The use of soft-tissue fillers to reshape the nose has grown considerably in recent years. The nose is a highly vascular area of the face. Vascular compromise and tissue necrosis are the most distressing complication seen with filler use. The complication rate is increasing with the increasing use of fillers by otolaryngologists. The best management of complications is prevention. Complications should be recognized and managed as early as possible to decrease long-term sequels. Proper knowledge of anatomy, indications and limitations to using can improve outcomes.