I would like to fix the profile of my nose and front tip with Restalyn filler, is this possible? (Photos)

Question

I would like to get Restalyn filler in my nose to fix the bump on my profile and round tip. I am wondering if this will help straighten my nose and the tip not look so round?

Sean Alemi, MD · Answer

Hi and thank you for your questions and photographs. It is definitely possible to improve the appearance of your nose with a non-surgical rhinoplasty. Non-surgical nose-jobs are really effective at reducing the appearance of the bump seen on the profile and if done properly, can give the nasal tip an appearance of being lifted. From the front view the nasal tip does appear round. There are limitations to how much tip refinement you can achieve with a non-surgical procedure because you can't physically make the nose smaller. Obviously, because the filler is not permanent, the result is expected to last somewhere around 9-12 months. I'd suggest that you seek in person consultation with an experienced injector who can assess your candidacy. Best of luck!

Donald Groves, MD · Answer

Hello and thank you for your question! Unfortunately even though non-surgical nosejobs are popular, they are ALMOST ALWAYS done on patients who are poor candidates for it, and who would have much better results with a proper surgical rhinoplasty. For your nose, with the prominent nasal bridge, overall slightly larger size, high glabella (bridge between your eyes), and bulbous tip, you would be a perfect candidate for surgery. Filler might make your bridge appear straighter, but would make your nose appear even larger and would not be able to help improve the definition of your tip, therefore resulting in poor balance with the rest of your face.

Many surgeons overlook key techniques that can otherwise soften the appearance of underlying structures, significantly improving tip symmetry and refinement, and resulting in beautiful and natural appearing results. These specialized maneuvers require a high level of expertise and experience, which most surgeons simply do not have. Given your history, an open septorhinoplasty would be the best approach to precisely reshape your nasal tip, refine the bridge, and restore overall balance.

In addition to reshaping your nose aesthetically, your septal cartilage (or an alternative graft material) would be used to create structural grafts, reinforcing key areas like the columella (the strip of tissue between your nostrils). This is crucial to maintaining long-term symmetry and preventing future distortions.

Rhinoplasty is one of the most technically demanding procedures in all of plastic surgery—millimeters make all the difference. If a surgeon is only performing one or two rhinoplasties per month, they simply do not have the level of experience necessary to achieve the best possible result. Your nose defines your entire face—this is NOT a surgery to leave in the hands of just anyone.

I have had extensive training in complex rhinoplasty, working under one of the highest-volume rhinoplasty surgeons in the world (who performs 1,000+ nose surgeries per year). If you’re serious about getting the best possible result, I’d be happy to see you for a consultation (Virtual or In-Person) where we can discuss your goals, perform a detailed examination, and create a customized plan for your ideal nose.

I look forward to helping you achieve the refined, balanced nose you deserve!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Eric M. Joseph, MD · Answer

When it comes to narrowing a nasal tip appearance, please remember that adding volume to the nasal tip could result in a wider nasal tip appearance. I hope this is helpful. Sincerely, Dr Joseph

Steven M. Denenberg, MD · Answer

To make a nose smaller, it takes a rhinoplasty.
The two cartilages that form the tip of your nose are broad and strong, and they make the tip of the nose look wide. When the tip cartilages are strong enough to give the tip some extra width, they are also usually strong enough to hold the tip out projecting away from your face more than we like, and to hold the tip down, so it looks a bit droopy. Your nose has elements of those features, too, so I would see to narrow the tip, remove the little bump on the bridge, elevate the tip a touch, and then move the entire nose back a little closer to your face (that's called "deprojecting" the nose).
The woman in the short video that I posted with this answer had the tip of her nose narrowed and elevated in her operation.
How *much* to elevate or narrow the tip, or lower the bump, or deproject the nose? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Full-face profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should always be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and only the surgeon has that information and judgment. Another aside: I also recommend that you not show morphs made by one surgeon to a different surgeon. If a surgeon makes his *own* morphs, you get to see whether he understands the important issues of your nose, and how your nose should be changed. But if you show the surgeon someone else's morphs, and he says "Of course I can make your nose look like that," then you don't really know if he fully understands, or even recognizes, the important changes shown in those morphs. And you don't know if he can make those changes during surgery.)
Remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs -- particularly the work on the tip cartilages -- require advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.
Your nose is also a perfect example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. I always email morphs to my online rhinoplasty consultations. When you see the surgeon's goals in the morphs, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are large enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. How would you ever get that figured out without the morphs?Filler is putting something under the skin; it can only make the tip rounder and wider. It can't lower a bump, and it can't elevate the tip, and it can't move the tip or the bridge closer to the face. You can do an experiment to prove it to yourself: put your photo in some morphing software, and change it -- but you can only change it by *adding* to the nose, not by moving anything or taking anything away.

Jason Emer, MD · Answer

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

Daniel Barrett, MD · Answer

Dear Creative1063
dermal fillers are a great option to correct irregularities and dorsal hump. If you are considering dermal fillers, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

William Portuese, MD · Answer

In our practice, we do not recommend fillers placed in the nose, since is not FDA approved for that application, is only temporary, makes the nose  bigger, and can have complications such as skin necrosis. A closed rhinoplasty procedure can accomplish shaving down the dorsal hump, reducing the bulbous nasal tip, and straightening the nasal bones as well with all of the incisions placed on the inside of the nose.

Michael Elam, MD (retired) · Answer

Dear Creative1063, You can have filler in your nose which will help it appear to be straight however this is a short term fix and will make your nose larger. I would suggest that you consider seeking consultations with some experts in the field and discuss your surgical and non surgical options. Have imaging performed to show you the differences of results you can expect from these two procedures and then you can make an informed decision. Best regards, Michael V. Elam, M.D.

I would like to fix the profile of my nose and front tip with Restalyn filler, is this possible? (Photos)

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