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

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.

Good evening!Thank you for taking the time to upload pictures so we can have a better understanding of your needs!Rhinoplasty is the best option, it’s quick and permanent. Fillers on the other hand only last a few months, are painful, expensive and most importantly, they can be potentially harmful and cause future complications.

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.

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.

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