Non Surgical Nose Job - can filler work for Tip Reduction? (photos)

Question

I have a bulbous nose tip that when I press on just feels hollow so I assume it's just cartilage. Nose surgery is not an option due to the cost but would a non-surgical nose filler make the tip less bulbous and smaller?

Jason Emer, MD · Answer

Hello and thank you for your question. Unfortunately no, nose filler would not address your concerns, and the best option to achieve your goals is surgery. It sounds like your biggest concern is your bulbous and slightly drooping tip, as you mentioned. This is due to the underlying anatomy present- a combination of your nasal bones and cartilage which makes the structural framework of your nose- although you can slightly tweak the shape of the tip with fillers, these are only temporary would merely mask the appearance, and would make the tip larger instead of smaller. Addressing the shape of the nose (particularly the nasal tip) is actually one of the most common reasons people seek out and undergo a rhinoplasty procedure.

In addition to addressing your aesthetic concerns, your septal cartilage (or an off-the-shelf alternative) would be harvested (removed) and turned into multiple cartilage grafts, which would then be secured into different areas of your nose for structural support, including in the columella (middle bottom portion of your nose between your nostrils) to really reinforce the tip and prevent long term alterations/distortions to nose shape.

The open approach is very effective in facilitating complex, precise maneuvers to refine the nasal shape and size to a particular aesthetic and look. Rhinoplasty is arguably the most difficult procedure to perform in all of plastic surgery. I would only recommend going to see a surgeon who feels very comfortable with both primary and revision rhinoplasty procedures, and who has significant training and experience in these types of surgeries. This is a surgery of millimeters, so if the surgeon you're going to only does 1-2 per month, you are not going to get the best result possible.

Of course it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from the photos and description provided.

Dr. Donald Groves, our expert facial plastic surgeon, has extensive training and experience with complex rhinoplasty surgeries, so I’d recommend for you to come see him (or another plastic surgeon who is extremely comfortable with rhinoplasties) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Emer

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have a wide and droopy nasal tip appearance. Unfortunately, conditions like this I'm not well suited for injectable fillers in our opinion. Thank you for your question. Sincerely, Dr. Joseph

Donald B. Yoo, MD, FACS · Answer

Nonsurgical rhinoplasty can be used to reshape the nose by adding volume to the nose.  With regards to the tip of the nose, some degree of refinement is possible to reduce the appearance of bulbosity or width of the tip of the nose, but this is limited by the thickness and extensibility of the tip skin. For significant tip refinement, surgical rhinoplasty would be necessary. @drdonyoo

Darryl J. Blinski, MD · Answer

You are NOT a non surgical nose job by HA filler candidate. Only surgery can correct/improve the tip of your nose. Please be careful.

Non Surgical Nose Job - can filler work for Tip Reduction? (photos)

Answers (4)

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