Can fillers give me the appearance of a slimmer nose bridge, “ski sloped” nose, and/or a pointier tip?

Question

Hi, I’m interested in getting dermal filler (“liquid rhinoplasty). I want a slimmer bridge and a sloped look from the side. A pointier tip would be nice as well. Can this be achieved through filler, or is a traditional rhinoplasty the best option? Thank you.

Donald Groves, MD · Answer

Hello and thank you for your question! It sounds like your primary concern is the shape of your nasal bridge and tip—one of the most common reasons people seek out both primary and revision rhinoplasty. These issues can only be properly addressed through rhinoplasty—fillers will simply add more volume to your bridge (making it wider, not thinner), and they lack the structural strength to precisely refine the shape of the tip.

Many surgeons overlook key techniques that otherwise can soften the appearance of underlying structures in patients with thin skin, significantly improving tip symmetry and refinement. These specialized maneuvers require a high level of expertise and experience, which most surgeons simply do not have. Given your history, an open septorhinoplasty would be the best approach to precisely reshape your nasal tip, refine the bridge, and restore overall balance.

In addition to reshaping your nose aesthetically, your septal cartilage (or an alternative graft material) would be used to create structural grafts, reinforcing key areas like the columella (the strip of tissue between your nostrils). This is crucial to maintaining long-term symmetry and preventing future distortions.

Rhinoplasty is one of the most technically demanding procedures in all of plastic surgery—millimeters make all the difference. If a surgeon is only performing one or two rhinoplasties per month, they simply do not have the level of experience necessary to achieve the best possible result. Your nose defines your entire face—this is NOT a surgery to leave in the hands of just anyone.

I have had extensive training in complex rhinoplasty, working under one of the highest-volume rhinoplasty surgeons in the world (who performs 1,000+ nose surgeries per year). If you’re serious about getting the best possible result, I’d be happy to see you for a consultation (Virtual or In-Person) where we can discuss your goals, perform a detailed examination, and create a customized plan for your ideal nose.

I look forward to helping you achieve the refined, balanced nose you deserve!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Simona V. Pautler, MD · Answer

Without seeing a picture of your nose, I can't give you precise recommendations. But, in general, fillers work well to elevate and add dimension to the nasal tip. Augmenting the bridge and the area high up on the nose almost at eye level (radix) can make the nose look "more sloped" from the side. Noses that have a tight skin envelope at the tip are a but more challenging, and usually need to have the filler added in stages.

Eric M. Joseph, MD · Answer

In general, injectable fillers may be considered for raising somebody's nasal bridge, especially if they feel that it is too low and sloped. In that regard, only rhinoplasty surgical techniques may be considered for achieving a nasal slope. Thank you for your question. Sincerely, Dr. Joseph

Steven M. Denenberg, MD · Answer

When you think about how filler works, you can figure this stuff out for yourself! So, a sloped profile: with filler, you inject something under the skin. Something gets bigger, wider, taller, because there is *more* of the nose under the skin--the original nose plus the bulk of the filler. To get a sloped profile, you must *remove* some of the bump. Adding to the bump won't do it. For the pointy tip, if you *add* bulk to the tip, it will get rounder, wider, not pointier. And I'll let you work out whether the bridge would get slimmer by adding material to it. See? Most of the time, a real rhinoplasty is the solution.

Can fillers give me the appearance of a slimmer nose bridge, “ski sloped” nose, and/or a pointier tip?

Answers (4)

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