What kind of rhinoplasty would help improve my big hump crooked nose & will it alter my physical appearance
What kind of results should i expect after rhinoplasty? (photo)
Doctor Answers (7)
Stanley G. Poulos, MD
Rhinoplasty or nasal reconstruction can provide dramatic or subtle changes depending on the exact anatomy with which a patient presents and the operative plan developed by the surgeon in consultation with you. Today the goal of surgery is to create balance in facial proportions for that individual and not a cookie cutter approach. In our practice and many others who do a lot of this type of surgery we have found that 3 dimensional preoperative imaging (Vectra) available allows us to better communicate to you the exact changes we plan and you to discuss your goals. The change should be an obvious improvement when pre and post op photos are studied but not an obvious surgery to others .In other words you should still look like yourself. Hope that is helpful.
You are an excellent candidate for rhinoplasty. Your bridge needs to be lowered and the bones narrowed. The most important decision is your choice of surgeon. Your case seems pretty straightforward but plastic surgeons vary greatly in their skill with rhinoplasty. Go on three consults to get an idea of the surgeon who is right for you. Good luck!
Expectations of Rhinoplasty Surgery
You are an EXCELLENT candidate for rhinoplasty surgery. You can reduce the hump, lift your hanging tip, increase tip projection, and narrow the base of your nose. All of this will make your nose proportional to your surrounding facial features. At the same time consider an implant to augment your weak chin.
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Rhinoplasty for large hump in male patient
A well-performed rhinoplasty will allow your nose to blend into your face and not draw too much attention. Computer imaging by an experienced surgeon will give you a good idea of what you can expect. Good Luck!
Rhinoplasty for dorsal hump reduction
Dorsal hump reduction involves shaving down both cartilage and bone across the bridge line. Osteotomies will be required to narrow the nasal bones and prevent an open roof deformity. Tip modification surgery will also be required to raise the tip slightly. Releasing of the depressor septi ligament will also be needed to prevent the tip from drooping upon animation. For many examples please see the link below.
What kind of results should i expect after rhinoplasty?
You should expect a strong, masculine nose without the hump. This can be done with a closed approach and no visible scars.
Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties and rhinoplasty revisions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.
Kenneth Hughes, MD Los Angeles, CA
Type of Rhinoplasty
Your nose could be approached through an endonasal or closed rhinoplasty. In this approach, the hump can be reduced, the bones released, and your nasal septum fixed (this is part of the crooked nose problem you have). I recommend doing little to your tip as it seems to fit your face. If you want significant changes to your tip, I would recommend an open rhinoplasty so the nose can be opened and the tip can be fully visualized to make it symmetric. Good Luck.