I have a vertical crease in the middle of my nose and it’s quite bulbous.

Hi,Thank you for including photos. If your only concern is the vertical line at the tip, filler is a good (non-permanent) solution. If you are looking to make permanent changes to your nose, surgery is your bet option. The pros of non-surgical rhinoplasty are low cost, no downtime, not permanent (if you do not like it, you can dissolve the filler). The cons are that it is not permanent - if you love the result you will need to repeat the process about every year. The pros of surgery are that in the right hands, you will have a permanent improvement in the appearance of the nose. The cons are cost, recovery and risk of a less than ideal cosmetic result. I recommend visiting with a rhinoplasty expert to review all of your options more thoroughly.Best,Mehdi Sina, MD

Hi and thanks for your question and photos.  If you look at patient 78 on the second page of my rhinoplasty gallery on my website, you will see a patient with a very similar nose to yours (Please see link below).  Filler would be helpful, but a rhinoplasty would take care of the issues with your tip and bridge permanently.  My office in Wayne, PA in the Philly suburbs, so I would be happy to see you for a consultation with computer imaging.