Rhinoplasty or fillers for nose tip indentation?

The tip of my nose has become more noticeably asymmetrical and bulbous in the last few years, but the thing that bothers me most is the indentation or line going down the middle of it. Is it possible to use an injectable filler to fill a line like this, or am I doomed to resort to a traditional Rhinoplasty? And if so, what might that entail for a nose like mine? Thanks for any advice you may have!

Rhinoplasty or fillers for nose tip indentation?
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9 answers to “Rhinoplasty or fillers for nose tip...”

A: Bifid tip repair

Robert M. Freund, MD

Fillers would eliminate the separation of the cartilage that creates this anatomic finding. But, fillers would be temporary and will change over the course of time. Thus, immediately after filling it would look great and would fade over time. Unification of the domes is a surgical technique that would correct... more

A: Depending on who you ask, you'll get different opinions

Shahram Salemy, MD

I think if you asked a dermatologist, they would probably recommend a filler, and if you asked many, but not all, plastic surgeons, we would recommend a rhinoplasty.  A few thoughts to consider: A filler such as Restylane has the advantage of being quick and easy, less cost, and little to no downtime... more

A: What you need for nose tip indentation

Behrooz Torkian, MD

Natastic, From the appearance of your pictures, you have had very professional photographs taken. If you are a model, I think you should reconsider your concerns. The most natural appearing noses have a small indentation between the paired lower lateral or tip cartilages. The indentation corresponds to where... more

A: Non-Surgical Rhinoplasty with Fillers May Not Be A Quick Fix

C. Spencer Cochran, MD

The bulbousness and the appearance of a indentation or cleft in the tip (often called a bifid tip) are caused by the natural curvature of your tip cartilages and would best be corrected with rhinoplasty techniques. While fillers can potentially fill the indentation in the tip, the change would only be... more

A: Doomed, very drammatic

Scott E. Kasden, MD

The tip of the nose that you demonstrate in you photo shows very nice anatomy.  The cartileges are paired and in your case, there is a separation between the left and right side, and the skin dips into that little depression. Rhinoplasty will correct the problem permanently.  You may try various... more

A: Fillers are a good option

Robert M. Jensen, MD

Fillers work great on the nose and tend to last one to two years and sometimes even longer. I would certainly find a rhinoplasty surgeon to do your fillers, as I believe they have the most experience.  Juvederm or restylane are both very safe, and fat injection can provide a permanent fix. 

A: Tip Rhinoplasty is best for indentation on nose tip

Brooke R. Seckel, MD

What is causing the depression on the tip of your nose is a cleft between the two lower lateral cartilages under the skin on the tip of your nose. A minor tip rhinoplasty can suture the two cartillages together and close this cleft. The tip rhinoplasty also can narrow the tip and improve the bulbousnes that... more

A: I'd do Restylane first

Mary Lupo, MD

Using a reversible hyaluronic acid (HA) filler such as Restylane is a good way to see how much the change pleases you. Restylane, along with Juvederm, are the two most popular fillers because they are effective, safe, and reversible in case of unsatisfactory result or complication. My preference on... more

A: Rhinoplasty is the best answer

S. Randolph Waldman, MD

The depression in the tip of your nose represents the gap between the two cartilages that give the shape to your tip.  It is relatively easy to change the shape of the tip cartilage with a nasal tip-plasty.  Of course if changes involving the bridge of the nose are needed then a full... more

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