How to Fix Gap Between Upper Nose and Forehead? (photo)

    A brow lift with softening of the procerus muscle,  corrugator muscle, and elevation of the eyebrow complex will help open up this area at the junction between the nose and the forehead. A rhinoplasty to reduce the nasal bump and addition to a cartilage graft into the glabella will also help fill out this area for an aesthetic improvement. Please see the link below for examples of brow lifting and rhinoplasty in our practice

I think your best bet is to inject the gap with local anesthetic or saline which temporarily fill the gap and see if you like how it looks. If you like it then decide whether you want an injectable filler, implant or cartilage graft. Each approach has its own specific pros and cons. If filling the gap does not look good than you will have to remove some soft tissue or bone to get the desired result.

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There are several possible approaches to this problem including nasal root (radix) augmentation with or without rhinoplasty (prefabricated porous polyethylene graft is available and works very well), hairline open browlift (even if crease is effaced by graft, brows appear heavy and low, browlift would "open up" and lighten your expression, and more temporary solutions such as Radiesse injection.  Direct excision with grafting is certainly a possibility, but would be last on my list.  Although inexpensive and permanent, the resulting scar, although most likely obscure, would be permanent, and this approach would not lift your brows at all.