Non-invasive Options for Bulbous Nose 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.

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.

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.  However, filler can be used in the nose to create the illusion of narrowness at the tip.  Depending on the skin, significant narrowing can occur but others may only get a mild change.  Visit an experienced rhinoplasty surgeon who uses a blunt microcannula to get a consultation. Good Luck!

Although the non-surgical rhinoplasty seems like it can be used in all situations to create changes to all types of issues regarding your nose, there are limitations to the effectiveness of the procedure. Certainly, the narrow dorsum you have complained can be addressed with the techniques used in non-surgical rhinoplasty.
Unfortunately, the width of your tip, as well as, the poor projection and ptosis (drooping in your smile) will be difficult to correct with anything short of a formal rhinoplasty. The rhinoplasty procedure can be performed conservatively so that only the changes you desire will take place and great changes to your face to not have to take place.

It would be diffcult to effect any significant change with non-surgical rhinoplasty. You could undergo a closed rhinoplasty approach with concealed incisions. and use of lower lateral cartilage contouring and cartilage grafting.

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

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.

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, MDPlastic & Rhinoplasty Surgeon

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.  Digital computer imaging would be helpful to understand what can be accomplished with your new nose upon your facial features. For many examples, please see the link below to our rhinoplasty photo gallery

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.