Can a nose tip be lifted with the illusion of shortening only?

Question

I had rhinoplasty 10 years ago and my results were really good until about the 4th year. I have very thick skin so my tip looks a little bigger than it should because of the skin. Steroid injections used to help make my nose look very defined. Could filler do this again? Give the illusion of a shorter columella and lifted tip? Thats all i need.

Anna Chacon, MD, FAAD · Answer

When considering non-surgical options to adjust the appearance of the nose, specifically the tip, dermal fillers may offer some possibilities. Here’s how fillers can potentially help:

Creating the Illusion of a Lifted Tip: Dermal fillers can be strategically placed to subtly lift the appearance of the nasal tip. By adding volume in specific areas, a skilled practitioner can enhance the nose's contours, creating the appearance of a lifted tip.

Illusion of Shortening: While fillers cannot physically shorten the nose, they can be used to create visual balance by enhancing surrounding areas, potentially making the nose appear more proportionate.

Thick Skin Consideration: With thick skin, achieving definition can be challenging. Fillers can sometimes help by adding support and structure beneath the skin, but they may not replicate the exact effect of steroid injections, which reduce skin thickness.

Temporary Solution: Unlike surgical interventions, fillers offer a temporary solution and will require maintenance treatments to sustain the effect.

It’s crucial to consult with a board-certified dermatologist or plastic surgeon who specializes in non-surgical rhinoplasty. They can assess your individual anatomy and previous surgical outcomes to determine if fillers are a suitable option for achieving your desired look.

Darryl J. Blinski, MD · Answer

Since you did not post any photos, it’s very difficult to determine what could be done to help your issues. Best to either repost the question with photos or seek in person or virtual consultation. Most likely you will need a rhinoplasty revision.

Can a nose tip be lifted with the illusion of shortening only?

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