Are there any non-surgical procedures to make my nose smaller, or is surgery my only option?
Non-surgical Nose Job Procedures to Reduce Nose Size?
Doctor Answers 62
Non surgical rhinoplasty isn't for big noses
Unfortunately injectable rhinoplasty by its very nature can't make your nose smaller. Very occasionally a 'liquid rhinoplasty' can create the illusion of a smaller nose, but this is rare. Injectable rhinoplasty is for creating straighter nasal bridges, straightening slightly bend noses and for 'touch ups' after rhinoplasty.
Non-Surgical Rhinoplasty for the Big Nose
Technically it is not possible to reduce the size of the nose with a "non-surgical" rhinoplasty. However, a non-surgical rhinoplasty can make some noses look smaller. Some examples of change the shape to create the appearance of a smaller nose:
1. A nose with a deep radix and a large bony hump.
2. A nose with an deep angle between the upper lip and the bottom of the nose (acute naso-labial angle).
Based on the one profile photograph, I would recommend an endo-nasal reduction rhinoplasty. However, in general it is best to consult a Board Certified Plastic Surgeon for more specific advice and photo-morphing to obtain the best results.
Non Surgical Rhinoplasty
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Reducing nose size
In the case of a slightly larger nose and a short chin, increasing chin projection with an implant or a sliding genioplasty will help to improve facial harmony even if a reduction rhinoplasty cannot be done at the time.
Non surgical rhinoplasty
Nonsurgical Rhinoplasty: Benefits and Limitations
Injecting fillers, such as Restylane, Juvederm, and Radiesse, in the nose can be helpful for certain patients who would benefit from additional volume in certain specific areas. Adding filler can cause certain noses to appear less deviated, improve symmetry, and fill indentations after prior rhinoplasty. Sometimes, adding filler above a hump can make it appear less prominent.
However, there is no nonsurgical way to make a nose smaller. I would recommend that you seek consultation with a surgeon who performs both traditional (surgical) rhinoplasty as well as nasal fillers. That way, you would have access to all the different options out there for your nose. Computer imaging is a very valuable exercise during the consultation, for you to express your aesthetic goals and for the surgeon to express what she/he could do with fillers vs. rhinoplasty. Lastly, from your photo, it appears that you may benefit from a chin implant as well, as a more projecting chin will make your nose appear more balanced with the rest of your face.
I would suggest talking with a plastic surgeon about any fears you may have about surgery for the nose. In general it is very safe, very successful, and the recovery is not bad at all.
Non surgical approach to rhinoplasty
Non-surgical filler techniques are not for reduction of nose size
How to reduce the appearance of nasal size without surgery
1. Bump on the bridge of your nose can make your nose look bigger.
2. Droopy nasal tip will also give the appearance of a longer nose.
3. A weak chin will give the illusion of a nose that is disproportionately large vs. rest of the face.
So how can this be addressed without surgery?
1. Bump: Often, there is an indentation in front and behind the bump, injectable fillers can be used to fill in these voids giving a smoother bridge thereby reducing the bump. The results can last 1 to 2 years depending on which filler is use.
2. Droopy tip: Injecting Botox into the muscle that pulls down the tip of the nose with expression and smiling can have an uplifting effect on the tip.
3. Weak chin: Injectable fillers lasting 1 to 2 years can be used to augment and enhance the chin reducing the appearance of an overly large nose.
Ran Y. Rubinstein, MD
200 Stony Brook Court, Newburgh, New York
Board Certified Facial Plastic Surgeon (ABFPRS)
Fellow American Society forLaser Medicine & Surgery (ASLMS)
Clinical Professor New York Presbyterian Hospital
National Education Faculty (physician trainer) for:
Allergan (Botox, Juvederm, Voluma), Galderma (Scultpra, Restylane, Silk),
Cynosure (Cellulaze, Precision Laser Lift) & Solta (Fraxel, Thermage)