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A. Peter Salas, MD answers: Can a bulbous nose be reduced without looking weird or changing your look

Can a bulbous nose be reduced without looking weird or changing your look
A. Peter Salas, MD
12 months ago

Dear Amanda,

Nasal surgery is designed to improve the appearance of the nose by created a balance between the different components. These components are the the tip, the dorsum (or bridge), and the radix (the top of the nose just below the eyebrows).

In order to properly analyze the nose, it is important to view the different aspects of the nose. At a minimum the surgeon should analyze the frontal view, the side view, the oblique view, and the inferior view.

The are excellent approaches designed to address the "bulbous" nose. However, since the nose has many components, balance is more important than any single component alone.

An example of poor balance in the nose is the nose of Michael Jackson. When looking at his face, you are immediately drawn to the nose which is out of balance and is not in harmony with his face.

Many patients know that they don't like a certain part of their nose, but they often don't consider the interrelationships of the different components.

Our patients often find that no one has identified that they have had a "nose job". Instead people comment on their improved overall appearance. Frequently assuming that their make-up is better, or their hair style is improved, or they look well rested.

This is a true sign of successful nasal surgery. By bringing the nose into better balance, you can improve your look without drawing attention to the nose.

I hope you find this information helpful. Good luck with your procedure.

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A: Yes, there are changes that can make a nice difference for you

David Shafer, MD
12 months ago

Yes, there are changes that can be made to your nose which will make a nice difference for you without looking "done" or unnatural. Your tip can be refined with partial trim of your lower lateral cartilages and with slight narrowing of your nasal bones. You did not provide a lateral picture. If you do, we may be able to comment on changes that can be made to your profile view with rhinoplasty as well. Good luck.

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A: Your nose looks fairly easy!

George J. Beraka, MD
12 months ago

Hi! You have a great face, and your nose can be refined, leaving it looking natural. Your tip needs to be sculpted with internal stitches. The key is not to remove too much cartilage.

Go to a board certified plastic surgeon and ask to see lots of before and after pictures. This is perfectly proper. We show patients hundreds of pictures.

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A: Rhinoplasty is very precise these days

Kenneth R. Francis, MD
12 months ago

Amanda,

Rhinoplasty surgery has evolved tremendously in the last 3 decades. We now specifically address characteristics of the nose and concentrate more on preserving and augmenting the nasal structures rather than removing everything. Your nose does not appear particularly bulbous, but the terminology is somewhat superfluous, as a board certified plastic surgeon or facial plastic surgeon can effectively address your concerns and correct them. Good luck!

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A: Rhinoplasty without looking weird is possible

Darrick E. Antell, MD
12 months ago

The goal of plastic surgery in my opinion is that it should "whisper and not shout" (tm).

In consultation with your plastic surgeon, discuss your concerns and desires. The procedure is done from the inside of the nose and you can focus on just the tip, or the entire nose. If your friends notice anything at all, they usually say: "Did you change your hairstyle?" Or , "Have you been working out lately?" Or, "Have you lost weight ?"

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