Non Surgical Nose Job for a "Hook Nose"

Question

I have a "wicked witch" nose with a pretty pronounced hook at the end of it and I'm curious if a non surgical nose job would fix this...or at least make it look a bit better.  Is there anything that can be done without having surgery?

Jason Emer, MD · Answer

Thank you for your question. I recommend getting a formal evaluation with a cosmetic dermatologist to go over your desired results. Facial fillers like Voluma, Restylane, and Juvederm along with Botox can be used to improve the symmetry of the nose and lift the tip; however, it won't make the nose appear smaller. Surgery would be needed to improve the nostrils or overall shape. See an expert. Best, Dr. Emer

Eric M. Joseph, MD · Answer

If you have a large dorsal ump with your tip pointing downward, it it unlikely fillers would lead to a less distracting nasal appearance. Thank you. Dr Joseph

Mike Majmundar, MD · Answer

Nonsurgical rhinoplasty is not really meant to lift a droopy tip.  It can be used to create the illusion that it has been lifted but it is not the same result that one can get from a surgical rhinoplasty.

Raffy Karamanoukian, MD, FACS · Answer

Fillers can certainly refine your lateral profile and help even out your bridge and nasal hump. Non surgical nose jobs are an excellent way to improve facial contours. Best, Dr. Karamanoukian

Nelson Lee Novick, MD · Answer

A non-surgical nose job can be used to correct bumps on the bridge of the nose, surface irregularities along the top of the nose, and down-turned noses. The degree of improvement in each of these instances is related to severity of the underlying structural problem. Some defects may be so severe that aggressive, invasive surgery is the only answer, particularly when dealing with a prominently hooked nose.

	That having been said, I think that in many cases, it is reasonable to expect that nonsurgical approaches may provide at least some degree of improvement. Often, for  best effect, the combined use of Botox or Dysport and a volumizing agent are required.

	In general, my nonsurgical approach to a really pronounced hooked nose would be as follows. I would first address the bridge area to visually straighten it as much as possible with a volumizing agent, such as Radiesse. I would next inject a small amount of the volumizer at the base of the nose to "lift" it. In addition, Botox  or Dysport would also be instilled in the same area to weaken the downward pull of the muscles in the region, which would then allow the upward pulling muscles to draw the nose up a bit.  And finally, I would inject small amounts of volumizer in the area of above the nostrils, in an attempt to shape a straighter tip.   The entire procedure would take about fifteen minutes, and the results would be immediate, except for the Botox effect, which typically takes a week to obtain full effect.

C. Spencer Cochran, MD · Answer

For the nose to appear attractive, there should be balance between the amount tip projection and the legth/height of the bridge.  With a non-surgical nose job using fillers, it is sometimes possible to camouflage an undersireable characteristic by building up adjacent areas of the nose.
The deformity of nose will dictate if and how much of the injectable substance is required to achieve the desired result. While injectable fillers may be appropriate for treating localized deformities such as depressions or a low bridge, large volumes are required for an substantial change in nasal shape. Most of the products that have been on the market for the last several years are temporary. However, newer, longer-lasting fillers have become available. Some of these are permanent. This poses a problem when the result does not meet the patient's expectations.
Before patients undergo a "non-surgical nose job" they should seek the advice of a rhinoplasty specialist.

Otto Joseph Placik, MD · Answer

Non-surgical techniques may achieve minor corrections in the hooked nose.
1) In particular, use of Botox to the muscle that pulls down the tip of the nose, especially when smiling, may ease the downturning of the nose
2) Injection of fillers at the base of the nose and columella may lift the nose away from the face, helping to give it the appearance of being rotated in space.

Keith Denkler, MD · Answer

Botox may be able to reduce the muscles that pull down the tip of the nose and this could temporarily help you tip.  Fillers may also have a role, but an exam would be necessary.

David C. Mabrie, MD · Answer

Each case must be treated individually, however, severe cases can be treated with fillers.  If there are asymmetric concavities on one side of a nose or if there are any areas of indentation fillers can help with this.  Fillers can not make a nose smaller but they can make a large or irregularly shaped nose appear better.

	For an example of filler placed in the nose, please click the link below.

Robert Mounsey, MD · Answer

If the nasal deformities are very severe, a non surgical rhinoplasty may not be the best solution.  Consult an experienced rhinoplasty surgeon to review your case and present options.

Non Surgical Nose Job for a "Hook Nose"

Answers (12)

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