A patient had visited me from Norway this week to do a primary rhinoplasty procedure with a history of previous filler injections (nose). Typically patients who have a history of filler injections are at the risk of infections and should eliminate doing further injections. While non-surgical dorsum augmentation via dermal filler injections are an easy fix. I do not encourage them as there is a high risk of complications tha cna result from either the intravascular injection itself or the compressive effect of the fillers on the underlying vessels. In severe cases, these vascular complications can cause skin necrosis. I had removed the hump and augmented her hanging columella and refined her tip as well. The results were satisfactory.