Non surgical filler to correct dorsal hump? (Photo)

Question

Hi, I've heard a lot about "non surgical nose jobs" and wanted to know if I was a good candidate for it. I dislike the hump on my nose and am looking to correct that, however I'm afraid that adding filler to correct it but increase the over all size of my nose. Please advice!

Alexander Rivkin, MD · Answer

Hi, and thanks for your question. Non Surgical Rhinoplasty is a procedure that I popularized 13 years ago and still perform on a daily basis. I see excellent results camouflaging bumps such as the one that you have. All it takes is a small amount of filler above and below the bump and your nose will be straight on profile. Even though we are adding volume to specific areas of your nose, it will not look bigger. In fact, because it will be straighter, it will look smaller. A bump atracts attention and makes the nose look bigger. A straight nose blends in to the rest of the face and looks smaller. There are several options of fillers. For a temporary effect of about 1 to 1.5 years I like to use Voluma. The result is smooth and natural looking and the filler is reversible with an enzyme injection if you don't like the result (almost never happens). There is a longer lasting filler called Bellafill that I use with patients who have had the temporary procedure. Bellafill lasts for many years and in some patients is actually permanent. Whether temporary or permanent, Non Surgical Rhinoplasty takes 5 to 15 minutes to perform, involves minimal pain, minimal risk, no downtime or swelling and you can see the results immediately after the procedure. I think that it would absolutely be a great alternative to surgery in your case.Hope that helps!

Eric M. Joseph, MD · Answer

I say this since it appears as though your dorsal hump may project away from your face further than your nasal tip appearance, and adding volume to your nose would only lead to a larger nasal appearance. Since you appear to have an overprojected nasal appearance, rhinoplasty surgery may be considered for profile the projection, to achieve a less distracting, smaller, and more feminine nasal appearance. I hope this helps! Sincerely, Dr Joseph

Nelson Lee Novick, MD · Answer

I have been performing nonsurgical nose jobs with fillers for over fifteen years, and from the photo, you appear to be an excellent candidate. In experienced hands, the procedure should not take more than about five minutes to perform and are likely to elicit an immediate "Wow!" response. Although no front face photo was provided, in general, if properly performed often the addition of the filler ends up tapering the nose somewhat as a result of the slight upward lift engendered by the filler. Make sure you consult and seek treatment by a board certified aesthetic physician with experience and expertise in performing this procedure and ask to see his/her before and after photos before agreeing to proceed. Best of luck.

Jason Emer, MD · Answer

Facial fillers (Voluma, Restylane, Juvederm) can be used to improve the symmetry of the nose, while also disguise a hump. Surgery would be needed for the nostrils/shape. See an expert for a formal consultation. Best, Dr. Emer

Julio F. Gallo, MD · Answer

You are an excellent candidate for a non-surgical nose job using dermal fillers. A non-surgical rhinoplasty uses facial fillers to camouflage an unwanted dorsal hump by filling in areas above and below the hump. By filling in the area above and below the hump, the prominence is hidden and the profile of the nose appears straight. These dermal fillers are excellent options, as they have minimal risk and do not involve major surgery. Typically the results last six months. With maintenance injections, the results can be longer lasting. If you are looking for a more drastic and permanent procedure, then you may consider a surgical rhinoplasty with a board certified facial plastic surgeon.

William Portuese, MD · Answer

Placement of fillers in the nose is only temporary, makes the nose larger, is not FDA approved for that application, and can have significant complications.  The dorsal is composed of both bone and cartilage which must be shaved down surgically in order to remove it. For many examples  and more information, please see the link and the video below

Oleh Slupchynskyj, MD, FACS (retired) · Answer

Hi,

You are a great candidate for a non-surgical filler. Using fillers works well for straightening nose humps. If you are unhappy with the filler you can always consider a rhinoplasty procedure to shave down the dorsal hump, that will permanently give you the desired look you want. There are several types of fillers that can be used to correct the dorsal hump, during a consultation the surgeon will evaluate your best option. In good hands, you should receive an excellent result.

Best,Dr.S

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