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

Question

2 and a half years ago i got a rhinoplasty. Initially, i was extremely happy with this results. However, over the past year I've noticed the front of my nose looks crooked. It is especially noticeable when i smile. My philtrum is tilted quite far off to the side. Its really bothering me. Prior to my rhinoplasty the front of my nose visibly looked straight. Would it be plausible to fix the appearance with filler? I would like to avoid a second surgery if possible.

Richard G. Reish, MD, FACS · Answer

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

William Portuese, MD · Answer

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.

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

Answers (2)

Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

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

Answers (2)

Browse related questions

Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.