Non-invasive Options for Bulbous Nose Tip?

I have a narrow bridge, average nostril size with a large bulbous tip. It's the biggest feature on my face and I would like to get it taken care of without going through open surgery. I'm truly interested in the non-invasive procedure but I'm kind of skeptical. Any suggestions?

Doctor Answers 12

There are NO effective NON-surgical treatments for Bulbous nasal tips

To reduce a bulbous nose tip its components, the paired lower lateral cartilages need to be narrowed and stitched closer together as well as occasionally cartilage grafts need to be added to accentuate this work in people with thicker nasal tip skin.

There is NO effective and safe non-surgical treatment that can duplicate these surgical techniques despite a lot of false claims to the contrary.

To educate yourself see several nose surgeons and ask for their opinion on how to best obtain the nose you want. You will rapidly learn what your options are without having to follow through on them.

Dr. P. Aldea

Memphis Plastic Surgeon
4.9 out of 5 stars 108 reviews

Not possible

Hello and thank you for your question.  I do not think that any non-invasive means will give you the results that you desire.  In addition, I don't think a closed approach can reliably give the results that you desire either.  African American patients have weak, flat cartilages and thick skin making up the tip and the cartilages need to be reshaped and oftentimes grafts must be added.  This is done most accurately using the open approach in my hands.  Please don't be fooled, non-surgical options like filler will not give you more definition.  In your case, the nose must be made smaller.  Non-surgical options such as filler will actually add volume.  Good luck.

Aaron Kosins, MD
Plastic & Rhinoplasty Surgeon

Aaron Kosins, MD
Newport Beach Plastic Surgeon
5.0 out of 5 stars 16 reviews

Non-invasive options for the nasal tip

There are limited options for affecting the nasal tip via a nonsurgical approach.  For the most part, noninvasive options are best served for the upper portion of the nose, but there are some options available.  Botulinum toxin can be placed along the base of the nose in cases where the nose is pulled down with smiling to help mitigate the nasal tip from plunging.  In some cases, filler is placed along the base of the nose (subnasale) to help give slight support to the nose.  Most patients who are seeking changes to the nasal tip will do better with a surgical approach termed a rhinoplasty.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
4.8 out of 5 stars 163 reviews

Non-invasive Options for Bulbous Nose Tip?

Thank you for your question.

If you are unhappy with the look of your nose, you think that you would be much happier after a rhinoplasty operation; if you had an accident and the shape of your nose got worsened after this accident; then you can be a good candidate for rhinoplasty operation. It is a well-known fact that individuals with feeling themselves beautiful have higher self-esteem. Therefore; if the look or functionality of your nose bothers you, you can get benefit from a rhinoplasty operation.


Preparation :

Rhinoplasty operation is performed under general anesthesia and it takes to perform the procedure nearly 1 hour. You will be advised not to eat 6 hours before the surgery and that is all! You will get a physical examination by your surgeon and anesthetist. After the examination; we will prepare you for the surgery. You will receive a sedation in order to reduce the preoperative anxiety and fell yourself more comfortable.


Bulent Cihantimur, MD
Turkey Plastic Surgeon
4.9 out of 5 stars 90 reviews

Surgical cure

Unfortunately no, there isn't a true non invasive procedure that will give you the results you want.  A tip rhinoplasty and alar base reduction can be done relatively easily by a skilled plastic surgeon, but it will still require downtime and recovery on your part.  Wait until you are ready for surgery, and spend time researching doctors and find someone you feel comfortable with.Best of luck,Dr Rodman

Regina Rodman, MD
Houston Facial Plastic Surgeon
5.0 out of 5 stars 11 reviews

Non invasive options for Bulbous Nose

Unfortunately there are limited options for a nonsurgical solution. A small amount of botulinum toxin to the base of the nose may help it drift up a little.
A closed rhinoplasty procedure is a great procedure to help make you nose smaller. The procedure takes just over an hour to perform, and is long lasting.

Brian Maloney, MD, FACS
Atlanta Facial Plastic Surgeon
4.7 out of 5 stars 30 reviews

Non-surgical rhinoplasty to reduce bulbose tip

Dear Har9105,
Non-surgical rhnioplasty sounds ideal for many patients who want to change their nose without the surgery. However, non-surgical rhinoplasty is only for limited type of patients using fillers such as Juvederm or Restylane. In your case, since you want the tip to be smaller it would not work very well. You would need surgery to actually decrease the size of your nasal tip.

Kyle S. Choe, MD
Virginia Beach Facial Plastic Surgeon
4.7 out of 5 stars 37 reviews

Closed rhinoplasty techniques for the bulbous tip

Open rhinoplasty is not necessary in this nose. Closed rhinoplasty techniques are used to narrow the tip cartilages with sutures to the lower lateral cartilages of the tip. Occasionally a conservative cartilage removal is also necessary. Also important to make sure the bridge matches the new tip, so osteotomies may be required. It is important to make sure the nasal components balance with themselves and your facial features. For many examples, please see the link below to our rhinoplasty photo gallery

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Nonsurgical rhinoplasty for bulbous tip

Generally, nonsurgical rhinoplasty doesn't help a bulbous tip.  It is more commonly used to raise a bridge or correct mild irregularities or raise the tip.  Unfortunately, seeking out an experienced rhinoplasty surgeon to perform a tip-plasty is your best option and will make you the happiest in the end.  Good Luck!

Mike Majmundar, MD
Atlanta Facial Plastic Surgeon
4.6 out of 5 stars 49 reviews

Bulbous tip treatment not possible without surgery

You have an interesting question. These days many people want non-invasive or non-surgical treatments for just about everything. There is no way to refine and shape your type of nasal tip without altering the shape of the lower tip cartiages. I have written extensively on ethnic issues in rhinoplasty and your nasal shape is a perfect inddication for an ethnic rhinoplasty that won't take away from your natural features but can subtly enhance and refine your tip and narrow your nostril base.

Do not be tempted to go the non-surgical (temporary) route for this issue. The indications for non-surgical nasal alterations are minimal and are usually best reserved for raising a flat bridge or filling contour deformities post-rhinoplasty.

Make sure you choose to consult with a Board Certified Plastic Surgeon who sepcializes in ethnic noses.

Ashkan Ghavami, MD
Beverly Hills Plastic Surgeon
4.1 out of 5 stars 105 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.