Could I get away with non-surgical or tip-plasty?

If your nasal tip is your top concern, you may require rhinoplasty surgery - your tip does not appear unusually bulbous in your photos. Your small profile hump may be improved with injectable fillers depending on your examination. Hope this helps. Dr Joseph

Hi and thanks for your question. You are a great candidate for Non Surgical Rhinoplasty. I had several patients just like you last week undergo the procedure and get fantastic results. Its not that your tip is so big, its just that the area above your tip is a bit empty. Filling that in would make your nose look straight and would make your tip look much smaller. It is a question of proportions. Make sure to consult with an physician who is experienced with injecting noses. Hope that helps!

Best option full rhinoplasty wth cartilage grafts. Second option (as you asked) Tip Rhino + non surgical rhino wth HA fillers. Or finally just tip pasty - not a good option. Best to see a few boarded surgeons in person...

You could be a perfect candidate for a non-surgical nose job. We usually begin by filling in the bridge of the nose with dermal fillers. Fillers could last anywhere between 2-5 years. Once applied to the bridge, fillers seem to decrease the appearance of the size of the bulb. If the patient is still unhappy with the bulb size after the bridge of the nose has been straightened, we usually recommend ultrasound radio frequency in order to melt the fat of the bulb so as to create optimal symmetrical and proportionate results.

Dear Lambertlexi in Miami, Florida:
If you are not happy because of the dip between the tip and the bridge, consider first the nonsurgical option.  Get a sense of what it can accomplish.  I am not sure that you need a combination of both the surgical tip-plasty and nonsurgical.  I would check out the nonsurgical first for all of the proper reasons: Simplicity, economy, predictability. 
Be sure to do your homework.  You need to find a specialist who is comfortable with nonsurgical rhinoplasty, whether it be temporary or permanent.  Look at the website, check out the reviews and testimonials, and be sure to look at before and after photos on the doctor’s website, of course.  You will get a sense of whether or not that particular office has the specialization you want.  It is all about focus and specialization when it comes to sophisticated nasal procedures. 
Best wishes,

Robert Kotler, MD, FACS