What procedure could correct the depression in my nasal tip? I am happy with all other aspects of my nose. (photo)

Question

The tip of my nose is hollow and slightly indented. Since this inst a full fledged nose job , would the cost to correct this be cheaper? How much would it be cost and what would the surgery entail? Would fillers correct this? If so which type of filler is appropriate? How long would it last? Theoretically if I were to get a filler for this, after the filler dissipates in a years time, it would leave my nose in the exact same condition that it was in before the filler?

Alexander Rivkin, MD · Answer

Hi and thanks for your question. I certainly think that you should not get rhinoplasty for this kind of subtle correction. First, surgery is not precise enough to address only what you want done and nothing else. Second, a filler like Voluma would correct the cleft in less than a minute, without bruising or operative risk, all at a fraction of the cost. Voluma lasts for 1.5 years or more. I am actually seeing more patients in my practice where the filler is still there 2 years after injection. There is also a permanent filler option with Bellafill. If you decide to go with Non Surgical Rhinoplasty, be sure to select an experienced injector and see their before and after pictures. There is no board certification in this technique. Hope that helps!

Eric M. Joseph, MD · Answer

The area of indentation is called the supra-alar crease. Sometimes they can be asymmetrical from one side to the other. Depending on your examination, microdroplet Silikon-1000 injections may lead to a smoother appearance of this indentation. I hope this helps. Sincerely, Dr Joseph

Jason Emer, MD · Answer

I recommend getting a formal evaluation with a cosmetic dermatologist to go over your desired results. Facial fillers like Voluma, Restylane, and Juvederm along with Botox can be used to improve the symmetry of the nose and lift the tip; however, it won't make the nose appear smaller. Surgery would be needed to improve the nostrils or overall shape. See an expert. Best, Dr. Emer

Suleyman Tas, MD, FEBOPRAS · Answer

Hello, thank you for question and provided information, more photos would help for better evaluation.Nonsurgical treatment can be solution to balance. However, they make nose bigger as volume added, and they provide temporary solutions. A Rhinoplasty procedure can improve your nose for better balanced and desired look. By Closed and Atraumatic Technique you will have maximal healing, with minimal edema&swelling and no scar on your coluella.Regards,

William Portuese, MD · Answer

A closed rhinoplasty approach can accomplish augmenting the flat spot in the tip of your nose the cartilage graft harvested from inside the nasal septum. In our practice, we do not recommend non-surgical rhinoplasty, especially in the nasal tip, due to complications and can occur from injecting fillers in that area of the nose

Shepherd G. Pryor, MD - Account Suspended · Answer

Revision rhinoplasty for a defect such as this may be aggressive overkill.  You can absolutely consider non surgical options such as Juvederm for a mid length improvement of approximately 1 - 2 years.  The nose holds filler material longer than other mobile areas such as the lips and nasolabial folds.  In my experience this has been a great option for those that have arrived seeking second opinions due to sub optimal rhinoplasty results.  You need to be very careful, and very judicious in the volume used and the injections demand a deeper plane to avoid risking necrosis to the tip of the nasal skin region.  This sometimes translates into a shorter benefit but a safer result and an instant fix to the problem at hand.  Hope that helps!!

What procedure could correct the depression in my nasal tip? I am happy with all other aspects of my nose. (photo)

Answers (6)

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