You are an excellent candidate for a rhinoplasty. I would reduce the bridge and narrow the bones and your nasal tip. The most important decision you can make is the selection of the right surgeon. Go on a few consults and you will find a surgeon you are comfortable with.
Your nose can be straightened and narrowed, the tip reduced and definition improved, and the nostrils reduced while achieving a natural result if the surgery is done by a rhinoplasty specialist. It will cost $6,0000-9,000 depending on the experience of your surgeon.
Reducing a hump and narrowing the nose are two of the most common indications for rhinoplasty. Consult with an expreienced, board certified facial plastic surgeon who can perform computer imaging to give you an idea of what is possible. Cost of a primary rhinoplasty can vary by surgeon and area any where from $5000 to $15000 dollars. Good Luck!
to create a nose that is natural and less distracting I would say he'll need a dorsal hump reduction which would include portions of the bone and cartilage. He will need osteotomies to bring the nasal bones together to prevent what is referred to as "open roof deformity". Trim of the lower lateral cartilages and possible dome sutures or tip sutures may be needed for tip refinement. A nice reductive rhinoplasty is what you need. Choose your surgeons based on the evidence of their work, the reputation, and urology assessment of this person.
in general a rhinoplasty for U including surgical fees anesthesia fees and facility fees we'll run anywhere from $8000 up to $12,000. In some cases it can be more.
Chase Lay, MD
Double board-certified facial plastic surgeon
What you described can be
cosmetically improved with a natural appearing rhinoplasty by an artistic plastic surgeon with extensive experience in performing nasal surgery.
There are many variables that contribute to surgical fees:
the extent of the procedure, geographic location of the surgical practice, the credentials and level of training of
the surgeon, his or her expertise and reputation, the fee for the anesthesia
provider, and facility charge (the facility should be accredited by a national
accrediting organization like the American Association for Accreditation of
Ambulatory Surgery Facilities (AAAASF)). It is important to compare “apples to
apples”. You should find the most qualified individual to perform a surgical
procedure, not the least expensive. Your health and safety depend on it.
If your selection of a surgeon is determined primarily by
high or low fees, ultimately, you may be disappointed with your choice. Shopping for bargains should be saved
for sandals and t-shirts not procedures that require scientific knowledge,
training, judgment, artistry and expertise.
Keep in mind, that following the advice
from a surgeon on this or any other website who proposes to tell you exactly what to do
without examining you, physically feeling the tissue, assessing your desired
outcome, taking a full medical history, and discussing the pros and cons of the
proposed operative procedure with you and your parents may not be in your best
interest. I would suggest you find a plastic surgeon certified by the American
Board of Plastic Surgery and ideally a member of the American Society for
Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You
should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla, California
Your nose needs extensive refinement with hump reduction, tip sculpting and repositionning of nasal base to narrow the nostrils as well as the base. Have to reposition the lower cartilages so notching of the nostrils will improve. The skin over the tip needs to be thinned for better re-draping.
The rhinoplasty procedure would involve shaving the dorsal hump which is composed of both bone and cartilage. Medial and lateral Osteotomies of the nasal bones will narrow the bridge line. Conservative trimming of excess cartilage of the tip will narrow the tip. To reduce the nostril size an alar plasty would be needed to narrow the nasal base.
Removal of your hump, refining the tip and narrowing can be done. Choose a very experienced rhinoplasty surgeon who does natural non operated looking noses.
You are exactly correct, you want your nose to be more sculpted as to not distract from your face! Yes, you can address most of your issues with a closed rhinoplasty to reduce the size of the nose, narrow the bridge and thin the tip.
In the photograph provided it looks as though in fracturing as well as significant work on the nasal tip would be required to narrow the nose. I don't think narrowing the nostril base is indicated.