Would it be possible to widen and straighten my nose bridge and enhance my tip using filler? (photo)

Question

I have a bump on my nose that makes my nose look crooked from the front, especially when I smile! My whole nose shape is out of balance with a bulbous tip and narrow nose bridge. I was wondering if fillers could help build up the side of nose while also hiding the hump.

Randal Haworth, MD, FACS · Answer

Good Afternoon,

Your nose has a small irregularity that can be improved with fillers. For a life long result, a rhinoplasty would offer better results and will not be temporary like a filler would be. Please consult with a board certified plastic surgeon. Best Regards, Dr. Haworth

Eric M. Joseph, MD · Answer

You also appear to have a wide droopy tip and a hanging columella on profile. If you are looking to repair your hanging columella, lift your tip, and straighten your nose, you may be a better candidate for rhinoplasty surgery. Thank you for this question, and I hope it helps! Sincerely, Dr Joseph

Jason Emer, MD · Answer

Facial fillers (Voluma, Restylane, Juvederm) can be used to lift the nasal tip along with Botox and improve the symmetry of the nose, while disguising the bump. However, nasal tips need contouring with surgery to get the most improvement. See an expert for a formal evaluation. Best, Dr. Emer

Ronald Schuster, MD · Answer

yes, fillers could be used to do the things you are looking for. Be extremely careful of who you allow to do this. In my opinion it should be by a surgeon, preferably a rhinoplasty surgeon, who is familiar with the vascular anatomy. There can be some disastrous results if not done properly. Good luck.

David C. Mabrie, MD · Answer

Hi Pinkblossum,

Thank you for sending in your questions about augmenting your nose with dermal filler.  I can see from you photographs your areas of concern. By adding dermal filler to your nasal dorsum and bridge, we can achieve a more proportionally balanced nose. Tip refinement is also possible with non-surgical rhinoplasty. I would like to give you a little more tip projection and create a smooth contour from the tip to the dorsum. Carefully adding filler to these areas will straighten the appearance of the nasal hump as well.

I prefer to use Restylane for the nose. It is a  hyaluronic acid dermal filler and is a smooth, clear gel that has a consistency of jelly and goes in very evenly. It is reversible and lasts up to 1 year.I’ve created a video about non-surgical rhinoplasty to answer some of the basic questions about the treatment. I think you would be a good candidate for non-surgical rhinoplasty with a skilled and experienced surgeon.

Best of luck.

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!

William Portuese, MD · Answer

The amount of filler that would be required would be cost prohibitive and temporary. With so many changes to the nose, it's best to undergo a surgical plastic. Placement of filler in the nose is not FDA approved, and can have significant complications such as  Skin necrosis.   A closed  rhinoplasty approach can accomplish straightening the bridge line, widening the entire nasal bridge line and upper lateral cartilages with spreaders grafts, all placed  through incisions placed on the inside of the nose. For more information and many examples of widening a narrow nose with surgical rhinoplasty, please see the link and the video below.

Jeffrey Jumaily, MD · Answer

Non surgical rhinoplasty with fillers can improve some of the aspects that concern you. It may not do as good a job on the tip compared to the bridge but you may like the results. See a rhinoplasty surgeon for a full exam. Good luck

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