How could I nonsurgically make my nose look less prominent? (photos)

Question

I’ve had a few consultations for NSNJ and I get different suggestions from different doctors. I am wondering objectively how you might balance my face to make my nose appear smaller? Chin filler? A tiny bit at the top of the nose? Please let me know your thoughts. Thank you!

Randal Haworth, MD, FACS · Answer

Based on the photos you provided, there are a few nonsurgical options that can help balance your face and make your nose appear less prominent:

Dermal fillers: Adding dermal fillers to your chin can improve the balance between your chin and nose, making your nose appear smaller. This is a common nonsurgical technique used to achieve a more harmonious facial proportion. Fillers can also be used on the bridge of the nose to create the illusion of a straighter, smoother nose.
Botox: If you have wrinkles or fine lines around your nose that contribute to the appearance of a prominent nose, Botox injections can help smooth them out, giving your nose a less noticeable appearance.
Thread lifts: A thread lift is a minimally invasive procedure that uses dissolvable sutures to lift and tighten sagging skin around the nose and cheeks. This can help improve the overall facial contour and balance, making your nose appear less prominent.
It's important to consult with a qualified and experienced facial plastic surgeon to determine which nonsurgical option is best suited for your specific concerns and facial anatomy. They can assess your facial structure and recommend a customized treatment plan to help you achieve your desired results.

Best of luck !

Donald Groves, MD · Answer

Hello and thank you for your question!

Unfortunately even though non-surgical nosejobs are popular, they are ALMOST ALWAYS done on patients who are poor candidates for it, and who would have much better results with a proper surgical rhinoplasty. For your nose, with the prominent nasal bridge, high glabella (portion between your eyes), overall large size, and over-projected and under-rotated tip, you would actually be a perfect candidate for surgery. Filler to your nose would only make it appear larger and would not be balanced with the rest of your face. You do not have a weak chin so I would not recommend filler to your chin.

Many surgeons overlook key techniques that can otherwise soften the appearance of underlying structures, significantly improving tip symmetry and refinement, and resulting in beautiful and natural appearing results. These specialized maneuvers require a high level of expertise and experience, which most surgeons simply do not have. Given your history, an open septorhinoplasty would be the best approach to precisely reshape your nasal tip, refine the bridge, adjust the size, and restore overall balance.

In addition to reshaping your nose aesthetically, your septal cartilage (or an alternative graft material) would be used to create structural grafts, reinforcing key areas like the columella (the strip of tissue between your nostrils). This is crucial to maintaining long-term symmetry and preventing future distortions.

Rhinoplasty is one of the most technically demanding procedures in all of plastic surgery—millimeters make all the difference. If a surgeon is only performing one or two rhinoplasties per month, they simply do not have the level of experience necessary to achieve the best possible result. Your nose defines your entire face—this is NOT a surgery to leave in the hands of just anyone.

I have had extensive training in complex rhinoplasty, working under one of the highest-volume rhinoplasty surgeons in the world (who performs 1,000+ nose surgeries per year). If you’re serious about getting the best possible result, I’d be happy to see you for a consultation (Virtual or In-Person) where we can discuss your goals, perform a detailed examination, and create a customized plan for your ideal nose.

I look forward to helping you achieve the refined, balanced nose you deserve!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have an overprojected nasal profile appearance and a droopy nasal tip. The only way to achieve a smaller nasal appearance would be with rhinoplasty surgery for tip rotation and bridge lowering, for a less distracting and more feminine nasal appearance. Hope this helps! Dr Joseph

Nelson Lee Novick, MD · Answer

From the profile views provided there appears to be a disharmony between the projection of the nose and those of the lips and chin. If this is indeed the case then HA filler chin augmentation with a robust volumizing filler and lip augmentation with a more malleable HA filler would likely go a long way to harmonizing the projections of the chin, lips and nose, thereby making the nasal projection in profile appear less prominent. A small amount of a low viscosity, cohesive HA filler along with a couple of microdroplets of Botox placed appropriately at the base of the nose can also give a slight lift to the nasal tip, which would also diminish somewhat its forward projection. You would be wise to consult with an experienced, board certified cosmetic dermatologist and best of luck.

William Portuese, MD · Answer

From the limited photographs, you have a mildly overly projecting nose, and an under projecting chin from the side profile. Consider temporary fillers placed in the chin which can be quite expensive in the long run, or a small chin implant for a permanent result. Placement of Chin implant can be performed under local anesthesia as an outpatient procedure. We do not recommend placement of fillers in the nose due to vascular occlusion and skin necrosis in that area.

How could I nonsurgically make my nose look less prominent? (photos)

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