Is there any way to non surgically lift my nose tip?

Question

Is there any way to non surgically lift the tip of the nose, or would it require a rhinoplasty?

Eric M. Joseph, MD · Answer

Some physicians use neurotoxins like Botox to paralyze the "depressor septi" muscle at the base of the columella to achieve a temporary tip-lift. In our experience, this nonsurgical approach tends to be offered by physicians who do not perform rhinoplasty, and these treatments may lead to lackluster results - i.e. a waste of time and resources. Hope this helps! Dr Joseph

Daniel Barrett, MD · Answer

Dear hannahr123,it is hard to tell without an examination. I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Jason Emer, MD · Answer

I recommend getting a formal evaluation with a cosmetic dermatologist to go over your desired results. Facial fillers (voluma, restylane, juvederm) along with Botox can be used to improve the symmetry of the nose and lift the tip. Surgery would be needed to improve nostrils or overall shape. See an expert. Best, Dr. Emer

Luis A. Cenedese, MD, FACS · Answer

Minor defects of the bridge (dorsum), central nose and tip of the nose can be very precisely and quickly corrected with fillers.  Improved definition of the tip, and straightening of the dorsum may be achieved. This may also result in straighter, thinner appearing nose. Reduction of a prominent dorsum or tip requires surgery.  Major raising of the tip requires modification or grafting of the cartilage.
Various fillers are available Radiesse, Bellafill, autologous fat, Voluma and Lyft are options.  Depending on your expectations for longevity and budget (pricing between $500 and $1900) a product can be chosen to best fit your needs.
There are no fillers that have been tested in this area by the FDA and therefor are considered "off label use".
Please consult in person with an experienced Board Certified Plastic Surgeon prior to making treatment decisions.

Johnson C. Lee, MD · Answer

A non surgical rhinoplasty performed with filler will help blend the angles of your nose to make the lines appear more smooth as well as give you the appearance of a slightly elevated tip. This can be performed with a hyaluronic acid filler such as VOLUMA which can also be reversed with a hyaluronidase injection in case you do not like the look. A surgical rhinoplasty can achieve a more dramatic effect and is permanent although there is more downtime. For the best treatment options, it is important to visit an expert for an in-person examination. Hope this helps!Johnson C. Lee, MD Plastic Surgery@drjohnsonlee

Jeffrey Jumaily, MD · Answer

It usually requires a rhinoplasty to lift the nose tip. Sometimes with fillers we can place it in some key places to make it look like it is lifted (non surgical rhinoplasty). Schedule a consultation and we can see if you are a candidate for non surgical rhinoplasty. Best wishes

Suneel Chilukuri, MD · Answer

Thank you for your question.  Depending on the cause of your nasal tip droop (ptosis), there are several nonsurgical options.  If your depressor septi nasalis is overactive, 4 to 8 units of a neuromodulator (Botox, Dysport, or Xeomin) is a simple solution.  If you need structural support to your columella (the part of your nose that connects from the nasal tip to your upper cutaneous lip), a hyaluronic acid filler with good lifting properties (such as Voluma) may be a great option.  You may also be a candidate for nasal tip filler with a "lighter" hyaluronic acid filler to help nonsurgically reshape your nose.  Another option is to use a dissolving suture / thread to lift the nasal tip. All of these options have significant risk in the wrong hands.  Please make sure you see a board-certified cosmetic dermatologist or facial plastic surgeon who has good knowledge of the anatomy and significant experience with nasal fillers. Best of luck,Suneel Chilukuri, M.D.Houston, Texas

David A. Sieber, MD, FACS · Answer

Thanks for the great question! Fillers can be used to cause a subtle elevation of the nasal tip. They can also be used to give the appearance of a straighter nose and for reducing the appearance of humps. I recommend seeing a physician in your area who has experience injecting noses as they will be able to tell you if they are able to achieve your goals using filler or if you require surgery instead. Best of luck!~Dr. Sieber

Arian Mowlavi, MD, FACS (license on probation) · Answer

I do not know of any method to nonsurgically lift the tip. Although fillers can be used to improve nasal dorsum contour, the tip is very stubborn and is difficulty to lift without surgery. Adding filler to the tip tends to make it look too full and amorphous (loss of refined shape).

Is there any way to non surgically lift my nose tip?

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