Change acute nasolabial angle to obtuse? (photos)

Question

Hello, I would like to lengthen my nasolabial angle from acute to obtuse. Main reasons are create space around the philtrum, and create illusion of a nose tip lift/upturn. I need all options except rhinoplasty. Thank you

Eric M. Joseph, MD · Answer

In my opinion, injectable fillers are not helpful for lifting a droopy dependent nasal tip appearance. If you have severe dissatisfaction with the appearance of your nose, please consider meeting with several reputable rhinoplasty specialists so you could see what to expect after surgery. Thank you for your question. Sincerely, Dr Joseph

Jason Emer, MD · Answer

I recommend getting a formal evaluation with a cosmetic dermatologist to go over your desired results. Facial fillers (voluma, restylane, 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 nostrils or overall shape. See an expert. Best, Dr. Emer

Steven F. Weiner, MD · Answer

You can achieve tip rotation by placing filler in the nasal tip and columella. Placement at the base of the collumella is needed as well. This needs to be performed by an expert in nonsurgical rhinoplasty because there are risks such as vascular compromise, tip necrosis, and blindness.

Trilogy Medical Center - Midvale · Answer

Hi there. Thanks for your question! My first idea would be to try a little Botox/Dysport/Xeomin right under the nose. There is a ligament there, that, if released, can often do exactly what you're after and upturn the tip of the nose slightly! After that, I would consider adding some filler to the tip of the nose, but the Botox option will be the easiest and most cost effective thing to try first!
Let me know how it works!
@DrKatNP.trilogy

David Alessi, MD - Account Suspended · Answer

You would need to project your tip by augmenting your columella.  Although a rhinoplasty is your best option, you can often elevate the tip with injections in the columella and tip.  Seek out a consultation with a board-certified expert.  Best wishes.

Change acute nasolabial angle to obtuse? (photos)

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