Is There Any Way to Correct my Nose Without Surgery? (photo)

The role that non-surgical rhinoplasty can play in addressing asymmetries of the nose is limited. While small filler amounts can fill subtle divids and camouflage contour depressions and deficiencies by solely achieving a "filling" function, they fail when "sculpting" and "reshaping" is really what the true aesthetic goals should be. In cases of significant asymmetry, often controlled breakage of the bones (osteotomy) and excision of deformed cartilages with structural and/or camouflage cartilage grafting is required to properly correct the asymmetry and obtain long term and yet natural looking results.

Hello and thank you for your question. Based on your single photograph, surgery is the best way to straighten your crooked nose. Nonsurgical methods do not work well for this. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

In many cases, there is no way to correct a severe nasal asymmetry without surgery. Minor irregularities, shadowing, and deficiencies can be helped with filler, but a very crooked nose cannot, especially when the tip is deviated. Adding filler to the nose in these cases will typically just make the nose look wide, but not really correct the problem or even camouflage it very well.
Rhinoplasty surgery is needed to correct a significantly crooked nose such as the one pictured in the attached photo. This is an elective procedure, however, and only needed if the patient is bothered the appearance.
Be sure to see a rhinoplasty expert if surgery is under consideration.
All the best,

There are non surgical interventions that can enhance the appearance of a nose such as injection with fillers.  Filler scan soften the appearance of a hump on the bridge of the nose or even out asymmetries.  However looking at your photo, it would be difficult to make your nose straight or give it the presence of symmetry using filler without causing it to appear too wide.  A septorhinoplasty would be the best procedure for you to straighten your nose.  However if the appearance of your nose doesn't bother you, you also don't have to do  anything about it.  It is very rare to find somebody whose faces completely symmetric - they say less than 10% of all people have totally symmetric face. 

The question you’ve asked is a great one, with an answer that’s somewhat complex - please bear with me. While it is absolutely possible to to balance out minor nose humps, bumps and asymmetries non-surgically, this is not, unfortunately, something I would recommend in your particular case. This is because a non-surgical rhinoplasty is performed through the use of dermal fillers injected under the skin to add volume to certain areas to bring them forward and augment the shape. Although this often works well for patients with small bumps, notches or dents in the nose (you can liken the procedure to filling a hole with sand), in your case these injections would need to take place on the entire left side of the nose and would add quite a bit of width to the front of your nose, which would likely look more conspicuous than the initial asymmetry.

Now, we can look at surgery as well - but fixing a crooked nose surgically isn’t always cut and dry, either. Often, my patients can expect improvement to their crooked shape but, as with all things in nature, straight lines are rare. It is not possible to completely straighten a twisted nose because it is not possible to completely straighten cartilage - a flexible material with memory and intrinsic shape. If patients are comfortable with the above then I will often perform computer imaging during their consultation to give them an idea of what a realistic result might look like. Change is possible, but I recommend all patients carefully weigh the risks versus the benefits - especially in your case, as you mentioned this issue has never bothered you previously.



Finally, you may want to consider getting creative with makeup. Many of my patients (particularly post-op rhinoplasty patients) will use makeup contouring to reduce the appearance of swelling after surgery while they heal and wait for their final results. I expect the same techniques could be used to balance one side of the nose versus the entirety if you’re willing to practise and experiment a bit. Best of luck!

A true septal deviation can be corrected by surgery. Sometimes, fillers can improve asymmetry, but a consultation and exam may help in making that decision. Best, Dr. Karamanoukian

From your photo it looks like your tip might deviate towards your right side. This might be due to a deviated septum. This cannot be corrected without surgery. Go for a consultation just to be sure.

Fillers like Restylane, Juvederm and Perlane can certainly be used in some cases to straighten a mildly crooked nose or improve a small hump. From your photo, it is evident that the bones and cartilage are extremely off center. Filler would make your nose look very odd and wide. Your best bet is to consider having a septorhinoplasty by a reputable surgeon.

 

 

I read your concerns and reviewed your photo:

You appear to have an indentation of your left upper lateral cartilage which is contributing to a crooked appearance. If you decide to have this indent filled, it may lead to a wider appearance of your nose. I would need to examine you to see if this is feasible in your situation.

Another alternative might be nasal surgery with right osteotomies and a possible left spreader graft.

You should consult with a reputable rhinoplasty surgeon to see what options might be best for you.

Hope this helps you.

Dr. Joseph

As a specialist in rhinoplasty surgery, I hear concerns like yours all the time. It is very common to have a crooked nose even without any trauma. You may have a deviated septum causing the crookedness, or it just might be the way your body grew and matured. Some providers might offer you an injectable filler to the nose in an attempt to equalize the two sides, which would just give the illusion the nose is straight, but would make your nose much wider. If this truly bothers you, which it might not since you hadn’t noticed it until someone pointed it out, I recommend consulting with a board certified plastic surgeon to discuss your concerns and to see if rhinoplasty is the right option for you. On the other hand, if it doesn’t bother you, you could also just leave your nose alone, since it is perfectly normal to have some asymmetry.