Q: Is there any way to make my nose straight permanently without surgery? The top of my nose is curved, is there any way to make it flat without surgery?
A: The safest way to permanently straighten your nose is with surgery. I highly advise against using any permanent filler in the nose as it can create issues as you age.
With nonsurgical rhinoplasty using Restylane or Juvederm Voluma it is certainly possible to create a straighter profile in a safe, predictable manner. However it is temporary.
Q: My nose skin is very thick (southeast asian), is fascia still needed? What about DCF?
A: While surgeons will vary on technique, I personally prefer to use fascia in a diced cartilage fascia (DCF) technique whenever dorsal augmentation (building the height of the bridge) is needed. I find that this allows for precise shaping and placement of the graft.
Q: I am looking to reduce the skin in my tip, define the bridge and tip and then reduce the visibility of my nostrils. I do NOT want the circular, pinched tip that I’ve been seeing in ethnic rhinoplasty result pics. I’m actually a fan of a more boxed tip.Thanks for your help!
A: The challenge with thick skin is that even if definition is created to the nose and cartilage underneath the skin, these changes will not show through the skin. In these cases additional support and structure is necessary to create definition in the tip of the nose. Using grafts made from your own cartilage will be the best approach for a natural-appearing, lasting result.
Q: Is there anyway to correct uneven nostrils flare without a surgery? I would hate to go through another long healing process and pay for another rhinoplasty. I am 11 weeks post op.
A: Your nose will continue to heal and change in appearance for a year after surgery. As the swelling in your nose continues to resolve, the appearance of your nostrils may also change.
Give your nose a chance to heal for 9-12 months before considering revision surgery, and follow up closely with your surgeon during your recovery.
Q: It seems like many people are seeking revisions (sometimes more than one) after a Rhinoplasty? Is this based on the skill of the doctor. I had my nose done over 20 years and was never satisfied. I am planning on getting a non-surgical procedure. Doctors have said that this would be a good alternative for my case. This is still happening 20 years later. Some people have gone to top notch docs and still have gotten poor results.
A: A recently published study put the revision rate at 17%, but you are right, the actual rate may be even higher than that. Why is the rate so high? One of the most common reasons may be a disconnect between the patient’s expectations and vision and that of the surgeon’s. Most board-certified rhinoplasty surgeons have the intellectual and technical know-how to perform a rhinoplasty surgery. However, unlike other surgery with concrete goals – like removing an appendix – rhinoplasty surgery is a complex interplay of what the patient desires, what is surgically attainable, and managing the patient’s expectations.
Beyond this the reasons are multifactorial, but to address the issue of patients going to top docs and still requiring revision. 1. Healing after rhinoplasty can be unpredictable. The nose may look perfect on the operating table, but as the skin shrinks down around the nose, funny things can happen 2. Patients seeking improvement, not perfection, are the best candidates for rhinoplasty. Perfection can not be achieved with rhinoplasty. Subtle asymmetries and contour irregularities will always remain, and for individuals who seek to constantly correct these things there is no limit to the number of revisions that may be performed.
Q: I’d like to know what methods are available to me that don’t require surgery; I’m open to lasers and fillers. I have a fat nose tip; I was wondering if there’s anything I can do to narrow it? I have pores on my nose and I break out a little.
A: A safe and effective way of refining the tip of your nose is with surgical rhinoplasty. The width of the tip of your nose is caused by a combination of the thickness of your skin, and the size and shape of your tip cartilage. Without improving the shape and size of your underlying tip cartilage it will be difficult to achieve significant refinement.
Q: I have a habit of pushing down on the ball of my nose. I’ve heard a couple people on here say that they have similar ones, and that their noses eventually become droopy. Is this true? If so, will the nose go back to normal?
A: Touching and manipulating your nose should not have any long-term effect unless done with such force that it causes injury to your nose. The nose will, however, naturally become “droopier” or more ptotic with age.
Q: My nose is crooked. I don’t have any breathing problems therefore I’d rather avoid surgery since it’s purely cosmetic. Could dermal fillers improve the appearance and make my nose look more symmetric and straight? I realize it this would make my nose look wider which I’m ok with….I’d rather have a wide nose than a crooked nose, as this is easy to contour with makeup. Also, how safe is it to inject HA dermal fillers into the nose? My main concern is tissue death, blindness, and stroke. Thanks!
A: In some instances, nonsurgical rhinoplasty can improve the appearance and symmetry of the nose. If deviation is the source of asymmetry, nonsurgical rhinoplasty will not be able to create significantly greater symmetry and the best option to achieve symmetry will be surgical rhinoplasty.
Q: Hello, I am a 29 year old male and would like to know if a nonsurgical nose job using fillers would help straighten my nose and reduce the look of the nasal hump. Thank you!
A: Your profile can be made straighter-“er”, but not completely straight, with nonsurgical rhinoplasty. The area of your bridge above your dorsal hump is called the radix, and building this area up to more closely match your hump will create a straighter. Only surgical rhinoplasty will be able to achieve a completely straight profile.
Q: Hi I am very self-conscious over the bump on my nose bridge not sure how exactly it happened. Can’t remember having any trauma! I also think my nose looks uneven and wide.
A: Although not a permanent solution, fillers can provide a temporary improvement to the appearance of your nose. Reversible fillers such as Restylane are good options because they are safer, and can be dissolved if a problem does arise or if you are unhappy with the result. A nonsurgical rhinoplasty would be able to build up the bridge above the hump and straighten your profile. Building the height of your bridge would also give the illusion of narrowing your nose from the front. It’s important to seek out a surgeon experienced in nonsurgical rhinoplasty to achieve the safest and most attractive results.
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