Surgery or non-surgical recommendations for my nose? (Photo)

Question

Thank you for taking the time to read this post. I’m interested in a nose reduction procedure but going under the knife is scary and every year there’s different alternatives that come out. Let me give you some information about my nose. I actually like my nose, i like it’s shape and the fact that it’s straight. It’s just long. I just want the tip pushed in just a little like how i drew that arrow. do i have any non surgical options? threads? Fillers?

Jason Emer, MD · Answer

Hello and thank you for your question. Unfortunately no, there are not any non-surgical options to address your concerns, and the best option to achieve your goals is surgery. It sounds like your biggest concern is your over-projected nose, as you mentioned. This is due to the underlying anatomy present- a combination of your nasal bones and cartilage which makes the structural framework of your nose-to address your issue, you would need to do surgery to de-project your nose. In the right hands, such a surgery can still maintain the other aspects of your nose (tip shape, straight dorsum, etc), but would still selectively be able to de-project your nose bringing the tip closer to the rest of your face and making your face appear more balanced. Addressing the shape of the nose (particularly the nasal tip) is actually one of the most common reasons people seek out and undergo a rhinoplasty procedure.

In addition to addressing your aesthetic concerns, your septal cartilage (or an off-the-shelf alternative) would be harvested (removed) and turned into multiple cartilage grafts, which would then be secured into different areas of your nose for structural support, including in the columella (middle bottom portion of your nose between your nostrils) to really reinforce the tip and prevent long term alterations/distortions to nose shape.

The open approach is very effective in facilitating complex, precise maneuvers to refine the nasal shape and size to a particular aesthetic and look. Rhinoplasty is arguably the most difficult procedure to perform in all of plastic surgery. I would only recommend going to see a surgeon who feels very comfortable with both primary and revision rhinoplasty procedures, and who has significant training and experience in these types of surgeries. This is a surgery of millimeters, so if the surgeon you're going to only does 1-2 per month, you are not going to get the best result possible.

Of course it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from the photos and description provided.

Dr. Donald Groves, our expert facial plastic surgeon, has extensive training and experience with complex rhinoplasty surgeries, so I’d recommend for you to come see him (or another plastic surgeon who is extremely comfortable with rhinoplasties) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Emer

Eric M. Joseph, MD · Answer

Based on your single profile photo, you appear to have an overprojected nasal tip. That means it appears to stick out too far. This is associated with a droopiness of your tip as well and a retracted columella. Best way to de-project and rotate a nasal tip is with rhinoplasty surgery. If you like your nose, don't get surgery. In my opinion, fillers may not be helpful for you. Thank you for your question. Sincerely, Dr Joseph

Oakley Smith, MD, FRCSC · Answer

Hello,
Your best option is to go for surgical rhinoplasty, where the nose can be de-projected and made smaller. Liquid rhinoplasty with filler can improve the shape of the nose and give immediate results, however it is unlikely that it can make your nose look smaller as the filler will add more volume to your nose.

Robert Ciardullo, MD · Answer

Options to reduce nasal tip projection: The measurement which you are referring to is called projection. You are seeking to reduce the projection of the nasal tip. There is no non-surgical way to reduce nasal tip projection. Fillers add, not subtract. Threads would not do that either. The only way to reduce nasal tip projection is with a nasal tip plasty

Barry Kusman, MD, FACS (retired) · Answer

If you are happy with your nose, I would not suggest anything be done to try flattening the tip of your nose. Enjoy what you have and be happy!

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