How Can I Shrink or Refine a Bulbous Nose Without Surgery?

There are no compressive nasal devices that would lead to a permanent reduction in the appearance of your bulbous nasal tip. Nonsurgical rhinoplastic procedures have resulted in tip widening in our experience. Hope this helps! Dr Joseph

Kenalog injections are not usually used to reduce a bulbous tip, but to reduce swelling (edema) after rhinoplasty surgery. A bulbous tip cannot generally be reduced without surgery, but a broad or bulbous tip can be camouflaged by adding to other parts of the nose. In many cases, a large tip can be minimized in appearance by adding volume to the bridge of the nose and nasal sidewalls.
Be sure to see an expert in rhinoplasty surgery and non-surgical nose jobs in order to review both options in detail.
All the best,

Hi there! Non-surgical techniques using dermal filler can be used to improve contour / shape and tilt the tip of the nose. However, bulbous tips often require surgical correction. Please consult an experienced practitioner so they can give you more of an idea after physical examination. Hope this helps and good luck! Dr Rupert

A nonsurgical rhinoplasty uses fillers to improve symmetry, camouflage irregularities or to increase height of the dorsum or tip.  In some cases, in can be used to make a nose look smaller or longer.  If your nose is of a good height from a side profile, then a nonsurgical rhinoplasty may not give an improvement.  However, fillers can be used on the tip to give it the illusion of a narrowed tip but this has to match the rest of the nose.  In general, you would be better served and happier with a formal open rhinoplasty.  Find a plastic surgeon who specializes in rhinoplasties in your area and consult with them to find out what can be done.

A bulbous tip can only be addressed through surgery. In most circumstances, the width or shape of the cartilage (lower lateral cartilage) needs to be adjusted to refine the tip and make it more narrow. Kenalog injections would not result in any changes to this area. In fact, they may change the color of the skin in the area where it was injected or thin the skin so that the underlying blood vessels can be seen. I would recommend a consultation with a board certified plastic surgeon or facial plastic- ENT surgeon to further discuss your concerns. Hope this helps!

Hi Zoe!Steroids are typically injected into the cartilage for swelling and therefore will not accomplish your goal. However, non-surgical rhinoplasty procedures using fillers can improve the appearance of a nose with a large tip that appears “bulbous.”In general, many "bulbous tips" are actually noses that have little or no tip definition. The bottom of the nose may be amorphous, or the supra tip (that area of the nose just above the tip) is more prominent than the actual tip. This is what causes the illusion that the nose is bulbous or round. Non-surgical rhinoplasty uses fillers to add definition for a slimmer tip, and can even be used in creating a new tip in some cases.
Patience is required! It may take 2 or 3 injections to get your optimal results. Be sure to do your homework and find an Injector with demonstrated patient results and experience with this technically challenging procedure.  
I've created a video about Non-Surgical Rhinoplasty Revision to address some frequently asked questions about the treatment.
I hope this information helps in your research!

 A surgical rhinoplasty is required to shrink the bulbous nasal tip cartilages. Suture techniques and conservative cartilage removal are required to do this.  Cortisone injections are only placed in the postoperative period after a rhinoplasty procedure when there is excess edema present in the tip with thick skin.  For many examples of closed rhinoplasty reduction of the bulbous nasal tip, please see the link and the video below

A true bulbous tip will not be corrected using today's technology without surgery.  Non invasive measures can be used to hide it but will not truly improve it.

Kenalog injections can atrophy tissue but they can also depigment the tissues.  So it is not safe to perform in the nose to reduce a tip.

A non-surgical rhinoplasty, or non-surgical nose job as it is most commonly called, can certainly help with your concerns as it is a revolutionary non-invasive cosmetic procedure that allows the nose to be reshaped without surgery. Through the use of injectable filler the nose can be injected to straighten a nasal profile, lift a droopy tip, create a nose bridge, or smooth out a visible bump.I hope this information helps!