Can filler fix this or do I need a revision? (Photo)

Hello and thank you for your question. Based on your photographs, you may benefit from a revision in order to straighten the appearance of your nose. Maneuvers that could be used would include placement of spreader grafts, extended alar contour grafts, and a soft fascial graft into the tip. 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

From the limited photographs, you appear to have significant facial asymmetry, which is compounding your crooked nose issue. There's nothing that can be really done about your philtrum. It is possible to improve your crooked nose, but it won't be perfect. It's important to know how much cartilage is left over on the inside of your nose after your primary rhinoplasty for grafting purposes. Revision rhinoplasty is more difficult than a primary plasty, especially for the crooked nose.