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

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!