Upturned nose. Is it possible to correct it to look more like this celebrity with fillers or is surgery needed? (Photo)

A rhinoplasty to de-rotate your tip so the columellar labial angle is closer to 95 degrees and not 105 degrees which is too foreshortened for the look you desire would be indicated.  This is done with a cartialge graft. 

Hello and thank you for your question. Unfortunately no, fillers would not be able to take the place of surgery, especially in your situation. It sounds like your biggest concern is your over-rotated (upturned) nose, which makes your nose appear foreshortened. This is due to the underlying anatomy present- a combination of your nasal bones and cartilage which makes the structural framework of your nose. To achieve your goal, you would need to have surgery to lengthen the nose in order to correct the over-rotation and provide better facial harmony. Addressing the shape of the nose and correcting nasal imbalance are actually some of the more common reasons people seek out and undergo a rhinoplasty procedure.

In addition to addressing your aesthetic concerns, your septal cartilage (or an off-the-shelf alternative) would be harvested (removed) and turned into multiple cartilage grafts, which would then be secured into different areas of your nose for structural support, including in the columella (middle bottom portion of your nose between your nostrils) to really reinforce the tip and prevent long term alterations/ distortions to nose shape. These grafts would also lengthen the nose by helping push the tip down just the right amount, thereby correcting the over-rotation and foreshortened tip.

The open approach is very effective in facilitating complex, precise maneuvers to refine the nasal shape and size to a particular aesthetic and look. Rhinoplasty is arguably the most difficult procedure to perform in all of plastic surgery. I would only recommend going to see a surgeon who feels very comfortable with both primary and revision rhinoplasty procedures, and who has significant training and experience in these types of surgeries. This is a surgery of millimeters, so if the surgeon you're going to only does 1-2 per month, you are not going to get the best result possible.

Of course it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from the photos and description provided.

Dr. Donald Groves, our expert facial plastic surgeon, has extensive training and experience with complex rhinoplasty surgeries, so I’d recommend for you to come see him (or another plastic surgeon who is extremely comfortable with rhinoplasties) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Emer

Nonsurgical rhinoplastic treatments may be helpful for raising your nasal bridge, but may not be helpful for achieving a longer nasal appearance. Nasal lengthening may require rhinoplasty surgery with a 'septal extension graft'. Hope this helps. Dr Joseph