip.
The injection technique for Asian nose filler involves a single entry point at the tip. The goal of filler placement is to support the columella, augment the dorsum and radix, and refine the tip.
Safety protocols include nerve blocks, careful injection planes, observation for ischemia, and immediate availability of hyaluronidase in case of vascular compromise.

Understanding the Asian Nose Structure

The anatomical characteristics are quite different between the Asian nose vs. the Caucasian nose.

One of the most defining features of the Asian nose structure is a low nasal dorsum, which makes the bridge appear flat. The reduced projection causes the nose to visually “disappear” in profile and gives the illusion that the eyes are spaced wider apart than they are.

Another hallmark feature of the Asian nose is the nasal tip, which tends to be set back, under-projected, and broad. The tip presents as bulbous due to a combination of weaker cartilage support and thicker skin.

Asian nasal anatomy is also characterized by a sharp columella-labial angle, a short columella, and rounded nostrils.

These elements together contribute to a softer, more compressed nasal base appearance compared to Western nasal profiles. ¹

What Is an Asian Liquid Nose Job?

An Asian liquid nose job (or liquid rhinoplasty for the Asian nose) is a non-surgical, minimally invasive cosmetic procedure to correct nasal deformities. ² It uses high G-prime hyaluronic acid-based dermal fillers to improve nasal contours in patients with East Asian and Southeast Asian phenotypes.

The Western non-surgical rhinoplasty emphasises on camouflaging a dorsal hump or lifting a drooping tip. In contrast, the Asian nose filler procedure aims to elongate the nasal profile, elevate a depressed radix, and sharpen tip definition.

An individual with a marked nose treatment area.

What Can an Asian Nose Filler Treat?

Non-surgical rhinoplasty using dermal fillers is ideal for anatomical and aesthetic concerns that are disproportionately represented in Asian patient populations. It treats:

Low or flat nasal bridge. Filler augmentation in the radix and dorsum creates a more pronounced nasal contour. The ideal endpoint is a natural slope from the nasion to the tip with a subtle dorsal aesthetic line visible on oblique view.
Under-projected or drooping tip (ptotic tip). Weak medial crura and tip-supporting ligaments contribute to a lack of tip definition. Fillers can be placed to simulate columellar strut support and project the tip forward and slightly upward.
Dorsal hump camouflage. In patients with a convex dorsal contour, filler placed proximal and distal to the hump can flatten the profile and produce a straighter, more streamlined nose.
Retracted columella or acute nasolabial angle. In cases where the columella appears retracted or the nasolabial angle is excessively acute (<90°), filler can be deposited at the nasal spine and columellar base to open the angle.
Crooked nose. Soft tissue asymmetries or minor deviations from the midline can be corrected by asymmetric filler deposition.
Over-rotated nose. In patients with an upturned nasal tip or pronounced supratip break, filler can be used to fill in the supratip region and reduce the exaggerated curve.

Korean Nose Filler Trends

Just as aesthetic ideals in East Asia have evolved with cultural shifts and media influences, so too have the approaches to non-surgical rhinoplasty in Korea.

Historically, the dominant nasal aesthetic in Korean rhinoplasty was modeled after Western ideals. ³ People sought a high, structured dorsum with a prominent tip projection, often with a concave curve along the nasal bridge.

The current ideal, however, includes a low-glabella start, gentle linearity, and a small, softly defined nasal tip. The trending nasal line in Korean nose filler treatment is either curved-linear or straight, depending on the patient’s facial proportions, but there are no abrupt transitions or artificial high points. ⁴

The glabella is kept low and unaugmented to preserve a natural transition between the forehead and nasal bridge. Fillers are used to create a subtle contour and get rid of irregularities rather than building significant volume.

Types of Fillers Used for the Asian Nose

For Asian non-surgical rhinoplasty, high G-prime HA fillers remain the gold standard. G-prime (elastic modulus) refers to a filler’s ability to resist deformation. ⁵

Commonly used products include:

Restylane® Lyft (formerly Perlane). It offers high cohesivity and G-prime, and is suitable for dorsal height and tip projection. ⁶
Juvederm® Voluma. This is known for its volumizing capability and smoother integration. It can be used when a more subtle, natural contour is desired. ⁷
Teosyal® Ultra Deep. It offers excellent lift and moldability, with a high G-prime suited to shaping the bridge and tip. ⁸

Fillers like Sculptra® (PLLA) or Bellafill® (PMMA microspheres) are not recommended for routine use in non-surgical rhinoplasty, particularly in Asian patients. ⁹ Their delayed collagen-stimulating mechanism and inflammatory profile are risky in vascularly dense areas like the nose.

