Are there non surgical nose slimming options that do not involve filler?

Sometimes, nasal tip whiteness is also due to thick nasal tip skin. In either of these scenarios, only rhinoplasty surgery is recommended to achieve permanent nasal tip narrowing. Thank you for your question. Sincerely, Dr. Joseph

First of all, it's good that you don't want filler, because filler would make your tip look *bigger*, not smaller! Filler can only add stuff, not take it away.
But the other methods won't work because the width of a big tip is controlled by the two tip cartilages, as in the patient photographed below, and it's not possible to change the size of the tip without changing those cartilages, and changing those cartilages requires a rhinoplasty.

How *much* to modify the tip, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. Making an aesthetic change to a large tip requires advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.