I have very high alar rims. Am I a Candidate for Non-surgical Rhinoplasty? (photo)

Dear Roadrunner,


There may be a safer way to inject filler without using a sharp needle that can get into a blood vessel

It may lower the rims 1mm or so which may be enough to make you happy

In the end, a surgical rhinoplasty is probably your best bet, you can lift the tip at the same time and prevent it from drooping as you get older


Best regards,

Nima Shemirani

Thank you for your question.

Firstly, I think you r nose does look very refined and you might not consider changing it.

I agree with my colleagues that nasal cartilage is not very forgiving to be played with. This is true for both surgery and non-surgical procedures.

If you are adamant that you would like to do something about it then I would suggest Botox into nasal alae and a small dose into Levator Labii aquenasii (it is responsible for lifting alae and flaring them). This combined with Silhouette threads to lift the tip of your nose a little will soften the alar arches

 Injections was placed into this part of the nose can only lead to complications such as necrosis. The best way to bring down alar rim notching is with composite skin grafts. This area the nose is best treated with surgical rhinoplasty.