RESTYLANE® LYFT

Manufacturer: Galderma Active Substance(s): HYALURONIC ACID…

$169.00

JUVÉDERM® VOLUMA®…

Manufacturer: Allergan Active Substance(s): HYALURONIC…

$359.00

The Technique of the Asian Nose Filler

A structured approach to non-surgical rhinoplasty in Asian patients begins with precise anatomical planning. Prior to injection, key reference points should be marked: the vertical midline, the proposed new radix, the nasion, the nasal tip, and the dorsal aesthetic lines.

Follow these steps to administer a nose filler in Asians: ¹

Administer local anesthesia using 2% plain lidocaine to block the infratrochlear and external nasal nerves for adequate analgesia during the procedure.
Identify a single entry point at the nasal tip for the entire procedure.
Insert a 25- or 27-G, 1.2-inch long needle through this tip entry point and advance it along the subcutaneous plane toward the nasal spine, staying just deep to the dermis.
Inject approximately 0.4 mL of Asian nose tip filler to augment the columella-labial angle.
Slowly withdraw the needle while continuing to inject the filler along the columella to reinforce its structure. It will provide vertical support, improve projection, reduce cranial rotation, and lengthen the nasal base. The nose will have a more isosceles triangular appearance in basal view.
Proceed to dorsal augmentation by directing the cannula again through the same tip entry point. Inject filler in a linear fashion along the entire dorsal midline from the new radix to the nasal tip in a single pass.
Augment the radix next by performing perpendicular midline bolus injections. Use your non-injecting hand to compress the radix area to restrict filler spread and avoid lateral broadening of the dorsum.
Adjust volume to position the radix at the level of the supratarsal fold. Aim to create a defined nasofrontal angle of approximately 135 degrees with balanced dorsal contours.
Refine the nasal tip by injecting small boluses of filler into the deep dermis using a sharp needle to enhance anterior tip projection, lengthen the tip, and reduce cephalic rotation.

Once injections are complete, manually mold the filler to sculpt and refine the nose while the material remains malleable.

You can perform small top-up injections if minor volume deficiencies or asymmetries are noted during molding.

Safety of Asian Nose Fillers

Non-surgical Asian rhinoplasty using dermal fillers is generally a safe procedure. However, there are inherent risks that practitioners must be aware of.

Most complications of Asian dermal fillers, such as transient bruising, swelling, or mild inflammatory responses, are minor.

There is a rare but significant risk of ischemic complications, particularly tip necrosis. It is the most feared complication because any vascular compromise in the nasal tip can lead to irreversible tissue loss and permanent disfigurement.

If the filler enters a vessel, it can lead to occlusion and necrosis. In contrast, vascular compression (rather than embolization) may also result in ischemia, but it is often reversible.

Hyaluronic acid fillers can be promptly dissolved using hyaluronidase, while calcium hydroxylapatite, such as Radiesse, requires manual extrusion if vascular compression occurs. ¹

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FAQs

Do Nose Fillers Migrate?

Nose fillers can migrate as a complication of the procedure, but it’s uncommon when injected properly. Filler migration results from poor technique, overfilling, or excessive pressure on the area post-treatment.

How Much Is Filler in the Nose?

According to the American Society of Plastic Surgeons, nose fillers cost between $600 and $1,500 per session, depending on the injector’s expertise, clinic location, and the type of filler used. ¹⁰

How Long Do the Results of Asian Nose Fillers Last?

The results of Asian nose filler last 12-18 months. Maintenance treatments are recommended to preserve shape and definition over time.

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References

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Kumar, V., Jain, A., Atre, S., Shome, D., Kapoor, R., Doshi, K., & Vadera, S. (2021). Non‐surgical rhinoplasty using hyaluronic acid dermal fillers: A systematic review. Journal of Cosmetic Dermatology. https://doi.org/10.1111/jocd.14173
Jung, S. G., Hwang, K., & Hwang, Y. J. (2024). Perceptions of Nasal Profile and Augmentation Rhinoplasty in the Japanese Colonial Era of Korea (1910-1945). The Journal of Craniofacial Surgery, 35(7), e629–e631. https://doi.org/10.1097/SCS.0000000000010307
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Li, D., Sun, J., Zhang, Y., Wang, X., Yang, S., Harvey, C., & Zhang, L. (2022). VYC-20L is Safe and Effective for Improving Volume and Aesthetic Appearance of the Nose in Chinese Adults. Clinical, Cosmetic and Investigational Dermatology, 15, 1195–1204. https://doi.org/10.2147/CCID.S357855
Filler rhinoplasty based on anatomy: The dual plane technique. (2019). JPRAS Open, 20, 94–100. https://doi.org/10.1016/j.jpra.2019.04.002
Rivkin, A. (2022). PMMA-collagen Gel in Nonsurgical Rhinoplasty Defects: A Methodological Overview and 15-year Experience. Plastic and Reconstructive Surgery – Global Open, 10(8), e4477. https://doi.org/10.1097/gox.0000000000004477
Dermal Fillers Cost. (n.d.). American Society of Plastic Surgeons. https://www.plasticsurgery.org/cosmetic-procedures/dermal-fillers/cost