How can I make my nose look less bulbous and prominent? Non surgical way (Photo)

Question

I like my side view. I just don’t like how bulbous my nose looks from the front, it looks like a triangle. I wish my nose weren’t so “prominent” either, most noses blend into people’s faces if that makes sense.. so what can I do? Would hyaluronic acid help? And also, what type of nose do I have? Is there a name for it?

Eric M. Joseph, MD · Answer

Unfortunately, adding filler to the tip of your nose may result in a wider nasal tip appearance. Generally, when somebody has a bulbous nasal tip appearance, we recommend rhinoplasty surgery. I hope this helps. Sincerely, Dr. Joseph

Richard Karoo, FRCS(Plast) · Answer

Thank you for your question and photos, my impression is that you wish to have some tip refinement. To inject filler in your case may be able to trick the eye for the short term but ultimately I think you would benefit from a surgical rhinoplasty. (Filler will also most likely further exaggerate your prominence).

Jason Emer, MD · Answer

your best result would be with a rhinoplasty surgically.  we do this frequently in our practice with our two surgeons.  however, I do a lot of HA fillers for subtle improvement.  Best, Dr. Emer.

Ronald J. Edelson, MD · Answer

I think the only worthwhile way to get the result you want is surgical. Non surgical options won’t work in your case.

Steven M. Denenberg, MD · Answer

The two cartilages that form the tip of your nose are strong and broad, and they make the tip look big. From the side, they also hold the tip down, and elevating the tip might be a good part of a real rhinoplasty operation.
The woman in the short video that I posted with this answer had the tip of her nose narrowed in her operation.
If you decide to consider a real rhinoplasty, 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, 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.

Daniel Barrett, MD · Answer

Dear cutiemoon,
dermal fillers can be a good option for improving the shape of the nose. Based on your photos, it looks like you would get good results. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Alexander Blinski, MD · Answer

While subtle filler may help decrease shadowing and indentations that are drawing attention to your nasal tip and nose, I do think that a surgical approach would be best for your scenario. Please consult with a few board certified plastic surgeons before proceeding.

Johnson C. Lee, MD · Answer

Thank you for your photos. It is definitely possible to improve the contours of your nose with an injectable filler. It is important to go to an experienced injector who can perform the procedure properly as their is a risk of tissue loss and injury with incorrect injections. I prefer a dissolvable HA filler such as VOLUMA which is safer and can be reversed if it is not to your liking. You may also want to consider a rhinoplasty in the long-term which can create more dramatic results and are permanent which may be more cost-effective in the long-run. Hope this helps!
Johnson C. Lee, MD 
Board-Certified Plastic Surgeon

William Portuese, MD · Answer

In our practice, we do not recommend fillers placed in the nose since their only temporary, will make a bigger, are not FDA approved for that application, and can have serious consequences such as skin necrosis. A surgical closed rhinoplasty can accomplish refinement of the nasal tip, adjusting the  Side profile, and the bridge line.  All the incisions are placed on the inside the nose.  The thick skin in the tip of the nose will prevent refinement in that area, so you most likely need to have  a few steroid shots placed in that area  the first few months after the surgical procedure. it's very important to have realistic expectations when there's thick skin in the tip of the nose, since this will be a significant limitation to refinement in that area

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and photos and you would benefit from a tip refining rhinoplasty.   So go on some complimentary consultations with experts who use digital photography to show you what can be accomplished with your nose and how it might be done and look at photos of similar patients and become fully informed about the desired procedure Dr Corbin

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