Is It Possible to Lift my Nose Tip Without Surgery?

There is no question that  nonsurgical nose jobs not only can work well for curved and bent noses, but also for downturned (or drooping) nasal tips.I have been performing these procedures for well over a decade, and have found nonsurgical nose jobs quite effective for lifting droopy nasal tips (as well as straightening humps, bumps, and depressions along the bridge and top of the nose), all of which often contributes to a slimmer, more tapered nose.

It is not entirely clear from your description, however, what approach is best for you. An in-the-flesh consultation is certainly advisable.  At that time, if deemed necessary, to confirm whether a nonsurgical approach might be beneficial in this case, a small amount of salt solution or dilute anesthetic solution can be injected as a test into the appropriate areas of the nose to get a better idea of the potential degree of correction.

Not uncommonly, simply injecting the appropriate volume to the bridge area of the nose to straighten it is also enough to give a secondary aesthetically satisfactory lift to the tip of the nose.

In cases where sufficient secondary lift is not achieved by simply volumizing and straightening the bridge area, additional volumizing material can be added to the area of the base of the nose, with or without the addition of a neuromodulator, such as Dysport and Botox.. The latter work, not by a volume effect, but by weakening the small muscles in the area that exert a downward pull on the nasal tip: the result, an elevated nasal tip. When necessary, a small volume can be instilled to the lower spine of the nose to further straighten it. Tiny droplets can also be injected along the base of each nares to help to correct an overly exposed columella. 

Consultation with a board certified aesthetic physician with extensive experience with nonsurgical nose jobs is strongly suggested.

Hello Seeking_info,

From your description it sounds like you develop the appearance of a hanging columella when you activate certain muscles when smiling.  This can be for several reasons.  Firstly, if your surgeon over-resected the lower lateral cartilage to reduce a bulbous tip, you can develop alar retraction and look like you have a hanging columella.  My preferred method for fixing this problem is to derotate the tip by adding extended spreader grafts to push the lower lateral cartilages down to hide an overexposed columella.  This however requires surgery.  If your nasal tip depressor muscles are overactive, your tip will dip when smiling, causing a look that could resemble a hanging columella.  Botox injections to the nasal tip depressor muscles could rotate your tip and columella up a bit hiding the columella a bit.  If you happen to have a true hanging columella, then I agree that a columellaplasty procedure can be performed to raise the columella.  You could also add botox to the muscles responsible for splaying the nostrils with smiling, potentially reducing the skin stretch phenomena you are describing.  However, you may find that when you really need air to move into your nose under aggressive exercise, you may miss the ability to splay your nostrils outward.

I would say that posting pictures of your concerns from a profile and frontal view would help the surgeons on this site to guide you more effectively.

Good luck,

Dr. Shah

A columellar-plasty can address a columellar show by trimming the caudal septum and skin inside the columella. This surgery can be done under local or general anesthesia.  A closed rhinoplasty approach  can accomplish making these changes with all incisions placed on the inside of the nose.  A Hanging columella  gives the appearance of a" bottom heavy" nose.  Please see the link and the video below for examples of the hanging columella  reduced with closed rhinoplasty.