How can I fix open roof deformity without surgery or fillers? Is it possible to get my old nose back prior surgery? (photo)

Osteotomies are required to close an open roof. They can be performed through an incision hidden inside the nose without any external scarring. Fillers are not a great option but could also camouflage an open roof. Unfortunately, nothing else will close or camouflage an open roof. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Thank you for your question.  I'm not sure how far out you are from surgery, but often times during the first few weeks/months after surgery, the dorsum can appear wider than it will once the swelling has gone away.  If you have an open roof deformity, the only way to address this issue permanently is going to be with surgery.  You mention that you did not want osteotomies because you did not want cuts on your face, but generally osteotomies are performed without any external incisions.  Some surgeons use percutaneous osteotomies, with very small 2-3 mm incisions that usually heal without a visible scar, but this is not the most common technique.

Hello.  The only way to permanently correct an open roof deformity is with surgery.  This will likely require osteotomies to mobilize the bones and close the deformity.  Sometimes, a camouflaging graft may be needed to improve the result.  Fillers may temporarily help, but--with the most common & popular fillers today--these only last up to a year.  I would not recommend silicone, since that is permanent and fraught with high complication rates.  Once silicone is injected, it will be extremely hard to correct/remove and you have  higher risk of worsening your present condition.  The best thing is to see a board certified surgeon for good in office examination and discussion of all your options.  Take care.