I feel that my nose lacks a real defined bridge. Would this result be possible?

If you have a wide and low nasal bridge appearance, I do not think that injectable fillers would deliver the type of bridge definition and height that you are looking for. Please consider re-asking a question with photographs for a more specific answer. Thank you. Sincerely, Dr Joseph

Hello and thank you for your question. Unfortunately, surgery is the best option to address the dorsum as well as the size and definition of the nasal tip, as in your situation. Filler might provide partial improvement, but would not fully achieve your goals, and would only be temporary in nature. The less defined appearance of the tip is due in part to the thickness of the skin and also due to the underlying anatomy present- a combination of your nasal bones and cartilage makes up the structural framework of your nose, including the support for the dorsum and the tip. Addressing the shape of the nose (especially the nasal dorsum and nasal tip) is actually one of the most common reasons people seek out and undergo a rhinoplasty 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

Hi, 
Yes fillers would help a bit or even may fix the problem if your expectations are not high. Also the main advantages are that there is no downtime and no need for an operation. But there is no way to decrease the width of your nose with fillers.
If you want a well supported natural nasal dorsum (bridge) the other surgical option is rhinoplasty in which we use diced-cartilages wrapped up in fascia to augment the nasal bridge. The last option is to use costochondral (rib cartilage grafts) but I do not think that we should consider this in the first line.
Rhinoplasty operation also gives us the opportunity to shape your tip, to give it more definition and to decrease the width of your nose and the size of your nostrils.
Best wishes,