I have an Italian bump but I love how I look straight on, it's never bothered me. Candidate for non surgical nose job? (photo)

Question

I would just love to minimize or remove the hump from my profile view. Would non surgical fillers be a solution? My wedding is in 7 months I am concerned about getting rhinoplasty before the big day but I also hate profile pictures of my bump. Also if I get fillers would my nose look too big for me face?

David C. Pearson, MD · Answer

Your situation is one of the more ideal situations for non-surgical rhinoplasty (i.e., injectable fillers) if you're not looking to change anything else. Filling in the bridge of your nose above the hump can nicely camouflage it without changing much of the rest of the nose. I would strongly recommend starting with a temporary filler like Juvederm since it's easily reversible with hyaluronidase. If you loved the look, you could always make it more permanent with a filler like Bellafill (which can still be adjusted and reduced if it were ever necessary). As for looking too big, size is surprisingly less important than proportion, so I don't think it would look "too big."All the best,--DCPPearson Facial Plastic Surgery®

Anthony Corrado, DO · Answer

As you are aware, there are two options to correct a dorsal hump.  First, rhinoplasty surgery can be performed which can permanently improve your profile.  Other minor modifications of the nose can also be made at the time of your surgery.  Non-surgical rhinoplasty, with injectable fillers, is also an option.  The limiting factor is typically the severity of the hump, because attempting to camouflage a large dorsal hump can sometimes increase dorsal height to the point were it is not aesthetically pleasing.  I would suggest in person consultation to discuss your goals, and review your time frame for recovery with your upcoming "Big Day"!  I have provided a link below....Good Luck!

Nelson Lee Novick, MD · Answer

From the photo provided, you appear to be an excellent candidate for a nonsurgical nose job using an injectable volumizing filler. I have been performing these kinds of procedures for about twenty years, and I can tell you that, with seven months until your wedding, you have plenty of time to "try out" your new nose. One way would be a test injection using either plain saline or diluted anesthetic. This would give you about five minutes (until the injected salt or lidocaine solution is reabsorbed) to see how you like your new nose. Alternatively, you can be treated directly with robust hyaluronic acid-based volumizers, such as Voluma XC or Restylane Lyft, which can be readily dissolved, if needed, with the commercially available enzyme, hyaluronidase. So, there is really little to be concerned about. In experienced hands, the results of treatment, which shouldn't take more than 3-5 minutes to perform, typically evoke an immediate "Wow!" response. Make sure that you consult with a board certified aesthetic physician and insist upon seeing his/her before and after photos before agreeing to proceed. Best of luck and congratulations on your upcoming wedding.

Eric M. Joseph, MD · Answer

Rhinoplasty surgery may be considered for bump removal, and nasal tip rotation for a less distracting, and more feminine nasal profile appearance. Your nose is not distracting on front view. Sometimes nasal bumps are too large to camouflage with fillers, so consider consulting with a specialist in both rhinoplasty, and nonsurgical rhinoplasty. Good luck! Dr joseph

Jason Emer, MD · Answer

I recommend getting a formal evaluation with a cosmetic dermatologist to go over your desired results. Facial fillers (voluma, restylane, juvederm) can be used to improve the symmetry of the nose and disguise a hump. Surgery would be needed to improve nostrils or overall shape. See an expert. Best, Dr. Emer

Philip S. Schoenfeld, MD, FACS · Answer

Congratulations on your upcoming wedding!  You definitely have options.  You could get a rhinoplasty and in experienced hands you will get exactly the nose you had hoped for.  However, if you are concerned about surgery then a non surgical rhinoplasty is certainly an option.  From the photos that you have provided, though you have a dorsal hump, you also have a very deep radix.  Filler carefully placed just above the hump into the radix area will decrease the appearance of the dorsal hump.  I don't think that you can fully correct this area but you will certainly get a great deal of improvement.  The procedure should take no longer than 15 minutes with little to no recovery time or swelling and results that will last a long time.

Luis A. Cenedese, MD, FACS · Answer

The large nose requires removal of cartilage and bone; the non-surgical rhinoplasty is usually not totally effective for this condition.
Diminution of the appearance of the bump may be accomplished with non-surgical rhinoplasty (injection of fillers). These can be temporary (Radiesse, Restylane Lyft, Juvederm Volumma or more permanent (Bellafill).

Please consult in person with an experienced Board Certified Plastic Surgeon prior to making treatment decisions.

David A. Sieber, MD, FACS · Answer

Thanks for the great question! You are a great candidate for a non-surgical rhinoplasty! The procedure will be able to minimize that appearance of your bump while maintaining the shape of the dorsum that you like. Best,~Dr. Sieber

Larry Lickstein, MD · Answer

Congratulations on your engagement and thank you for the question and the images.  There are limits to what can be achieved with a non-surgical rhinoplasty using fillers, but the technique can be very useful, in select patients, at camouflaging a dorsal hump.  While a traditional rhinoplasty would reduce the bony prominence of the hump, non surgical rhinoplasty employs a different strategy.  Instead of removing the hill, the valleys surrounding the hill are augmented.  While you may not be able to achieve a perfectly straight dorsum, the condition likely can be greatly improved.  For patients who have never done the procedure before, I will often use a hyaluronic acid filler (Voluma, Restylane Lift) to offer the "safety net" of reversibility.  As you may know, these fillers can be melted away if the desired result is not achieved (though that is very rare!).  Consider a formal consultation with an experienced, Board Certified, provider.

John Tanqueray, MBBCh · Answer

Yes, looking at your photos it does appear that you would be a good candidate for a non-surgical rhinoplasty. Its surprising that your nose can be made to appear smaller by adding something, but as long as you have a realistic expectation of a good improvement without necessarily a perfect result then you are likely to be happy with non-surgical treatment.
Your profile suggests that you would benefit from treatment just above and below the dorsal hump. 
Depending on the product used the result will typically last about a year, and I find it is a good alternative for people who are unsure about opting for surgery.

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