Most people are aware that an operation called rhinoplasty (nose job) is useful for enhancing the nose. This involves reduction of the nasal hump, refinement of the nasal tip, and narrowing of the nose to maintain proper proportions. Most people are not aware, however, that fillers can be used non-surgically to enhance the nasal shape. By injecting a filler above and below a mild nasal hump, the nasal bridge is straightened with a completely non-invasive procedure. Popular fillers for this are Juvéderm™, Restylaneä , Radiesse™, and Artefill®. Artefill® is the newest available filler which, according to the company, may last for five years. While a rhinoplasty operation produces a permanent result, these non-surgical enhancements are an excellent trade-off to avoid the expense, trauma, and down time that surgery requires. I am pleased that we have so many options to offer patients. For more information call my office at 215-572-7744 or email us at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . Also feel free to look at our website, www.drgenter.com.
Hi DRBG,
I had rhinoplasty 10 months ago and the DR released the depressor muscle, so that my tip didn’t drop when I smile. The problem is that my nasolabial angle changed, before I had more curvature on the area where columella connects with the upper lip and more upper tooth exposure when my lips were at rest, and now that area that was curved is straight, little longer and I have less upper tooth exposure. I was wondering if there is any way to get my old nasolabial angle back and regain that curvature on the area between columella and upper lip?, can the depressor muscle get stronger with time and get the old nasolabial angle back?, Is there anyway to create that curvature by adding fillers?, If not is there any surgical way to do this? you mentioned that Botox can relax the muscle that makes the tip drop when you smile, but after 5 or 6 months it comes back to normal, can this happen in my case? Also the DR reduced the bump on the bridge and my tip came in a little bit, can this be causing the change on the angle and the upper lip to drop?
Thanks a lot
Dear Llellina: From what you describe, the depressor muscle release did exactly what it was supposed to do- lessen the curve between the columellar base and the lip, and lengthen the upper lip so not as much lip shows. Usually this is a desired effect because the attachment of the columella to the upper lip is so tight before surgery. I cannot predict if the muscles will re-attach because the goal of the release is to prevent re-attachment. Injections with fillers can restore the curve at the columellar base. Finally, if the tip of your nose has descended after surgery, perhaps you can discuss a revision with your surgeon.
I hope you find this useful. Thanks for your question. Dr. Genter
hay, im just wondering if the nosehuggie works?
Dear Silvana: Sorry, but I have no experience with Nose Huggies.
Dr. Genter
Hi Doctor,
I am an asian american 18 year old girl, and i was interested in doing the non-surgical nose job because my nose isn’t in VERY BAD condition but its just a little bit flat. But because my nose bridge is very flat it makes my entire face look flat as well. I wanted to know which kind of procedure would be the best for me such as, botox, or the radiesse, artefille,or etc. I just wanted to do the surgery to make my bridge more noticeable, but my question is, is it okay if i come into the hospital and get the procedure done with out a parent consent? My parents said they are not really for or against my decision to get plastic surgery so they said they would not help me nor stop me. Is it possible if i could pay and sign in everything by myself? Thank you so much!
I have had 2 successful radiesse fillers (0.1 each time) to the bridge of my nose, done 6 months apart. A minor issue I had was some puffiness between my eyebrows, closer to the right side. This happened both times. This is odd being that the radiesse was injected in the bridge, which is a few mm’s lower. why would this happen? another question- with the filler, is there any risk of necrosis between the eyebrows? thanks.
pam
Dear Jane: Any filler can raise the nasal bridge a little. If your nose is really flat, a filler may not be enough, however and surgery might be necessary to create the result you are looking for. Sometimes I use your own tissues to build up the bridge, and sometimes I can use a nasal implant. These decisions can only be made at a consultation. Also, since you are 18, you can sign your own consent. It is best, however when you keep your parents involved.
Thanks for your question. Dr. Genter
Dear Pam: It is possible that some of the Radiesse migrated upward due to massage or action of the muscles at the root of the nose. As long as it looks okay, this should not be a problem. Also, these injections are placed very deep, so skin necrosis is very unlikely.
I hope this addresses your concerns. Dr. Genter
Dr. Genter,
Lately I have been feeling really discouraged by my nose, it has a fairly large bump on it for the size of my face. I have tried so many things to decrease the size of it such as the nose huggie (a clip that attaches on to your nose to decrease the bump.) I was just wondering if that would help or just by applying pressure to my nose by rubbing it would help? I dont want plastic suregery, and im not sure how this non surgical nose job would work for me, because it might just make my nose look bigger? Any other suggestions?? Thank you!
Dear Madison: Rubbing your nose will not do anything to change the shape of your nose. The non-surgical technique of injections with fillers will not make your nose smaller, but it does make the hump look less obvious. This can create an illusion of a smaller nose because the hump does not protrude as much.
I hope this info helps you. Dr. Genter
Hello Dr, don’t you guys think there could be some other alternative to operating and cutting out cartilage and bone from the nose like inserting some sort of Hard stable fillers under-in-withing the tip bridge of the nose in order to hold up the nose in a pointed shape that would permanently hold the nose in that shape, if you don’t understand please write me at “tiga_scott@yahoo.com” so i can explain more to you it might make some sense
Dear Hans: I understand your comment, and that approach is the same used with the fillers in the “non-surgical nose job.” However, there are no reliable permanent fillers. Also, many people want an actual reduction in the size of their nose along with sculpting of the tip cartilages. Therefore there are no alternatives to the current surgical techniques.
I hope this answers your questions.
Dr. Genter
Dear Dr. Genter,
I am not particularly unhappy with my nose but want my face to look more symmetrical. I believe the source of my slight dilemma is my nose. First, i would like to say that i am biracial African and Filipino. Second, i think my nostrils are a tad too wide, like im talking a few mm. so not a major problem but irritating all the same. By close examination of my face i feel that i should either have the size of my nostrils reduced somehow or have a more defined bridge that will take away from the width of my nostrils. I even think that a tug upwards of the skin or skin tightening would do the trick. In your professional opinion do you think this non surgical option will work for my situation. If not what do you advise for me. PS if you need pictures i have some! =)
Thanks in Advance!
Dear Missy: Sorry for the delay in this reply but I was away from home with limited internet access. If you need to reduce the width of your nose, I recommend surgery rather than a non-surgical technique. Camouflaging a hump with fillers can work nicely, but I do not think you can add material to make a nose seem narrower. Fillers will only make the nose look even wider.
Good luck, Dr. Genter