How Can I Shrink or Refine a Bulbous Nose Without Surgery?

There are no compressive nasal devices that would lead to a permanent reduction in the appearance of your bulbous nasal tip. Nonsurgical rhinoplastic procedures have resulted in tip widening in our experience. Hope this helps! Dr Joseph

Kenalog injections are not usually used to reduce a bulbous tip, but to reduce swelling (edema) after rhinoplasty surgery. A bulbous tip cannot generally be reduced without surgery, but a broad or bulbous tip can be camouflaged by adding to other parts of the nose. In many cases, a large tip can be minimized in appearance by adding volume to the bridge of the nose and nasal sidewalls.
Be sure to see an expert in rhinoplasty surgery and non-surgical nose jobs in order to review both options in detail.
All the best,

Hi there! Non-surgical techniques using dermal filler can be used to improve contour / shape and tilt the tip of the nose. However, bulbous tips often require surgical correction. Please consult an experienced practitioner so they can give you more of an idea after physical examination. Hope this helps and good luck! Dr Rupert

A nonsurgical rhinoplasty uses fillers to improve symmetry, camouflage irregularities or to increase height of the dorsum or tip.  In some cases, in can be used to make a nose look smaller or longer.  If your nose is of a good height from a side profile, then a nonsurgical rhinoplasty may not give an improvement.  However, fillers can be used on the tip to give it the illusion of a narrowed tip but this has to match the rest of the nose.  In general, you would be better served and happier with a formal open rhinoplasty.  Find a plastic surgeon who specializes in rhinoplasties in your area and consult with them to find out what can be done.

A bulbous tip can only be addressed through surgery. In most circumstances, the width or shape of the cartilage (lower lateral cartilage) needs to be adjusted to refine the tip and make it more narrow. Kenalog injections would not result in any changes to this area. In fact, they may change the color of the skin in the area where it was injected or thin the skin so that the underlying blood vessels can be seen. I would recommend a consultation with a board certified plastic surgeon or facial plastic- ENT surgeon to further discuss your concerns. Hope this helps!