Non-surgical process with filler or botox to make this nose slimmer and reduce the downward triangle look? (Photo)

It’s absolutely understandable to want a more balanced, refined nose shape, especially when smiling, as facial movement can highlight width or downward projection at the tip. Based on your description and photos, a non-surgical approach may indeed help achieve subtle improvement.

Dermal fillers can be used to create the illusion of a slimmer, more contoured nose by strategically adding volume along the nasal bridge and refining the tip. This helps draw focus to the center line and reduces the appearance of width. However, fillers don’t physically make the nose narrower—they enhance contour and symmetry through light and shadow.

In some cases, a small amount of Botox can be injected at the base of the nose or around the depressor septi nasi muscle to relax the downward pull that happens when you smile, softening that “triangle” look.

That said, the results from these procedures are temporary, and ideal candidates typically have good skin structure and only mild asymmetries or tip drooping. More significant structural changes may require surgical intervention for lasting results.

Always ensure your treatment is performed by an experienced injector familiar with nasal anatomy, as this area carries higher vascular risk.

Based on your photos, you appear to have a wide appearance of the lower 1/3 of your nose on front view. This is associated with a dorsal hump and a droopy tip on profile. My concern about adding filler is that it may lead to a larger initial appearance, and I do not believe it would lead to significant nasal tip rotation. If you would consider rhinoplasty surgery, that may be the best way to achieve a narrow nasal appearance with tip lifting and hump reduction for a less distracting and more feminine nasal appearance. I hope this helps. Sincerely, Dr. Joseph

Your concerns regarding the shape and orientation of your tip will be best addressed with surgical rhinoplasty. Botox or Dysport to your depressor septi muscle may improve the ptosis (droopiness) of your tip slightly, but will not altogether eliminate the "triangle" appearance. Hyaluronic acid filler could be used to camouflage the hump on the bridge of your nose.

In fact, fillers can only add volume. Your tip is too low and your nasal bones are too wide. You will be very unhappy with filler. And please, do not get anything other than hyaluronic gel filler placed in your nose if you do decide to do it; do not have threads, Radiesse, or Bellafill injected as it will be a disaster. You are a great candidate for a rhinoplasty.

At least from the photos provided, a nonsurgical nose job using an appropriate HA filler can accomplish the following; elevate the nasal tip, straighten the dorsum of the nose. Each of these will likely contribute to a more narrow-appearing nose. The addition of a couple of microdroplets of Botox at the base of the columella will likely diminish the unwanted effect noted with smiling. Treatment should take no more than about fifteen minutes with the effects of the filler immediate and those from the Botox taking a few days for full effect. These are sophisticated injection techniques that should be left to the experienced hands of a board certified cosmetic dermatologist injector expert. Hope this helps and best of luck.