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Devgan was describing, essentially, a nonsurgical nose job—or a “liquid rhinoplasty”—a procedure that has been growing in popularity without being, in itself, new. (The practice of injecting the nose with various liquids dates back to the turn of the 20th century, when precarious substances including oils and waxes were used.) The first filler made of hyaluronic acid—which is also used topically for its moisturizing properties—was approved for cosmetic use by the FDA in 2003, and in the years since its effects can be seen everywhere from the enviably sculpted cheekbones of influencers to the trout-y mouths of the ladies populating Bravo and so many of the women who love to hate them. Like anyone living in a major city in 2025, I had grown wary of the surreal effects of facial fillers. Sometimes, I’d take the subway, or go to a Pilates class, look around me, and be surrounded by slightly swollen-looking faces of indeterminate age that seemed a little too taut and almost tender to the touch. But I had yet to see—or at least had yet to notice—any noses whose shapes I’d attribute to filler.I Require A Tug Shirt
For much of the 20th century, rhinoplasties were used—and seen—as a method of assimilation, often within immigrant communities. The procedures often involved a dramatic removal of cartilage, the results being small, angular, and upturned. But Raj Kanodia, MD, a Beverly Hills–based plastic surgeon, told me that he has seen “a noticeable shift in what patients are asking for” in recent years. “People are looking to refine—not change—their features,” he said. Kanodia, who approaches filler with “extreme caution” and prefers rhinoplasties of the kind he has performed on celebrities like Khloé Kardashian and Ashlee Simpson (internal stitches only), said that he tries to honor and embellish patients’ cultural identities, rather than erasing them. His surgical motto is: “Fool the mother’s eye.” Kanodia, surprisingly, attributes this shift to social media, which provides a vastly larger sample size of aspirational beauty. “People are embracing uniqueness and seeking procedures that help them look like the best version of themselves—not someone else,” he said.
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