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

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.

You could consider using filler in the upper 2/3's of the nose address the "split" appearance, but this may have the unintended effect of widening the overall appearance of the nose and woudl require repeat treatments as the filler dissolves. In contrast, an open approach rhinoplasty would facilitate full access to the underlying structures giving the "split" appearance,as well as the tip cartilages. You may benefit from seeing a board certified surgeon for in-person evaluation. Hope this helps!

Hello, thank you for your question. Based on your photos, nose tip surgery is not your solution.
You need an ultrasonic rhinoplasty. The nose bridge should be reshaped with ultrasonic device on both sides. The nose tip will be lifted up to make 90degree angle with your lip.