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,

Many thanks of rthe question and pictures.
In principle you could have a more defined bridge and smaller tip fashioned by way of non-surgical rhinoplasty, however it would likely take two, possibly more, treatments to slowly build the bridge up. The nose would not be narrower - this could only be achieved by surgical rhinoplasty, but by building it up centrally it would give the illusion of a narrower nose. This also applies to a smaller tip - this can only physically be achieved surgically but the illusion of a smaller tip can be created by HA fillers.
I hope this helps.
Best,
Marcus

Hi, 
With non-surgical treatment you always have an option to surgery.
Defining your nose bridge, slightly higher and relatively smaller looking tips may possible.
I think the hyaluronic acid gel as a filler is a good choice which  complication risk is minimal. İt will last depending the quality of product which used,  between 6 month to 1,5 year. With hyaluronidase injection it is reversible within couple days. Thats why I do not recommend permanent fillers.
Try to find a doctor who understands your needs and whose esthetic vision fits yours.
Most important, try to find one esthetic doctor who can use filler like sculptress use clay.
"This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."
Good Luck.
Dr. Devrim Elmas, MD
Medical Esthetic Doctor
IG: @drdevrimelmas

Hello, thank you for the photos! 
The liquid nose job can help build a bridge and help the nose appear more defined. After viewing your photos I do believe it can help define your bridge as desired. It can't make the tip of your nose smaller though. I do recommend contacting a cosmetic physician to get an in person evaluation.
Hope this helps!