I have large nostrils and a long nose tip. I have decided not to go with a rhinoplasty and want a minor nose surgery. (Photo)
Doctor Answers 3
No rhinoplasty--just "minor nose surgery."
What I think you dislike about your nose appears to be the over-projection of your nasal tip. You described it as "long" yet when you push your nasal tip "slightly down" it actually lengthens your nose and gives you a "hanging tip" or beak-like nasal tip. I think you want your projection shortened, and that makes your dorsum humped more than it is right now, as your unadjusted profile is almost straight. Do you want a hump when you don't have one now, or do you just want your tip retruded and your nostrils less long and somewhat smaller? Unless you want the increased hump that retruding the nasal tip creates, then the dorsum must be reduced as well, and that in turn may well require osteotomies to restore the nasal pyramid properly, maintaining proper relationships among the nasal components.
Frankly, this would take some back and forth discussion, since YOU may know just what you want, but if your surgeon is not capable of reading minds, there is a high likelihood that you will not achieve your goals.
I think you have clear ideas about what bothers you about your nose, but like too many patients, try to "get by" with less surgery than may be necessary to achieve those goals. Surgeons eager to "make the deal" to proceed with surgery will listen too little, explain inadequately, and do what they think is a "fine" rhinoplasty, which may be entirely NOT what you had in mind.
My advice is to obtain one or two more ABPS-certified plastic surgeon or ABO-certified ENT surgeon consultations and see if you can get any questions cleared up, and a precise plan agreed upon. This will minimize the risk of your being back on this site complaining about "bad plastic surgery" when your goals were not met. Best wishes! Dr. Tholen
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The columella can be cut and sutured
Tip rhinoplasty versus full rhinoplasty
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