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

Many thanks for your questionWe term the split in the middle at the bony section an 'open roof' where the bones have not been moved back together. Whilst filler can be performed, this would be a temporary measure and if it concerns you would be better addressed through realigning the bones through a revision rhinoplasty at which time the tip could also be adjusted. However, rhinoplasty surgeons would typically wait at least 12 months from your initial surgery before considering this avenue.
Best Wishes

Thank you for your question—wanting to minimize surgical intervention is completely understandable, and it’s helpful that you’ve already identified the areas you’d like to improve.
When we talk about “less invasive” procedures, it’s important to note that the extent of surgery isn’t solely defined by how much is changed, but rather by how it’s performed. The surgical approach, the technologies used, and the way we interact with internal nasal structures all influence recovery and long-term outcomes.
In cases like yours, where there’s a visible irregularity or split along the nasal bridge, ultrasonic (piezo) rhinoplasty offers a precise and tissue-sparing option. Unlike traditional tools, piezo technology targets only the bone—leaving cartilage, mucosa, and surrounding soft tissue untouched. This allows for more delicate sculpting, reduced trauma, and a smoother recovery process.
As for the bulky and droopy tip, that may be addressed through tip-plasty, a focused approach that reshapes the nasal tip without modifying the bridge. However, when there’s a dorsal deformity present—as you mentioned—treating the tip alone may not achieve the overall balance you’re seeking. The relationship between the tip and bridge is critical for aesthetic harmony.
Filler can be helpful in camouflaging minor irregularities, particularly in the dorsum, but it doesn’t correct bone structure or reduce projection. In patients with prominent or heavy soft tissue, fillers may even accentuate bulk rather than refine it. That’s why non-surgical options are typically reserved for select cases, and often as a temporary or diagnostic tool rather than a definitive solution.
Ultimately, your goals and anatomy should guide the plan. Even when some degree of surgical intervention is needed, modern techniques like piezo allow us to approach it with greater precision and minimal trauma.
Wishing you clarity and confidence as you consider your options,Op. Dr. Güray YeşiladalıBoard-Certified Plastic Surgeon