Primary rhinoplasty - can I accomplish everything and do I need grafting? (Photo)

Thank you for your question and photos. The changes you mentioned can be successfully achieved during rhinoplasty. Your nose can be straightened, the tip redefined and deprojected, and the dorsal hump reduced. Grafts may be necessary to provide adequate structural support if you have thin nasal skin, to straighten the nose, or to lift the nasal tip.

Keep in mind that rhinoplasty is one of the most complex of all plastic surgery procedures, requiring experience, skill, and even artistry to achieve an optimal outcome. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques. They will be able to conduct a thorough exam to determine what steps are necessary to help you achieve your aesthetic goals.

Based on your photos, you appear to have somewhat of a crooked nasal appearance with a bulbous droopy tip a dorsal hump and nostril asymmetry. Since you have thin nasal skin, the expertise of your surgeon is very important. Insofar as grafting goes, we place a columella strut graft in nearly everybody to add additional tip support. Other reason for cartilage grafting may be to improve your nasal Airway. Many times, when we're downsizing someone's nose, very few cartilage grafts are required

Once you find a specialist that produces results that you like, consider scheduling several consultations, with computer Imaging, so you could see what might be best for you moving forward. Hope this helps! Dr Joseph

Based on your photos, you are a great candidate for rhinoplasty. All of the things you mentioned can be done to create a smaller, better defined nose. Usually some cartilage grafting from your septum is done to support the nose, better define it, and keep from pinching. Be sure to see a rhinoplasty expert for consultation.