At a 45 degree angle, upper part of nasal bone is prominent on right side.Would I benefit from rhinoplasty or filler?

In your photographs, you can see that the junction of the nasal bones without cartilage that there is a prominence. Usually this can be filed down through a closed rhinoplasty. However, you also have a super tip hollow. You may benefit from an open rhinoplasty to correct the dorsal contours as well as the bony cartilage junction. You may benefit from a slight increase of the nasal columella angle.

Best Wishes,

Gary Horndeski, M.D.

Based on your photos, I can see your concern. You appear to have relatively thin skin, and your bump appears most prominent on your oblique photos. I believe this is the case because you have indentations along your nasal side walls on both sides, as seen on front view. Since you appear to have a small nose, a permanent non-surgical nose job maybe considered for permanently camouflaging the bump without the expense and down time of rhinoplasty surgery. I hope this helps! Sincerely, Dr Joseph

A closed procedure with just rasping the bone will smooth out your dorsal aesthetic lines and correct this issue with no visible scars.

Hello and thank you for your question. Based on your photographs, you are a much candidate for a surgical rhinoplasty rather than adding filler which would just make your nose appear larger. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon