Would filler help my nose look straighter? (Photo)

Hello and thank you for your question. Honestly, surgery is the best option to address your situation- you have a very obviously crooked nose and widened glabella (representing widened nasal bones). In order to make your nose appear straighter with fillers, you would need to try to mask the crooked nose by injecting filler primarily to the side opposite to the deviation to fill in that area- this would not fully look straight, and in the process would make your entire nose appear substantially wider (especially given your widened glabella), which I promise you would be very unhappy with. Also, filler is only temporary in nature. The shape of your nose is due to the underlying anatomy present- a combination of your nasal bones and cartilage makes up the structural framework of your nose, including the support for the dorsum and the tip. Correcting nasal/septal deviation, and addressing the shape of the nose (especially the nasal dorsum and nasal tip) are actually two of the most common reasons people seek out and undergo a rhinoplasty procedure, which would provide optimal results to achieve your goals.

In addition to addressing your aesthetic nose concerns, your septal cartilage (or an off-the-shelf alternative) would be harvested (removed) and turned into multiple cartilage grafts, which would then be secured into different areas of your nose for structural support, including in the columella (middle bottom portion of your nose between your nostrils) to really reinforce the tip and prevent long term alterations/distortions to nose shape.

The open approach is very effective in facilitating complex, precise maneuvers to refine the nasal shape and size to a particular aesthetic and look. Rhinoplasty is arguably the most difficult procedure to perform in all of plastic surgery. I would only recommend going to see a surgeon who feels very comfortable with both primary and revision rhinoplasty procedures, and who has significant training and experience in these types of surgeries. This is a surgery of millimeters, so if the surgeon you're going to only does 1-2 per month, you are not going to get the best result possible.

Of course it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from the photos and description provided.

Dr. Donald Groves, our expert facial plastic surgeon, has extensive training and experience with complex rhinoplasty surgeries, so I’d recommend for you to come see him (or another plastic surgeon who is extremely comfortable with rhinoplasties) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Emer

Based on your singular photo, you appear to have a slightly C-shaped appearance to your nose, with a small indentation along your left nasal side wall. When patients have nasal sidewall indentations, depending on their examination, microdroplet Silikon 1000 injections may be welcome alternatives to surgery for appropriate candidates. Thank you for your question. Sincerely, Dr. Joseph

Dear becben,There are some elements of your smile that makes me wonder if your muscles are pulling your nose when you smile? Sometimes this happens with people who have gum show when they do a big smile (gummy smile). It would be really helpful to see your nose in 3 D and watch you speak. Something as simple as Botox can help straighten the nose. A longer lasting solution would be a smidge of filler above the offending tight muscle if it’s the muscle causing the issue. Or filler on the bridge and/or tip of the nose. It depends on what is causing the nose to look asymmetrical.I think you need to see someone with detailed anatomical knowledge and the interplay with surrounding muscles and that will increase your chances of getting a non surgical solution. Best of luck with this,Yours sincerelyDr Maeve Kenningham