What is the best way to make my nose less upturned? (photo)

Hello, and thank you for your question. You have a complex issue that requires expert-level correction. An over-rotated, and possibly over-projected tip can only be properly addressed through rhinoplasty—fillers simply don’t have the structural strength to achieve the necessary changes.

To correct this, your nose will need to be lengthened, rotated, and potentially deprojected, all with extreme precision. This involves harvesting septal cartilage (or a specialized alternative) to create custom grafts that reinforce the nasal tip and columella, ensuring both stability and long-term support. Without these techniques, results may be unpredictable or short-lived.

Since rhinoplasty is one of the most technically demanding surgeries in all of plastic surgery, you should ONLY trust an experienced rhinoplasty specialist. Many plastic surgeons perform rhinoplasty occasionally—but this is a surgery of millimeters, where small miscalculations can have significant consequences. A surgeon who performs only a handful of these a year simply won’t deliver the best possible result.

I have extensive training in advanced rhinoplasty techniques, including complex primary and revision cases, under one of the world's top rhinoplasty surgeons (who performs 1,000+ nose jobs annually). If you're serious about achieving a refined, natural-looking outcome, I’d highly recommend scheduling a consultation with me (Virtual or In-Person). This will allow us to discuss your goals, conduct a detailed examination, and determine the ideal approach for your unique anatomy.

Looking forward to helping you achieve the results you’re looking for!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Yes, you best option is a rhinoplasty to derotate your nose.  Computer imaging can be very helpful to determine what surgical maneuvers would be best for you. 

I recommend getting a formal evaluation with a cosmetic dermatologist to go over your desired results. Facial fillers (like Voluma, Restylane, Juvederm) can be used to improve the symmetry of the nose, but surgery would be needed to improve nostrils or overall shape. Best to see an expert. - Dr. Emer