Can liquid rhinoplasty fix bony flare near rhinion or do I need surgery? (Photo)

Question

My profile is straight, but from the front/oblique I see a bony flare near the rhinion (not a hump — more horizontal). Can filler help smooth this nd improve my appearance, or would it make it look wider? Or do I need surgery to narrow the nasal bones?

Donald Groves, MD · Answer

Hello and thank you for your question and the picture. I'd strongly urge you to consider surgical rhinoplasty (over non-surgical) for multiple reasons- very few patients are actually good candidates for non-surgical rhinoplasty, and non-surgical rhinoplasty carries the risk of BLINDNESS!

That said, rhinoplasty truly a surgery of millimeters- and whether you're looking for a minor adjustment or a major transformation, it requires exceptional surgical skill to achieve natural-looking results! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading rhinoplasty experts (who performs 1,000+ nosejobs annually).

I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Eric M. Joseph, MD · Answer

Based on what I see in your singular photograph, you appear to have thin nasal skin, and I agree that your nasal bones appear a bit wide at the bony cartilaginous junction, also called the rhinion. It is conceivable that we could add volume to the side walls of your nose, above and below the wide area, for a straighter bridge appearance on front view. In our practice, we advocate the use of microdroplet Silikon-1000 injections for permanent results. I hope this helps! Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, i would not recommend filler injections. This will make your nose look larger. You are a great candidate for rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Steven M. Denenberg, MD · Answer

When a liquid rhinoplasty is done, filler is injected under the skin. When you put something *in*, the nose gets *bigger*.
Those little lateral bumps are usually an outward flare of bone and also a little cartilage. If your profile is good, and if your nasal bones are in a narrow-enough position, it could be that you only need to have those lateral bumps shaved off.

Gianfranco Frojo, MD · Answer

I usually do not recommend filler into the nose under any circumstances. Filler is not very natural and tends to lead to prolonged swelling in the nose. Additionally, if not done perfectly, the solution is a surgical rhinoplasty that can be much more challenging due to the scar/residual filler/inflammation. The best way to address the "bony flare" you are describing in the photo would be with direct bone scultping or bone cuts as part of a real surgical rhinoplasty.

Gene Sloan, MD · Answer

In my opinion you need surgery to narrow the nasal bones. Injecting filler anywhere on the upper nose other than the midline carries rare but significant risk, especially after a rhinoplasty.  Also I believe nasal fillers should only be performed by surgeons who are trained in rhinoplasty.

Darryl J. Blinski, MD · Answer

Based on the post photo, the nasal bones are spread and noticeable only surgical intervention with filing impossible fracture of the nose to realign is best alternative. Expect fees to arrange from $8000-$15,000. Best of virtual concert with.

Can liquid rhinoplasty fix bony flare near rhinion or do I need surgery? (Photo)

Answers (7)

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