Can non surgical rhinoplasty lift my tip and straighten my nose and help make my nostrils look smaller? (photos)

Question

My nose is hooked a bit at the end especially when I smile and it slants one side slightly and my nostrils are quite big from the side and so I’m worried if I get the tip lifted it will make my nostrils look worse

Jason Emer, MD · Answer

Hello and thank you for your question. Unfortunately no, fillers would not be able to take the place of surgery, especially in your situation. It sounds like your biggest concern is your crooked nose, asymmetric nostrils, drooping/deviating tip with smiling, and overall nasal imbalance. These are due to the underlying anatomy present- a combination of your nasal bones and cartilage which makes the structural framework of your nose, as well as a muscle (the depressor septi nasi muscle) which contracts when you smile and causes the animation deformity. Also, you have a high radix (portion between your eyes). The combination of all these things is not amenable to non-surgical treatment, and would be most appropriately treated with surgery. Addressing the shape of the nose and correcting nasal imbalance (especially at the tip) are actually some of the most common reasons people seek out and undergo a rhinoplasty procedure. Also, the animation deformity (the muscle) can be easily addressed during the 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 relatively thin nasal skin with a crooked nasal appearance that is likely due to a deviated nasal septum, as seen on the base view of your nose. This is associated with a tension lip deformity, excess nostril show, a wide tip, and a sizable dorsal hump. In general, nonsurgical nose job treatments would not be able to address most of these issues. Thank you for your question. Sincerely, Dr. Joseph

Casey Anderson, MD, FACS · Answer

The non-surgical rhinoplasty can lift the tip and make the nose appear straighter. It will not decrease the appears of your nostrils. The difference in appearance of the tip when smiling is related to a tiny muscle called the depressor nasi septi. If this part is especially troublesome to you, a little botox in this muscle can help.

Paul P. Daraei, MD - Account Suspended · Answer

Hi There,
Non-surgical rhinoplasty, or filler to the nose, can help improve shape, contour, and camouflage lumps/bumps/irregularities. If placed in the right location, it can help achieve more symmetry. However, because filler is "additive," it may widen your nose at the area it is injected. Filler will not change the movement of your nose when you smile, as this is due to muscle movement and lack of nasal tip support. Lastly, filler to the nose will likely not change the shape of your nostrils, or how much of your nostril can be seen from the side. Most of the changes you mention can be accomplished with a surgical rhinoplasty.
Hope that helps!

Can non surgical rhinoplasty lift my tip and straighten my nose and help make my nostrils look smaller? (photos)

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