Non Surgical Nose Job to Make Narrow Nose?

Question

I would like to know if I am a candidate for the Non surgical nose job. I have a pretty wide nose and I wanted to know if the non-surgical rhinoplasty could create the optical illusion that it is a little bit more narrow? Thank you.

David C. Pearson, MD · Answer

Since non-surgical rhinoplasty involves adding fillers to the nose, the only way to create the illusion of a narrower nose is to build up a flat dorsum. If a patient is interested in that approach and is realistic about the results, I like to do two things first. I like to create a computer morph of the patient's nose so that they can get a sense of what we can and can't accomplish, and if they like that, I like to start with a very temporary hyalurinic acid filler such as Juvéderm. That way, if they didn't like it, we could always dissolve it away. Remember, though, that non-surgical rhinoplasty requires continual re-injections as the fillers fade away.

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

Based on your photos, you appear to have a broad and wide, ethnic nasal appearance. In general conditions like yours may require rhinoplasty surgery for achieving a narrower and less distracting nasal appearance. Adding fillers to your nose could cause a further widening of your nasal appearance. Hope this helps. Dr. Joseph

Matthew Richardson, MD · Answer

In many cases, especially in patients with poor nasal definition, adding to the nose in certain areas with fillers can actually give the appearance of a narrower nose. While the nose does not actually become narrower, it can certainly be a nice cosmetic improvement.
Be sure to see an expert physician injector who is also a rhinoplasty expert.
All the best,

Raffy Karamanoukian, MD, FACS · Answer

Non surgical nose lifts typically reshape the nose but cannot do much to narrow the nose. Often, they can be used to add more nasal bridge projection, which can camouflage a broad tip. Best, Dr. Karamanoukian

Mike Majmundar, MD · Answer

Non surgical rhinoplasties usually use volumizers such as Perlane or Voluma or Radiesse to create changes in asymmetries, height, or width.  The illusion of narrowing can be created; however, the dorsum of the nose will have to be raised slightly with a smaller width giving the illusion of narrowing.  Seeing a surgeon that specializes in rhinoplasty or nonsurgical rhinoplasty can determine if doing this will look good on your nose, but more importantly, if it will fit your face.  Good Luck!

Jamil Ahmad, MD · Answer

Soft tissue fillers can be used in certain situations to correct deformities of the nose. One of the more common uses is to fill depressions of the nose especially after surgery. Another is augmentation of the dorsum (bridge). There are some deformities of the nose that cannot be corrected or improved by soft tissue fillers including a bulbous tip, wide nasal bones or a wide nasal base/alar flaring.Careful analysis and evaluation of the deformity requiring correction is key. If the problem is that an area is too small, then fillers can be used to add volume and improve the overall appearance. However, if an area is too large or prominent, then addition of fillers around the area to attempt to mask the prominent area will create a nose that is disproportionately large. In this case, rhinoplasty for reduction of the area is more appropriate. You would benefit from evaluation by a board certified plastic surgeon to discuss what option would be more appropriate for you.

Jennifer Reichel, MD · Answer

Non-surgical options for nose improvements involve the use of fillers, such as Radiesse (my favorite). Botox can also be used.

	The filler is injected under the skin of the nose just above the bone to improve nasal humps, or give the nose the appearance of being slimmer. It is amazing how it works by almost tricking the eye of the on-looker inot thinking the nose is smaller and more straight.

	For my patients, I have them come in about 40 minutes before the procedure to have topical numbing placed on the nose for increased comfort. The procedure itself takes about 30 minutes and involves injecting and then molding the filler. Radiesse is pliable.

	Most patients do report that it is uncomfortable, but they tollerate it fine.

	Once the procedure is over, the area may feel sore, but not painful. Most patients have about 2 days of swelling and redness and then that subsides. You may get a little bruising - so don't plan the procedure right before a fancy event.

	The filler usually lasts about 6-12 months, and can be re-done at any time. Cost is around $600 to $700 depending on the number of syringes.

	Botox can also be used to slightly alter the curves of the nose. Botox can inhibit the muscle that pulls the tip of the nose down, or can decrease the widening of the nostrils.

	You should have a consultation with an expert and discuss the surgical and non-surgical options.

Smita R. Ramanadham, MD, FACS · Answer

Based on your photographs, the best and most effective way to achieve a more narrow nose is through surgery.  Nonsurgical options only really consist of fillers.  In these cases, fillers are injected below the skin and, as you can imagine, add volume to your nose so can end up making it look bigger.  Sometimes, fillers can be injected along the dorsum making the nose less flat and broad and, perhaps, result in the illusion of a more narrow nose.  Ultimately, however, you are just making the nose bigger in another dimension.  While surgery can be a bit scary, rhinoplasty is a safe surgery in the right hands and most patients are happy they ultimately went for it.  I would recommend seeing a board certified plastic surgeon or ENT facial plastic surgery to further discuss your concerns and discuss viable options for you. Hope this helps.

William Portuese, MD · Answer

A  Closed surgical  rhinoplasty involves making the required changes to the nose with all the incisions placed on the inside of it.  A  Nonsurgical rhinoplasty involves placing fillers and injectables in the nose, which we do not recommend. Injecting  fillers into the nose only adds volume, bulk, and width.   A non-surgical nose job would be counterproductive. Rhinoplasty is a surgical procedure which can accomplish narrowing a wide nose. To narrow a wide tip, suture techniques to the lower lateral tip cartilages are employed. To narrow the nasal bones, medial and lateral osteotomies of the nasal bones are performed. An alar plasty is performed to narrow wide nostrils.   Virtual rhinoplasty software is available on the link below, along with our rhinoplasty photo gallery to give you an idea of what can and cannot be performed with the surgical procedure of closed rhinoplasty.