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 23

Rhinoplasty needed for prominent hump

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

Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Non-surgical rhinoplasty for dorsal hump

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.

Rian A. Maercks, MD
Miami Physician
4.9 out of 5 stars 75 reviews

Non-surgical procedures for the nose

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.

Chester K. Cheng, MD
Bay Area Plastic Surgeon
4.0 out of 5 stars 26 reviews

Non-surgical rhinoplasty (nose job)

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.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 82 reviews

Surgical Rhinoplasty is Required

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.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 95 reviews

Non-Surgical Rhinoplasty

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.



Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 274 reviews


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
4.9 out of 5 stars 109 reviews

Surgical vs Non surgical Rhinoplasty

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.

Farbod Esmailian, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 78 reviews

You have options for nasal hump


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).

Shervin Naderi, MD, FACS
Washington DC Facial Plastic Surgeon
5.0 out of 5 stars 110 reviews

Rhinoplasty for dorsal hump reduction

Soft tissue fillers can be used in certain situations to correct deformities of the nose. One of the more common uses is to improve the profile by making a bump on the bridge less prominent. There are some deformities of the nose that cannot be corrected or improved by soft tissue fillers. 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. It this case, rhinoplasty for reduction of the area is more appropriate. It appears that your bump is too high and that addition of filler above may result in a profile that is too high and a nose that is too large. Instead, rhinoplasty surgery for dorsal hump (bump) reduction as well as improvement of tip rotation and the tip-lip relationship may be more appropriate to create the most attractive profile for you.

You should discuss all of your options with a board certified plastic surgeon to decide what option is best for you.

Jamil Ahmad, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 30 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.