Blake Raggio, MD

You want a "lasting result." - Filler lasts anywhere from 9-18 months, depending on the type and amount of filler placed.  A properly performed surgical rhinoplasty lasts forever.

"Will it be worth it?" - if you are trying to save costs, you have to consider that filler may actually be more expensive over time, especially if you plan to maintain the result of your filler rhinoplasty which will require injections every 1-2 years (cost ~$1000 every time).

"Will fillers make my nose look bigger?" - in general, YES, fillers add more volume to the nose and thus inherently make the nose bigger; HOWEVER, properly placed filler can sometimes create the illusion of a narrower/smaller nose.

"Best option...best results...cost effective" - given the above information, I think you would best benefit from a surgical rhinoplasty which can give you a smaller nose, durable results, and is cost-effective compared to the maintenance required with filler rhinoplasty.

Regardless, I recommend you see someone experienced in both surgical and non-surgical rhinoplasty (e.g., board-certified Facial Plastic Surgeon, Plastic Surgeon) so that you receive an expert and non-biased opinion.

Good luck, and hope this helps.

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Blake Raggio, MD

I think the key thing to focus on here is that you want to make your nose "smaller...more feminine...more delicate...a bit smaller."

If that is truly what you are looking for, then filler is not the best option for you. 

Nevertheless, to answer your question, I believe that HA based fillers (Restylane, Juvederm, Belotero) are the safest and most reliable fillers available for a variety of reasons, including their ability to be dissolved for either safety reasons or in the event too much filler is placed.

Regardless, I recommend you see someone experienced in both surgical and non-surgical rhinoplasty (e.g., board-certified Facial Plastic Surgeon) so that you receive an expert and non-biased opinion.

Good luck, and hope this helps.

Blake Raggio, MD

Based on the limited pictures provided, I would say that "natural" or non-surgical options would have a limited role in correcting the shape/size of the nostrils, ala, and base of the nose.

Regardless, I recommend you see someone experienced in both surgical and non-surgical rhinoplasty (e.g., board-certified Facial Plastic Surgeon) so that you receive an expert and non-biased opinion.

Good luck, and hope this helps.

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Blake Raggio, MD

Based on the pictures provided and your desired result, it seems you are looking to do a few things:

1) increase projection ("slightly pointier")

2) increase rotation ("slightly lifted")

3) increased supra-tip break (based on model pictures 3 and 4)

4) increased tip definition? (based on model pictures 3 and 4)

To answer your question, YES, the above traits can be created with a carefully placed filler; however, please note that filler has its limitations, especially compared to the durable and predictable results achieved with a properly done surgical rhinoplasty.

Regardless, I recommend you see someone experienced in both surgical and non-surgical rhinoplasty (e.g., board-certified Facial Plastic Surgeon) so that you receive an expert and non-biased opinion.

Good luck, and hope this helps.

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Blake Raggio, MD 

If you are absolutely set on undergoing non-surgical rhinoplasty using fillers, then the safest product to use are the HA based fillers (e.g., Restylane, Juvederm, Belotero) in that they are not only biodegradable but also reversible. 

***NOTE: You may want to reconsider the surgical rhinoplasty, as I think this would give you a much better, more natural result than the filler rhinoplasty would.***

Regardless, I recommend you see someone experienced in both surgical and non-surgical rhinoplasty (e.g., board-certified Facial Plastic Surgeon) so that you receive an expert and non-biased opinion.

Good luck, and hope this helps.

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Blake Raggio, MD | @dr.raggio

Residual swelling in the tip of the nose is an unfortunate but relatively common happening after surgical rhinoplasty.Not only is the amount of swelling difficult to predict, but also the duration as well. This is due to several factors, including the extent of surgery performed, the skin thickness of the patient, and the patient's intrinsic ability to heal, among other things.

With that being said, steroid injections into the nose can be useful in hastening the resolution of residual tip swelling. Injection habits/techniques vary by surgeon, but typically can be done beginning 2 months after surgery.

To answer your question, the steroid injections generally do not change the overall result, but rather "get you there" a little quicker. Please note; however, that steroid injections are not without their own side effects and may in fact cause fat atrophy or cartilage/graft resorption which can result in asymmetries and/or contour irregularities.

Regardless, I recommend you see your rhinoplasty surgeon, or someone experienced in surgical rhinoplasty (e.g., board-certified Facial Plastic Surgeon) so that you receive an expert opinion.

Good luck, and hope this helps.

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Blake Raggio, MD

To best answer this question, it is important to understand your specific areas of concerns (e.g., hump, asymmetry, ptotic nose, bulbous tip, etc).

But to answer your question, in general adding filler to the nose will make the nose appear larger. 

For you, I think you can achieve a good result with filler, but a great result with surgery.

Regardless, I recommend you see someone experienced in both surgical and non-surgical rhinoplasty (e.g., board-certified Facial Plastic Surgeon) so that you receive an expert and non-biased opinion.

Good luck, and hope this helps.

_________________________

Blake Raggio, MD

Absolutely!

Fillers can be great in restoring volume and a more youthful, rounded contour to the temples. Tear trough correction and cheek volumization can be done as well with fillers, producing a natural more attractive appearance to the face.

Botox in the crow's feet would be the icing on the cake!

My advice to you is to consult with someone experienced in both surgical and non-surgical facial rejuvenation techniques (e.g., a board-certified Facial Plastic Surgeon) so that you receive an expert and unbiased opinion.

Hope this helps!

Blake Raggio, MD | @dr.raggio

Tulane-trained Head and Neck Surgeon

Toronto-trained Facial Plastic Surgeon

SIMPLE ANSWER

1) Volume - how many injections does this person do weekly, monthly, yearly?

2) Anatomical knowledge - does this person do surgical procedures of the head and neck as well, giving them an in-depth understanding of the relevant anatomy?

3) Their Philosophy - does the surgeon's goals align with yours (e.g., more natural versus more frozen etc,); ask to see before and afters.

My advice to you is to consult with someone experienced in both surgical and non-surgical facial rejuvenation techniques (e.g., a board-certified Facial Plastic Surgeon) so that you receive an expert and unbiased opinion.

Hope this helps!

Blake Raggio, MD | @dr.raggio

Tulane-trained Head and Neck Surgeon

Toronto-trained Facial Plastic Surgeon

This could certainly be from fat atrophy.

This can be repaired, or camouflaged relatively easily with some filler (if it bothers you, that is).

My advice to you is to consult with someone experienced in both surgical and non-surgical facial rejuvenation techniques (e.g., a board-certified Facial Plastic Surgeon) so that you receive an expert and unbiased opinion.

Hope this helps!

Blake Raggio, MD | @dr.raggio

Tulane-trained Head and Neck Surgeon

Toronto-trained Facial Plastic Surgeon