Would I be a good candidate for rhinoplasty? And hopefully a closed one? (Photo)

I have always disliked my nose, not just the size of it but the shape also. I want to fix the droopy pointed tip that dips down when I smile as well as the humped shape of my nose. In the front facing picture you can also notice my nose is indented on one side. It has gotten worse lately and has also made it harder to breathe. I would also like to thin out the bulbous tip.

Doctor Answers (10)

Rhinoplasty Candidate

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Dear Mdelaro, You are an excellent rhinoplasty/septorhinoplasty candidate and your concerns would be addressed during surgery allowing you a more refined nose with a natural looking appearance.  During consultation digital imaging can be used to show you the proposed changes and and then your surgeon will discuss the surgical procedures needed to attain the proposed result. After direct examination your surgeon may decide you need a septorhinoplasty which is a combined procedure. The "septo" portion addressing the septum and the functional aspects of the nose. The "rhinoplasty" portion addressing the aesthetic aspects. It is important that your final result is a natural looking nose that fits your facial aesthetics and a functioning nose to improve your breathing difficulties.


Orange County Facial Plastic Surgeon
5.0 out of 5 stars 136 reviews

Good Candidate for Rhinoplasty - Open or Closed?

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You are an excellent candidate for rhinoplasty surgery and I agree with your critique. I have used both open and closed procedures for many years; having said that, years ago there were only 4 of us in the United States who were big advocates of the open procedure. However, yours could be done either way. After an examination I would describe the advantages and disadvantages of each for you.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

Rhinoplasty candidate for bulbous tip and drooping tip

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Yes, you are a good candidate to have a closed rhinoplasty procedure.  To reduce the bulbous tip, suture techniques are applied to the lower lateral cartilages to narrow the tip. The dorsal hump which is composed of both bone and cartilage can be shaved down. Osteotomies of the nasal bones will help straighten and narrow them as well. The concave upper lateral cartilage in the mid-vault area on the left side will require a spreader graft placement. Releasing of the depressor septi ligament will prevent the tip from drooping when smiling. For many examples, please see our closed rhinoplasty photo gallery

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

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Would I be a good candidate for rhinoplasty? And hopefully a closed one? (Photo)

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Hi Mdelaro,

Your nose can be improved with rhinoplasty.  A closed approach should help you achieve your nasal aesthetic goals.  Your most important task will be to choose your rhinoplasty surgeon most carefully.  Good luck and be well.

Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

Would I be a good candidate for rhinoplasty? And hopefully a closed one?

+1
Excellent cosmetic results can be achieved with both techniques. There is not a best way to perform the procedure. Individual surgeons have their own preferences of how to produce the best results in their hands. What is more important than whether a closed or open approach is utilized is the experience and artistry of the plastic surgeon and your comfort level and confidence in that individual.

Following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on limited 2 dimensional photos without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of the operative procedure would not be in your best interest. I would suggest you find a plastic surgeon with extensive nasal surgery experience who is certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or a facial plastic surgeon that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California




Robert Singer, MD
La Jolla Plastic Surgeon
4.5 out of 5 stars 15 reviews

If you want a smaller tip (deprojection) and correction of the droopy tip open rhinoplasty may be best

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Dear Mdelaro,

Thank you for the the pictures and the question. We have tremendous experience dealing with droopy tips and we would tell you that open rhinoplasty provides a more controlled and accurate deprojection of the nose. Moreover, an open approach will allow your surgeon to better determine why your nose is indented on the left side and how to fix it in a way to alleviate your breathing, while often times closed approach often allows the surgeon only the ability to camouflage the problem with grafts.

In general, based on the picture we would say you should have an excellent result and should find a rhinoplasty specialist who can achieve the goals you have in the most precise and long lasting way.

All the best,
Peyman Solieman, MD

Peyman Solieman, MD
Beverly Hills Facial Plastic Surgeon
3.0 out of 5 stars 3 reviews

Rhinoplasty

+1
All of the things you have stated are reasonable and can be fixed by rhinoplasty. Whether it is done by open or closed technique is entirely up to the surgeon, his training and experience. Either approach would work equally well for you. Get more than one opinion and go with the one you feel comfortable with. Good luck.

Andrew Pichler, MD
Sacramento Facial Plastic Surgeon
5.0 out of 5 stars 3 reviews

Rhinoplasty

+1
You are a good candidate for a rhinoplasty and should be able to obtain the desired result.  Go on consults with specialists who will take your photo digitally and then alter it with your input till you see the result you are looking for then ask him how he will accomplish it.  That way you will know what possibly can and cannot be accomplished

De Corbin

Frederic H. Corbin, MD
Brea Plastic Surgeon
5.0 out of 5 stars 34 reviews

Would I be a good candidate for rhinoplasty? And hopefully a closed one?

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Tip refinement with overall size reduction can be achieved with a closed approach.  Find a rhinoplasty expert who creates natural results.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 237 reviews

Rhinoplasty for the droopy convex nose.

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Rhinoplasty for the droopy convex nose consists of conservative hump removal and tip refinement along with slight elevation of the tip. Choose an experienced rhinoplasty surgeon who does natural noses.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 17 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.