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This 32 year old gentleman from Pittsburgh had a rhinoplasty by another surgeon several years ago. He was generally happy with his result, but started to notice a small defect on the tip of his nose. This kind of defect can be solved with a small revision surgery, but this patient was not enthusiastic about further surgery. Pittsburgh plastic Surgeon, Dr. Paul Leong, performed a non-surgical rhinoplasty with injectable filler. This case demonstrates that subtle defects of the nose can be addressed with a non-surgical approach.