Strangely shaped nose, can the bone be fixed with fillers so I can only have surgery for the tip? (Photos)

Thanks Exciting2630 for your question! It sounds like you're considering options to improve the appearance of your nose, specifically addressing a split in the middle and a bulky, droopy tip. While dermal fillers can be effective for certain nasal concerns, they may not be suitable for structural issues like a split in the bone.
The bone split and tip shape are two structural and cosmetic difficulties that can be addressed with a rhinoplasty surgical treatment, depending on your concerns. Compared to non-surgical alternatives, it provides more long-lasting outcomes. Although fillers can improve the nose's tip and bridge, they might not be the best option for treating a bone problem. They could, nevertheless, be an excellent choice for short-term enhancements or to support surgical outcomes.
Selecting a Board-Certified Plastic Surgeon with rhinoplasty experience is crucial. They may review your objectives, offer a customized assessment, and develop a treatment plan.
Hope this was helpful!
Best wishes,
Dr Ali Sajjadian
TRIPLE Board Certified Plastic Surgeon

Hello @Exciting2630, thank you for your question! Rhinomodelation with hyaluronic acid can address minor nose imperfections, such as bumps or irregularities. Hyaluronic acid fillers are injected into the nose to smooth out irregularities and create symmetry. The results are temporary up to 6 months approximately. The hump can be camouflaged and improve the nasal tip projection. This procedure requires precise adjustment to achieve the desired effect. If you are looking for a more permanent solution, a revision rhinoplasty may be the best option for you. The best course of action is to consult one or more board certified plastic surgeons for more information and options tailored specifically to your needs. Best wishes!

Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Based on your pictures, a rhinoplasty would be the best option. It can address both the bone and cartilage structures of the nose, allowing for more comprehensive changes than fillers that would do little in this case.

I hope this helps,
Best of luck !

Based on your concerns, I would recommend rhinoplasty as the most effective solution to address both the bulky, drooping nasal tip and the irregularity along the bridge.
What Rhinoplasty Can Address:
Refine and lift the nasal tip, correcting any droopiness or excessive fullness by reshaping the underlying cartilage. Correct the nasal bridge, including any asymmetry or bony irregularity (such as the “split” you mentioned), for a smoother and more balanced profile.
Improve overall facial harmony by enhancing proportion between your nose and other features.
Conservative, Customized Approach:
We always take a natural, tailored approach, adjusting only what’s necessary to maintain your unique appearance while improving shape and balance. If you'd prefer to minimize intervention, we can focus on tip refinement and assess whether the bridge can be improved with subtle adjustments.
In some mild cases, non-surgical filler can help mask small irregularities on the bridge, but it will not reduce bulkiness or correct cartilage structure — especially at the tip.

Hi from Istanbul! Fillers might offer a temporary solution for your concerns, but they could also lead to a 'ballooning' effect, potentially making your nose appear larger. It's important to note that fillers only camouflage issues without providing any permanent structural changes. Given your photos, I wouldn't recommend fillers in your case. Instead, a rhinoplasty procedure would likely be more beneficial. This surgical approach can address both the bone and tip issues, leading to a more permanent and harmonious result that complements your facial structure. I hope this helps. Best of luck!

The short answer is no, I would not recommend only having surgery for the tip of the nose. Theoretically, a surgeon could do the tip surgery alone, but the rest of the nose won’t match and it would not be natural looking. Personally, I believe that both the bone and tip need to be addressed by surgery, as based on the pictures you provided it does seem that there is a significant issue with the bone. Regarding fillers, I am not sure they would work to address the dorsum or the bridge of the nose.

While you can have fillers to improve the bridge and surgery for the tip, the best outcome would be surgery for the whole thing. The tip is the hardest part of the surgery and takes the longest for the swelling to go down. So if you are there working on the tip, it's not much extra work to improve the bridge at the same time. Be sure to see a rhinoplasty expert for consultation.

Hello,
Thank you for sharing your concerns. The split you describe in the middle of your nasal bone likely represents a bony irregularity or deviation. While non-surgical options like dermal fillers can help smooth some surface irregularities and improve the appearance temporarily, they cannot correct underlying bony structural issues. Fillers may help camouflage minor bumps but will not address the fundamental alignment or separation of the nasal bones. For the droopy and bulky tip, surgical refinement is often the best approach to achieve a lasting and natural result. If you prefer minimal surgery, a focused tip procedure combined with filler camouflage of the bony area might be an option,

Actually, the visible separation here is an anatomical separation. Especially in men, separations over the bony bridge can be acceptable and even aesthetically pleasing to a certain extent. However, in your case, the situation has gone a bit beyond that and moved away from aesthetic lines. To recreate these aesthetic lines and realign the nasal cartilage, a rhinoplasty procedure would be appropriate. In patients with such a prominent bony bridge, like yours, it is generally more reasonable to use standard techniques rather than methods like the let-down approach.

Do research about the risks of necrosis and blindness due to fillers near the nose and periorbital area, besides they produce damages and fibrosis to the tissues, and it is senseless enlarging something needing reduction, use comon sense and don't fall to cognitive biases and magical thinking, there is no bypassing of rhinoplasty and all its burdens and serfdom.

Your nose is a typical Sefardim Jewish type of, featured by 2 of this type of noses most remarkable and specific features:
-rhomboid dorsum, this means from top to bottom normal, broad, pinched, with sharp edges and flad surface, with none or minimal hump prominence; this trait is of dominant heritante, hence many members in you family show it in their noses; it is a very tricky and difficult maneuver to correct a rhombus bride, needing paramedian resection of bone and cartilage followed by infracturing to narrow the broad part and spacer/spreader grafts to broaden the overly narrow part, so that in the end you obtain two aligned edges from top to bottom
-poor supported tip with "parenthesis tip" deformiy better called as overly vertical or verticalized lateral cruras, this lead to that characteristic hooked down shape which does not equal at all to a droopy tip, it is a very well structured shape of a tup and alae, with nostril margin retraction due to its poor support; this requires advanced techniques of structure rhinoplasty, alar grafting, lateral cruras repositioning, tip grafting, etc.

You need a surgeon with solid experience in structure rhinoplasties of high complexity, ethnic rhinoplasties and particularly Sefardim noses.