Slimmer Nose with More Height Through Fillers?

My nose is flat and round at the tip, will non-surgical Rhinoplasty fillers just make my tip bigger and rounder, or is it possible to shape the tip to be less round and appear smaller and also elevated? It seems to me that the injections and fillers would go in and fill out in the same shape my nose currently is. What i really want is the appearance of a slimmer nose with more height, instead of wide and flat. I know it can build up the bridge but i'm unclear on the tip.

Doctor Answers 5

Flat, wide noses are difficult to treat with fillers OR surgery

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Fillers are great to address specific nasal shape concerns. They can in fact create the appearance of a sharper tip and a smoother bridge and less of a hump. Noses that start out wide and flat will have an improvement in the bridge with fillers. The other areas are tougher and you will likely get a modest improvement. If you are really looking for something to dramatically slim your nose and refine the tip, then you are a better candidate for surgery. Having said that, it is true that thicker skin on the nose makes it harder for the surgical result underneath to be visible on the outside, but it has a better chance of addressing all your concerns. Good luck.

Portland Plastic Surgeon

Fillers generally do NOT do well reshaping the tip

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Unfortunately, generally fillers do not do a very good job reshaping the tip.  Fillers are best used to fill depressions and do limited adjustments to the bridge and profile.

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon
4.1 out of 5 stars 9 reviews

Fillers can improve the appearance of the nose

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The most pleasing appearance to the nose is achieved with good balance and proportion to the elements of the nose in relation to the face. In one patient a nose that is wide when viewed with respect to the face may be balanced and appear very pleasing. In another person with a different face an nose that is thinner or smaller may appear "wide". An expert in rhinoplasty can evaluate your face and determine whether or not a nonsurgical option will achieve your goals.

Robert Mounsey, MD
Toronto Facial Plastic Surgeon

Injectable rhinoplasty and nasal tip definition.

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Every technique has its value. And the improvement varies between areas. With tissue fillers, the nasal bridge is well treated, so is small areas of asymmetry and irregularity. However the nasal tip isn't at the top of the list. There can be improvement, but by the very nature of the product; its a soft gel, the degree of definition is limited. Plus its an area that hurts more than the bridge. So more pain, less gain. My advice is you're better of with a surgical rhinoplasty. But please choose your surgeon with care. You don't want to find you're needing injections after wards for surgical irregularities.

Non-surgical rhinoplasty will not narrow your African American tip.

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Great question.

Unfortunately, In my hands, surgical rhinoplasty is the treatment of choice to get narrowing and definition of a wide, flat, African American nose. Even surgery is a bit unpredictable since some noses have very thick skin, and weak soft cartilage.

You should go for a consultation with a board certified facial plastic surgeon with experience, and lots of photos of noses that resemble yours.

I hope this helps, and best regards.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 435 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.