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My Nose Expands and Looks Really Big and Flat when I Smile. Is There a Way to Fix That Without Losing Its Character? (photo)
asked 3 months ago by hanne91 in Dallas, TX
Latest answer by Robert Kotler, MD
Question viewed 285 times
Tags: smile, big nose, flat nose bridge, recommendation
My Nose Expands and Looks Really Big and Flat when I Smile. Is There a Way to Fix That Without Losing Its Character?
3 answers to My Nose Expands and Looks Really Big and Flat when I Smile. Is There a Way to Fix That Without Losing Its Character? (photo)
+1
Nose Expands and Looks Big & Flat When I Smile
I'm sure that your nasal tip is big and flat when you are at rest, but becomes worse with facial animation and smiling. The tip and the nasal base can narrowed and and the tip can be augmented to increase projection and definition. It is normal for the nose to change when smiling.
+2
Your rhinoplasty would be limited in some accomplishments.
Dear Hanne91;
Your nostrils are quite wide and the overall width of your nose, compared to the entire width of your face, is rather significant. Smiling probably makes it worse because the cheek muscles pull the wings of the nose up and out to further widen the nose.
If your bridge is low, you may be well served by having the bridge improved either using natural tissue or an artificial bridge. And there may be a place to narrow the floor of your nostrils. Likewise,...
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+1
Rhinoplasty
Your photo shows a flattened bridge and most likely a wide alar base. The standard approach to narrow and project the nose out of the plane of the face is a bridge implant or graft and narrowing the base width. I do not know what you mean by character of the nose. If the look/shape is changed I would think you would consider the character changed as well as the ethnicity to some degree. You could opt to leave the tip and base unchanged if you want a less dramatic difference.
I hope you...
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Aaron Stone, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon


