Rhinoplasty: Q&A

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Is this a complicated rhino?

I need my deviated septum fixed, I thought I'd leave the appearance alone, but I'd like to research my options to see if my desire to change my nose is achievable. I basically have a bump on my bridge, my nose is crooked due to the deviation which results in a un-feminine profile, one side is better than the other also because of the way my nose curves. I'll post a photo, I'd ideally like the bump to be removed so that the bridge of my nose is almost a straight line, no groove like some may prefer. If I straightened it and had the bump removed, is that a complicated septo? Can anyone tell me what they think a surgeon may suggest based on their own research? I hear about narrowing or even shortening the nose altogether, is just straightening a removing the hump going to allow me to still look the same, with just a better profile? Any advice or opinions would be appreciated!

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19 Doctor Answers | Asked by breanneashley

Doctor Answers (19)
Community Comments (3)

Rhinoplasty and chin implant will improve overall appearance

Dear Breanne, Although not a true profile, I can see that you would also benefit from a chin implant to balance your overall appearance. The dorsal hump is easily fixed. A septoplasty would straighten the curvature that is not apparent in your photo. Removing the dorsal hump and adding a chin implant will drastically improve your profile. If you are having problems with your deviated septum (ie, breathing), you may want to consider having your... more

Is this a complicated rhinoplasty

Rhinoplasty and septoplasty are 2 completely separate operations that can be performed at the same time. Rhinoplasty is performed purely for cosmetic reasons and must be paid for by the patient. The septoplasty procedure is done for medical necessity and is billed to medical insurance. The rhinoplasty involves straightening and narrowing the nose. The depressions on one side of the nose will involve cartilage grafting, such as spreader graft. The hump is... more

Is this a complicated rhino?

Aesthetically speaking the nose has a large dorsal hump of both cartilage and bone. A closed Rhinoplasty to reduce this dorsal hump (with osteotomies to close the open roof after hump removal) and some tip thinning is a relatively straightforward Rhino IMHO. Hope this helps.

First, choose the right surgeon

In regard to rhinoplasty plus septoplasty, this is not complicated in most cases and a good result is usually obtained. The most difficult part is picking a surgeon who thinks like you do in terms of your final result. My best advice to anyone is to ask the surgeon to let you speak to several of their previous rhinoplasty patients, either from recently or years before, to see how the work was done, how the surgeon followed up, and how satisfied they are with their appearance and... more

Is this a complicated rhino?

Every Rhinoplasty is difficult because each one is so different from the next. The first thing I will tell you is that none of us can comment on how difficult yours would be without a full internal and external evaluation. Septoplasty surgery can be easy and it can be hard, it depends on the degree of deviation and what part of the septum is diseased. I perform all of my Rhinoplasty surgeries with an open approach to that I can look right at the bone and cartilage that I am trying to reshape... more

Rhinoplasty and septum

Your nose based upon the one photo does not look particularly difficult. However, I would reserve further comment until a proper exam is performed.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Complicated septorhinoplasty?

Fro the single photo and description it does not sound particularly difficult. Go get a consultation from an experienced surgeon. Good luck.

Is this a complicated rhino?

Hello, in reviewing the one photo that you posted I will say that a number of issues need to be addressed. Based on this photo you will benefit from a rhinoplasty as well as a chin augmentation and submental liposuction. Schedule a consultation with a Board Certified Facial Plastic Surgeon. Good luck to you.

David Alessi, MD

6 reviews

Beverly Hills Facial Plastic Surgeon

www.facialinstitute.com

Rhinoplasty Options

From your photo, it appears that you would be a good candidate for a rhinoplasty to both reshape your nose and perhaps a septoplasty to improve your breathing. Fortunately, these are commonly performed together. Although one photo is not enough, in general you would need a reduction in the bump, narrowing of the tip, bringing the nose closer to your face and then keeping it all in balance with your face. See a surgeon who is familiar with this operation and get a more accurate opinion from... more

Is this a complicated rhino?

Rhinoplasty is the most complicated procedure performed by Facial Plastic Surgeons. However, as rhinoplasties go your concerns are not any more complicated the average person seeking to change the appearance of their nose. You deserve an in-person consultation with a board-certified Facial Plastic Surgeon to address your specific questions. I would also suggest based on the limited photo you posted that you might also be a candidate for chin implant to better balance the middle and lower... more

Complicated rhinoplasty

Rhinoplasty is not an easy operation, and rhinoplasty discussions can be even more difficult. Thoughts of how you might look with the bump reduced can be as unnerving as a hair cut with just a little off the top. There are very many rhinoplasty options, and the trick is discovering the right ones for you. Computer imaging a a great way to 'try out' changes and find the best look for you.

Yes and no

There is no easy nose job (rhinoplasty) from the perspective that it is oftentimes the most noticed feature on a person's face. Therefore "getting it right" is a complex combination of art and science. What can be more important than the complexity or the skill needed to perform a good rhinoplasty is the thorough examination by your surgeon both of your goals and your actual nose. Her or her ability to match what you envision in your head is probably the most challenging... more

Complicated Rhinoplasty

Hi, There are degrees of difficulty when it comes to rhinoplasty. Yours falls in the middle difficulty level. Your bridge can be reduced as well as your tip, proportionately. The best way for you to make your decision is to have your nose computer imaged. You can send your photos to the website below and we can image them for you. This will give you a good Idea of what your nose will look like after surgery. Best, Dr.S. see video

There is no simple rhinoplasty.

All nose jobs are complex and you need a well qualified rhinoplastic surgeon. Only simple surgeons do simple surgery.

Is this a complicated rhino?

Hi Thanks for the questions and posted one oblique photo view. Over the internet very hard to determine the exact operation you may need. Seek in person evaluations from boarded surgeons. I believe a full rhino/septaloplasty in indicated IF you have septal issues. Also as Dr Mayer states a possible chin implant and sub mental liposuction is what I might add to the operation. Best to you

Rhinoplasty for bump and profile refinement, and reducing bulbous tip.

Rhinoplasty for bump and profile refinement, and reducing bulbous tip along with the straightening of your septum is all you need and will produce a much softer appearance. The surgeon may suggest a chin implant for your receded chin.

Toby Mayer, MD

7 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Crooked nose deformity

Breanne Crooked nose deformity along with correction of the likely crooked septum is a challenging case even for an experienced rhinoplasty surgeon. The biggest challenge is straightening and keeping the middle 1/3 of these straight along with transitioning well into the bony upper 1/3rd of the nose. Typically removing the hump, followed by taking the septum apart and removing the crooked portion, followed by using the cartilage from the septum to build up and... more

Multifaceted Rhinoplasty Needed

Dear Breanne, Thank you for sharing your photo although different angles would be great but based on what you have described and your photo I can tell you that your rhinoplasty will not be complicated but multifaceted addressing different areas of your nose. First, your deviated septum will be fixed through a septa-rhinoplasty. Second, your nasal bump could be removed and your bridge would be straightened most likely through an osteotomy. Third, a de-projection of... more

No this is not a complicated Rhinoplasty

Dear Breanne, You have several questions and I will try and sum them up. If you have a deviated nasal septum then this needs to be addressed to improve your breathing this often times helps slightly with the appearance by straightening the nose. If both the cosmetic and functional aspects are addressed in conjunction this is called septorhinoplasty. You do have a hump on the nose that should be improved. A nice straight dorsum that gives you a natural appearance... more

Michael Elam, MD

83 reviews

Orange County Facial Plastic Surgeon

michaelelammd.com

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Comments (3)

Angiemcc (Community Manager) 23 Jul 2012

Hi there,

Thanks for your question. You can't post new photos to a doctor question. You can start your rhinoplasty story here and post as many photos as you like, as well as update as you progress on your journey (but it's not a doctor forum, so will mostly be seen by other RealSelf community members).

breanneashley 23 Jul 2012

The photo is of my worse side, if I were to take a 3/4 view of the other side, that's exactly how I'd want this side to look as well. I don't know if that's even possible to achieve or if that has been asked before.