Would filler correct the appearance of my short nose and uneven nostrils?

Dermal filler can sometimes help create the appearance of a longer nose by adding subtle projection or definition, particularly at the bridge or tip. However, filler is less effective for correcting nostril asymmetry, as this is usually related to underlying cartilage and soft tissue structure rather than volume. In such cases, surgical options may provide more definitive results. That said, filler can still improve overall balance and contour of the nose in a non-surgical way.

Dermal filler cannot make your nose longer or change the shape of your nostrils. Fillers work by adding volume to existing structures, but they have significant limitations when it comes to nasal reshaping.
What nasal filler can do:Add volume to the bridge to create a straighter profileSmooth out bumps or depressionsSlightly lift the tip by adding volume to the area just above itCreate the illusion of better proportions in profile view
What it cannot do:Actually lengthen the noseChange nostril shape, size, or symmetrySignificantly alter the nose from the front viewCreate dramatic structural changes
For the concerns you've mentioned - wanting a longer-appearing nose and evening out nostrils from the front - surgical rhinoplasty would be the only effective option. A skilled plastic surgeon can lengthen the nose by adjusting cartilage and bone structure, and can reshape nostrils for better symmetry.If you're considering any nasal procedures, I'd recommend consulting with a board-certified plastic surgeon who specializes in rhinoplasty. They can assess your specific anatomy and discuss realistic options for achieving the look you want.

Hello, and thank you for your question. You have a complex issue that requires expert-level correction. A foreshortened, over-rotated, and asymmetric tip can only be properly addressed through rhinoplasty—fillers simply don’t have the structural strength to achieve the necessary changes.

To correct this, your nose will need to be lengthened, rotated, and adjusted with careful precision. This involves harvesting septal cartilage (or a specialized alternative) to create custom grafts that reinforce the nasal tip and columella, ensuring both stability and long-term support. Without these techniques, results may be unpredictable or short-lived.

Since rhinoplasty is one of the most technically demanding surgeries in all of plastic surgery, you should ONLY trust an experienced rhinoplasty specialist. Many plastic surgeons perform rhinoplasty occasionally—but this is a surgery of millimeters, where small miscalculations can have significant consequences. A surgeon who performs only a handful of these a year simply won’t deliver the best possible result.

I have extensive training in advanced rhinoplasty techniques, including complex primary and revision cases, under one of the world's top rhinoplasty surgeons (who performs 1,000+ nose jobs annually). If you're serious about achieving a refined, natural-looking outcome, I’d highly recommend scheduling a consultation with me (Virtual or In-Person). This will allow us to discuss your goals, conduct a detailed examination, and determine the ideal approach for your unique anatomy.

Looking forward to helping you achieve the results you’re looking for!

Dr. Donald Groves
Aesthetic Plastic Surgeon

If you would be content having more symmetrical nostrils on front view, depending on your examination, microdroplet Silikon-1000 injections maybe considered for lowering your nostril margins and for improving nostril margin symmetry. Additionally, your upper bridge could be raised a little bit for a more harmonious nasal profile appearance. Thank you for your question, and I hope this helps! Sincerely, Dr Joseph

Filler placed in the nose would not give you a good result, and can have consequences such as skin necrosis. A Closed rhinoplasty approach can accomplish augmenting your bridge line with your own cartilage, a synthetic implant or cadaver rib. The nostrils will still be slightly asymmetrical even with surgery