Will filler under columella lift the tip? (photo)

Question

I have a small nose but it's quite rounded and droopy. I explored rhinoplasty but decided it was not something I wanted to go through with. Would filler under the columella lift the tip? I know I can't get rid of the roundness non surgically but I'd be really happy with a lift at the tip.

Lucian Ion, FRCS · Answer

Injectable fillers can be used in the Columella base to try and lift the nasal tip and also on top of the needs of tip to create the impression that the tip defining points are slightly higher.Although injectable fillers how are perceived as a safer option because they represent a modest intervention, you have to be aware also of fillers when you make your decision.In terms of aesthetics, an advantage of filters is related to treatment reversibility.

Eric M. Joseph, MD · Answer

Injectable fillers placed where your nose meets your upper lip may not result in tip lifting, but it may open your nose-lip angle. If you are looking for nasal tip lifting, and repair of your hanging columella, rhinoplasty surgery may be considered. Thank you. Dr Joseph

Steven M. Denenberg, MD · Answer

I know you mentioned a rhinoplasty wasn't on your radar right now. But I'll give you some ideas in case it becomes more of a possibility, since filler can't help with what you have.
Your nose is long, with a drooping tip, like the woman in the short video that I posted with this answer. The tip needs to be elevated, but you know that already.
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 what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should always 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 only the surgeon has that information and judgment.)
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. The changes that your nose needs require advanced techniques, requiring 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. 
Your nose is also a perfect example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. I always email morphs to my online rhinoplasty consultations. When you see the surgeon's goals in the morphs, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are large enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. How would you ever get that figured out without the morphs?

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

Ronald J. Edelson, MD · Answer

You can certainly try filler and see if you like it.  It will be temporary but at least you would be able to tell if it’s worthwhile.  Lots of people love fillers.  Unfortunately it becomes pricey in the long run.

Oliver Harley, FRCSEd(Plast) · Answer

Hi, thanks for your question
The tip of the nose may be slightly elevated / projection improved by using filler in the collumella.  The results may be subtle and, of course filler is not permanent so, this may be an advantage and a disadvantage - if you don't like the result it is not permanent; if you do like it then it can be repeated and possibly more/less can be used on further cycles of treatment to give a stronger/weaker effect.
best wishes

Steven H. Dayan, MD - Account Suspended · Answer

You are a candidate for filler (non-surgical rhinoplasty) to enhance the appearance of your nose. Filler can be added along the areas of the rounded nasal hump to camouflage it and provide a smooth appearance. Additionally filler injected at the base of the nose near the columella can provide a lifting effect to a droopy tip (increase rotation of the tip). If you decide to move forward with non-surgical rhinoplasty, I strongly urge you to be diligent in choosing an experienced and board-certified medical provider. This area of the face is highly vascularized which means it’s important that the experienced injector you choose is an expert with working in the face: they must know the anatomy like the back of their hand.

Will filler under columella lift the tip? (photo)

Answers (7)

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