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Do I Need Tip Plasty or Injectable Fillers in my Nose?

I am considering having tip plasty/ fillers injected to fix an issue I am having with my nose from front on. Although my nose looks great from some angles and side on, from front on it looks.. wrong, somehow. But I have NO IDEA what the problem is. I just know it doesn't look right. Is my nose too long? Should it be shorter? Is the tip too wide? I came here to find out aesthetically what is incorrect, but I can't put my finger on it. Any suggestions and ideas would be greatly appreciated.

Doctor Answers 4

Your rhinoplasty looks great

I can see your dilemma, and for a plastic surgeon, it can be challenging to fix a nose that already looks great.  I think you are right, if you want to be super technical about it, but it could be the columella (the bridge of skin between the two nostrils) is a little low, and the nose could be a little shorter.  If you are serious about fixing this issue, I would go to someone with plenty of experience in revision rhinoplasty because the changes you are looking for are very subtle.  If you need some recs, let me know, I can find someone for you.


Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 37 reviews

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Hanging Columella

Thank you for your inquiry!

It seems that you are a good candidate for a CONSERVATIVE rhinoplastic approach that will improve the way your nose looks to complement your facial features in a natural fashion. However, without a physical examination it is not possible to provide you with specific details. I highly recommend that you schedule a consultation with a well-experienced surgeon.

It is important to mention that the finest cosmetic results in any particular case are based on a variety of factors, including: the unique anatomy of the patient, realistic expectations, a well-informed and detailed discussion with your plastic surgeon concerning the best options for you especially covering a deep understanding of the pros and cons of any given choice you will adopt.

Please keep in mind that following the advice from a surgeon online who offers to tell you what to do without a physical examination covering the nature and the status of the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative solution would not be in your best interest. With that in mind, it is the safest and for your best interest to find a plastic surgeon with solid experience and certified by the American Board of Plastic Surgery who is ideally a member of the American Society of Plastic Surgeons that you will trust and be comfortable with. You should discuss your concerns with that surgeon in person.

Good luck!!!

Ali Sajjadian, MD FACS

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 157 reviews

Nose shape versus nose image

Often patients stress about the fact that their particular nose, either before surgery or after excellent rhinoplasty, does not fit a particular appearance that they feel it should.  There is more concern about the nose considered by itself than the general facial harmony and the way the nose "fits" the person.

The images show a great outcome of rhinoplasty with some "character" traits that are more of a flair than defects.  Minor corrections such as  addressing the columella may be wanted, but they will lead to a more symmetric nose, not necessarily a better one.

Perfect symmetry is beautiful, but it is the little "flairs" that make a beautiful face unique and attractive.

Mario Diana, MD
Plano Plastic Surgeon
4.5 out of 5 stars 26 reviews

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Do I Need Tip Plasty or Injectable Fillers in my Nose?

Hanging columella is the major problem I see with your nose. Specifically, more noticeable with facial animation as you have adequately shown in your photos. This requires surgical correction, fillers may not do much. Your nose do look good.

Mohsen Tavoussi, MD, DO
Huntington Beach Facial Plastic Surgeon
4.0 out of 5 stars 6 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.