Do I need a revision rhinoplasty, or could I fix my bridge and polly beak with a filler?

Hello, and thank you for your question. Yes, you can achieve subtle results with dermal fillers. However, the best procedure will depend on the amount of correction you need to achieve an optimal outcome. Since steroid shots did not work for you, revision surgery might be a better option.
The best way to determine your eligibility for any procedure –whether surgical or non-surgical –is to see a reputable board-certified facial plastic surgeon, particularly one with plenty of experience in performing rhinoplasty procedures. Revision rhinoplasty is an even more complex procedure than primary rhinoplasty. An experienced surgeon will have the skills, knowledge, and artistry to help you achieve the most natural-looking results. During your consultation, your surgeon can assess your nose, recommend the best procedure, and ensure the best possible outcome.

Based on your photos, you are a good candidate for revision rhinoplasty. The osteotomies can be better completed to give you a better bridge. The tip can also be supported and projected better without rotating the tip up. If you don't want surgery, a filler can improve the shape from the side as well. Be sure to see a rhinoplasty expert for consultation.

Thank you for your question. It really depends on how much it bothers you. Filler is a relatively low-risk way to help make smaller changes to the nose, which in this case may be appropriate. However, the result is not permanent. If this issue is a huge bother, then surgery may be the better option. However, keep in mind that surgery is more invasive and carries higher risks. There isn't a right or wrong answer, it just really depends on what your preferences would be. I hope this is helpful, and I wish you all the best.
-Dr. P

Hi there! You definitely can try filler in your nose to provide camouflage to the pollybeak and open roof. There are a number of different fillers which can work well such as Juvederm Ultra. You would likely have to raise your radix slightly and/or project your nose to reduce the appearance of the supratip fullness. A revision would likely get you more precise and final results. With filler, there is always a risk of creating scar tissue and damage to the skin. Hope this helps!

In our practice, we do not recommend fillers placed In the nose for a variety of reasons. If you're mild polybeak's due to thick skin, steroid shots with 5-FU will help. If you're Polly beak is due to excess cartilage, then a Revision rhinoplasty is required. Nasal bone Osteotomies are required to narrow your wide nasal bones and close the open roof. In addition a revision can accomplish reduction of the hanging columella that you currently have. Your a revision rhinoplasty can be performed with a closed technique to avoid the external scar across the hanging columella. All incisions are placed on the inside of the nose and no painful packing is required either