What Should Be Changed About my Nose? (photo) Doctor Answers, Tips
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What Should Be Changed About my Nose? (photo)

I have 2 rhinoplasty consultations this week and I am trying to articulate in my head what I want changed about my nose. I know that I want the hump removed, for it to not protrude out so far, and for it to be made more narrow from the front view. Also, something about my nostrils in my profile view bother me. I don't like the way they slope downward and I think I would prefer the nostrils to show slightly more when viewing from the side. But I'm not sure how to word this all in my consults.

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12 Doctor Answers | Asked by Maeby
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Most of the concerns you stated may be improved with well-performed Rhinoplasty Surgery.

The concerns you articulated in your questions are easy to understand and would be helpful for your prospective rhinoplasty surgeon. On front view, your nose is a bit wide, and on profile view you have a bump and your tip is a bit overprojected and underrotated. You also have a "retracted columella", and improving this would increase your nostril show on profile view. Good luck with your consultations. Hope this helps you. Dr. Joseph see video
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What Should Be Changed About my Nose?

Aesthetically speaking, I think that you have described in lay terms exactly what should be done during the Rhinoplasty. Remove the dorsal hump, thin the nose and nasal tip while rotating the nasal tip upward. The tip projection is aesthetically correct and does not to be reduced IMO. Hope this helps.
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Nose Changes

You have voiced your expectations very well for a rhinoplasty. Make a consultation with an experienced board certified facial plastic surgeon. It would be beneficial to you for the surgeon you choose to use a digital imaging computer to show you what your end results may look like. Have a list of your end result goals as well as any questions you may have. It may also help to have pictures to help show what you desire for your final outcome. Ensure that your surgeon understands your concerns... more

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Rhinoplasty

Your assessment of the hump and bridge width are on the mark. The tip projects forward on side view 2/3 of the bridge length so it is not over projecting. The main issue with the tip on the side view is the outer rim of the nostril covers most of the columella. Usually we strive for the rim being 4mm higher than the outer edge of the columella on a side view. This can be due to a retruded columella, a low hanging nostril rim or some combination of the 2. Your upper lip is long so columellar... more
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Rhinoplasty Consultation

Hi Hopeful, It is good that you are having multiple rhinoplasty consults. Your rhinoplasty aesthetic goals are realistic. I agree that slight dorsal hump reduction with narrowing of the nasal bones along with refinement of the lower 1/3 of your nose is a good plan. From the side, your columella is slightly retracted, and the angle of your tip can be slightly elevated. Be sure to ultimately choose your rhinoplasty surgeon most carefully. Good luck and be well... more
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What should be changed about my nose?

Hello, a rhinoplasty is in order in your case. Everything that you mentioned here needs to be addressed at your consultations. Your concerns are reasonable and a great result should be possible. Schedule a consultation with a Board Certified Facial Plastic Surgeon. Good luck to you.
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What Should Be Changed About my Nose? (photo)

It sounds to me you have a very good idea of what bothers you about your nose. There are cosmetic changes and then there are breathing problem changes. Your surgeon will look inside your nose as well as the outside and tell you what they feel you need. I always tell patients in this forum that it so very important for you to have many conversations about what you want done. Before you ever allow a surgeon to operate on you it is so important that the two of you are on the exact same page.... more
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Rhinoplasty questions

Thank you for the question and the photos. The hump at the bridge of the nose, the tip rotation and the tip itself needs to be addressed. Now, thats from looking at your photos and reading your note. However, this is not a formal consultation. Ultimately, you need be seen in a consultation, the face and nose are evaluated. Your hopes and desires are addressed and you see before and after photos. It would also be helpful if you could take pictures of your desired looks with you to the... more
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Rhinoplasty Terminology

Yes, communicating with your Rhinoplasty surgeon can be like talking to a plumber. The terminology can be confusing. Most experienced Rhinoplasty surgeons could easily determine what your major concerns are based upon what you have written down already on Real Self. May I suggest you write down the three things you really do not like about your nose. For example you might say, I have a Dorsal Hump, my nose appears wide at the base/ my nostrils appear to flare out... more
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What Should Be Changed About my Nose?

Even with posted photos you are asking a very open ended question. Best to be examined by a boarded rhinoplasty surgeon in your city. There you will be examined, shown, made to understand the operation of rhinoplasty.
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Rhinoplasty

Dear Hopeful, I think it would be advantages for you while seeking consultation to see a surgeon who uses a digital imaging computer this will be able to show you the surgeons proposed results. I use this during my rhinoplasty consultations and then I can show the patients before and after pictures as well as the imaging photos to show how close in proximity the final results are to the expected results. It is important in rhinoplasty surgery to give the patient a natural looking... more
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Rhinoplasty

I think you have articulated your goals reasonably well. Basically, it sounds like you are seeking a dorsal hump reduction, and possibly to raise the tip of the nose very slightly, and narrowing of the nasal vault. Hope this helps. - Dr. Sayed
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