Washington Doctors

Will I Grow into my Nose? Nose is Bigger then All my Features (photo)

My family has pretty big noses, but the difference is for them, it works with there facial features. I'm 17 and my nose isn't bumpy, it's straight. The problem is it's very WIDE at the bottom and I don't think it goes with my features. My lips are small, my eyes are small, and im not a large kid. I don't understand why my nose is so unproportional. I want to be a actor someday and I don't think ill get to if my nose looks so bad. I feel if my nose was smaller i'd look good. Help? :(

I do not feel your nose looks extremely large for the rest of your facial features, except at the nasal base.  From your photogrphs it appears that you have thick skin  and this is responsible for the wide apperance of your nasal  base.  It is possible to narrow the base of your nose slightly, but the surgery must be done with caution as an overly narrowed nasal base looks ridiculous and is very difficult to correct.  Make sure you see a plastic surgeon who is very experienced in rhinoplasty surgery.

Rondi Kathleen Walker, MD

Washington Plastic Surgeon

What Are Recommended Questions To Ask PS In Consultation for BA For Tuberous and Asymmetric Breasts? (photo(

I have tuberous breast with severe asymmetry. I am going to my first consultation next Frqiday and I have no idea what questions to ask the ps. He is board certified with over 20 years of experience and has delt with other patients that have the tuberous defect. I am wanting a breast lift with implants. His assistant said that I shouldn't need a lift. What do you think from my picture? Can you please advise me as what to ask my plastic surgeon.\? THANKS!

You do not have tuberous breasts, just asymmetric breasts with a narrow upper pole. The best way to correct this problem is with a combination of a breast lift (mastopexy) and augmentation.  It may take more than one procedure to correct your problem.

Rondi Kathleen Walker, MD

Washington Plastic Surgeon

Revision Rhinoplasty Advice Needed? (photo)

I had nose reshaping done in Thailand in Nov 2010.Apparently from the medical report,the doctor did not diagnose or corrected my deviated septum so the nose appears in an S-curve frontal view.What are other nasal issues I need to be aware of and make sure are addressed during the revision.I am not sure if I can find a doctor here in Thailand who is highly experienced and skillful enough on western nose revision and may have to go to the US for this.The surgical report and pictures are attached.

Your photographs indicate that you would benefit from a revision rhinoplasty.  The areas that need to be addressed are the following:

1. Nasal hump correction - it appears you have a Polly-beak deformity

2.Nasal tip needs to be rebuilt probably with a combination of cartilage grafts and fat augmentation

3.Correction of the deviated nasal septum

4. Correction of the upper lateral cartilages separation from the nasal bones

The surgery was performed over a year ago, so you may safely undergo a revision, but you need an experienced plastic surgeon to perform the procedure.

Rondi Kathleen Walker, MD

Washington Plastic Surgeon