Will a non-surgical nose job realistically address asymmetry? Nasal bridge bump only on one side (Photo)

Question

Ironically, I'm pretty satisfied with my profile. However, the bump causes a very noticeable curve straight-on, especially in photos. I'm very uncomfortable with this asymmetry. When I underwent a septoplasty several years ago (performed by an ENT), I was told the bump was not impeding my breathing. Can fillers ameliorate the curve without making my already bulbous nose look too bulky? Thanks in advance for any advice you can give.

Randal Haworth, MD, FACS · Answer

It is possible that fillers can be used to correct the asymmetry caused by the bump on your nose. A skilled injector can use fillers to smooth out the contour of the nose, reducing the appearance of the bump and creating a more balanced and symmetrical look.

However, it is important to note that fillers are a temporary solution and may need to be repeated every few months to maintain the desired results. Additionally, it is important to choose an experienced and qualified injector to ensure the best possible outcome.

It is also worth noting that fillers may not be suitable for everyone. If the bump on your nose is caused by a deviated septum or other structural issue, fillers may not be able to fully correct the asymmetry. In such cases, a rhinoplasty (nose surgery) may be a more appropriate solution.

Ultimately, the best course of action will depend on your individual situation and goals. It may be helpful to schedule a consultation with a qualified injector or plastic surgeon to discuss your options and determine the best approach for you.

I hope this helps,
best of luck !

Andrew Miller, MD · Answer

There is really nothing to lose by trying fillers. There is a good chance that properly placed fillers can make a nice difference. If not, then it will simply go away. If it is good, then Silicone can be placed to create a permanent result. Be sure to go to an experienced injector for this.

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Ryan Rebowe, MD · Answer

Curves in the dorsum of the nose can be due to a combination of things. Whether or not it is correctable with filler will depend on whether the deformity is due to a bony, cartilaginous, or soft tissue irregularity. Similarly, if the irregularity is caused by a curve in the septum, a repeat septoplasty may be necessary. Based on the provided photos, you should be able to achieve the desired results from filler.

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have an indentation along the left side wall of your nose. Depending on your examination, microdroplet Silikon-1000 maybe considered for adding volume to your left side wall for a straighter initial appearance. Hope this helps! Dr. Joseph.

William Portuese, MD · Answer

A non-surgical rhinoplasty only make your nose bigger, not smaller and more symmetrical. Consider a closed rhinoplasty to accomplish shaving Down the dorsal hump, and straightening and narrowing your nose with all the incisions placed on the inside of the nose itself.

Will a non-surgical nose job realistically address asymmetry? Nasal bridge bump only on one side (Photo)

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