Non-surgical Nose Job or Rhinoplasty for Prominent Hump?

I actually had Radiesse injected last year but the filler is gone. I made an appointment to get it again but I need professional opinions. I think I broke my nose when I was 15. I didn't have this hump before then and I have cartilage sticking out more on the right side so the hump is more visible on the left profile. Am I a good candidate for a non-surgical nose job or do I need rhinoplasty? Is my nose too big for the filler? Or the bridge too high? Thanks.

Doctor Answers 24

Rhinoplasty needed for prominent hump

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You are looking for a consensus of opinions. We all agree -- you need a surgical rhinoplasty. Go see 3 boarded plastic surgeons to evaluate the operation and possible results.

Best of luck from Miami

Non-surgical rhinoplasty for dorsal hump

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The only way to correct this is with a surgical hump removal, nasal osteotomy, tip cartilage suturing and columellar strut grafting.  Shortcuts on a nose such as yours will certainly leave you unhappy!


All the best,


Rian A. Maercks M.D.

Non-surgical procedures for the nose

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Dear Cecy,

Non-surgical procedures for the nose have a very limited application. It can temporarily raise a low radix or temporarly augment the tip but most often the shape of the nose is corrected surgically. Several factors affect the shape of the nose. There is bone, cartilage and the soft tissues (the subcutaneous fat and skin). Your nose will best be addressed with rhinoplasty.

Non-surgical rhinoplasty (nose job)

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Surgical rhinoplasty will give you the longest lasting result and provide the best opportunity to correct your problem.

Having said that, non-surgical rhinoplasty (see video below) can provide some modest but temporary improvements in the nose for those wishing to avoid surgery.

Surgical Rhinoplasty is Required

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You are definitely a candidate for a surgical Rhinoplasty. The term "non-surgical Rhinoplasty" is a tremendous misnomer: it is not a Rhinoplasty, it is "filler in the nose".

From an aesthetic standpoint, dorsal hump reduction would greatly improve your profile and probably change the relative appearance of your tip. In this circumstance, adding filler to the nose would be a mistake.

Non-Surgical Rhinoplasty

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At this point you should consider a surgical rhinoplasty. You have a prominent dorsal hump as well as a down-turned tip or "ptotic tip."  You can get very nice, long-lasting results with a good rhinoplasty.




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In my opinion you stand to get the BEST results with a surgical Rhinoplasty. Continuing to put fillers in the nose in an effort to mask the hump is not only cost prohibitive but eventually would result in a complication.

Dr. P. Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon

Surgical vs Non surgical Rhinoplasty

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I would recommend surgical rhinoplasty. You need the hump taken down with some tip work.

Problems with fillers is that it is not permanent and you are creating scar in the area which may become an issue later on when you do decide to have a formal rhinoplasty. My feeling is that fillers are better served for patients who have had rhinoplasty done before in the past and now need some areas touched up.

Hope that helps.

You have options for nasal hump

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The photo does not show the precise details but adding filler above the hump to make the dorsal contour more straight is an option, however, in a beautiful young woman, actually removing the hump and making the nose "cuter" rather than larger with fillers, is a better option (if done properly).

Non-surgical Nose Job or Rhinoplasty for Prominent Hump?

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The best candidates for a non-surgical nose job are typically the following types of patients: 1) Those who want the bridge of their nose raised or who want a hump hidden to achieve a more feminine profile 2) Patients with a nose that deviates to one side or the other. Filler can help make it look more straight 3) Patients with features in the tip that appear too harsh or pointy and need softening. Fillers can help create a much smoother and balanced appearance. What non-surgical nose jobs can't do are help patients narrow their nose, make it project (stick out) less, or help with breathing. For these issues a surgical rhinoplasty is required.

It is very important to know that a non-surgical rhinoplasty is a VERY advanced and technically challenging procedure to do safely. Too much filler in any given area can cause issues with blood supply to the skin on the nose so it is essential that you have a physician who is comfortable in rhinoplasty perform the procedure. There must be an utmost respect for the anatomy and blood supply of the nose. In experienced hands it can be done safely and beautifully with results that enhance the appearance of the nose and really help patients feel more confident.

Depending on the filler used, the results typically last between 1 and 2 years. The procedure is performed after topical numbing creme is applied and should be performed in a meticulous fashion. This means that the procedure typically takes about 45 minutes.

I hope that helps!

Jeffrey Watson, MD
Rhinoplasty Specialist
Graduate, Harvard Medical School

Jeffrey Watson, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 18 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.