How can I improve the look of my nose? (Photos)

Based on your up close photos, we can see that you have very thin nasal skin, and we can see the underlying architecture of your nasal tip cartilages. If you are bothered by the indentation, or cleft, in between your lower lateral tip cartilages, microdroplet Silikon-1000 nasal injections maybe considered for filling it, and for establishing a less noticeable divot. If you have other issues about your nasal appearance, please consider re-asking your question with a better description. I hope this helps! Sincerely, Dr Joseph

Yours is not, first glance, a complex rhinoplasty case, therefore you are well suited for a basic endonasal traditional rhinoplasty to:
-reduce a little the tip cartilages
-slightly deproyect tip
-shave down dorsal hump and close the open roof with internal infractures

However, if you wish:
-higly refined and defined tip, customized
-prevent alar rim side elevation
-perfectly aligned lines at the dorsum
-prevention of inverted V (you have thin skin) with spacer grafts

Then you should go for an open approach structure rhinoplasty.

Do consider pros and cons; cons of a traditional reduction rhinoplasty are its limitations and eventually may produce inverted V and alar rim elevation/retraction; cons of structure rhinoplasty... the human factor, the skills and talent of the surgeon.

The tip is made up of two cartilages. On most people, you can see, or at least feel, a small dent between the cartilages, right at the very tip of the nose. But when the cartilages are particularly strong, and the skin is not too thick, then you can see the outline of the entire cartilage, and you can see the groove in the middle that is *between* the two cartilages. On either side of the groove, the cartilages bulge out. In a rhinoplasty operation, those cartilages would be modified to make them less prominent and very much decrease the dent between the cartilages. The woman whose before and after photos I posted with this answer had a more obvious version of what you're seeing in your own nose.
Those cartilages are also responsible for holding the tip out forward in projection, away from your face, and they're also responsible for holding the tip down, so when the cartilages are prominent like yours, the operation usually also involves elevating the tip and bringing the entire nose back closer to your face. Don't have filler to fill in the dent. That would make your nose look bigger, and you'd probably hate it.

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery.

Hello,
Your aesthetic problem is enlarged lower lateral nasal cartilage that is best addressed with a surgical rhinoplasty. "Liquid rhinoplasty" camouflages small bumps and irregularities, but in your case, a great deal of filler is needed and will result in a much larger nose. Good luck and be well.

Michael A. Persky , MD
Encino, CA

I have been injecting HA fillers for well over two decades for what has come to be called "nonsurgical filler nose jobs." At least from the photos provided, there is a slight dip in the "spine" of the nose a third of the way up, and another dip slightly to the left of center in the lower third of the nose.
A small amount of salt solution or dilute anesthetic can be injected in those locations as a test treatment to see whether filler would achieve the kind of result you are looking for. The results of this test last only about fifteen minutes, enough time to make an assessment. If the test results achieve the desired cosmetic improvement, then an appropriate HA filler can be used to achieve these results.
Once very important word of caution: filler injections on the nose in particular should not be left to the hands of inexperienced, novice injectors due to the complexity of the blood vessels that supply this region. You would be wise to seek consultation with an experienced, board certified cosmetic dermatologist filler injection expert and best of luck.

Thank you for your message and for providing photos. Based on the images, there are a few cosmetic procedures that could enhance the shape and appearance of your nose, depending on your goals:

Non-Surgical Rhinoplasty (Liquid Rhinoplasty)
This involves the use of hyaluronic acid-based dermal fillers to smooth out small bumps, improve contour, or lift the nasal tip. It’s a quick procedure with minimal downtime and is best for subtle adjustments.

Surgical Rhinoplasty
For more significant changes such as reducing nasal size, correcting a deviated bridge, or refining the nasal tip, a surgical rhinoplasty would be the best option. This procedure provides permanent results but involves recovery time.

Tip Refinement or Projection Adjustment
If the concern is mainly about the nasal tip, options like tip plasty or targeted filler injections can help with lifting or defining that area.

Skin Texture Improvements
If the surface of the nose is a concern (visible pores, uneven texture), treatments such as microneedling, chemical peels, or laser resurfacing can help smooth and refine the skin.

Each option depends on your desired outcome, current nasal structure, and whether you're looking for temporary or permanent results.