Would alarplasty and filler make my nose look better? I am not happy with the bridge and flared nostrils (Photo)

 We do not recommend fillers placed in the nose  due to complications that can occur. A closed rhinoplasty procedure can address narrowing the nostrils  and narrowing the bridge line. Thick skin will be an impediment to seeing a very refined result in the tip of the nose.

Dear Pinkbug99,

Thank you for your submission and clinical photographs. It does appear as though you have a somewhat
weak nasal dorsum and bridge. Surgical
augmentation using rib cartilage or bone, as well as allopathic materials such
as Medpor® or zylastic would be on option to build up the bridge. You are absolutely right; an injectable soft
tissue filler such as Juvéderm® Voluma™ would provide a nice bridge enhancement
for you and this would last upwards of 12 months or more. I have been performing injection
rhinoplasties, as well as open rhinoplasties, for almost 20 years. I do find that many patients want to explore
the non-surgical options, such as the five-minute nose job, prior to entertaining
surgical procedures and some never perform the surgical procedures and simply
maintain their bridge using injectable techniques. You do have flared nostrils and alar base
reduction under local anaesthesia would
be one relatively simple procedure to enhance this area of your nose,
which is quite wide in the soft, lobular bulbous tip region. Injection rhinoplasty would also soften the
top or open tip plasty could be performed at the time of alar base reduction, which
is a much simpler procedure than a full open external rhinoplasty.

As you can tell from my response, there are many options when
it comes to the nose. You should seek
the advice of an experienced, certified plastic surgeons and facial plastic
surgeons with extensive rhinoplasty experience.
I have been performing rhinoplasties for 20 years, having done plastic
surgery and ear/nose/throat, head/neck oncology and find that computer imaging,
using 3D systems, can help guide you in your decision analysis. For more information, please review the link below as well as the 5 minute nose job page.

I do hope this information has been of some assistance and
best of luck.

Sincerely,

R. Stephen Mulholland, M.D.

Certified Plastic SurgeonYorkville, Toronto