Non Surgical or Surgical Necessary? (photo) Doctor Answers, Tips
Rhinoplasty: Q&A
Ask a Question

Non Surgical or Surgical Necessary? (photo)

I recently received a consultation from a dr (I live in in New York City). I was told I had poor tip support and would need a open rhinoplasty to place to support the tip and turn in upward. Also, remove the hump and break the bones on the sides of my bridge to make my nose look more narrow to achieve a "nicer looking nose". I honestly would not want my nose to look more narrow or smaller. I would just want my profile to be straightened and the bump at the top of the bridge gone somehow

14 Doctor Answers | Asked by Kyanna3587 in New York City
+1

Hump removal from nose requires surgical rhinoplasty

The only way to remove the hump on the bridge of the nose is through surgical rhinoplasty. Once a large hump has been filed down, the nose bones must be narrowed to prevent an open roof or flat-topped nose deformity. This is performed through osteotomies and there is a mild narrowing effect that occurs when the nasal bones are reset inwards. A small amount of tip surgery is sometimes required to make sure that the tip is balanced with the remainder of the nose. more
+1

You appear to be a better candidate for Rhinoplasty Surgery than a Non-Surgical Rhinoplasty.

I agree with the surgeon you consulted: Your tip is underprojected and needs support. In that regard, you may consider consulting several experienced rhinoplasty specialists to see what might be best for you. Your bump is not at the top of your bridge: rather it appears to be in your mid-bridge. And since your bump projects further than your tip, injectable fillers above your bump may not be the best option for you. Hope this helps you. Dr. Joseph see video
+1

Rhinoplasty #nosejob

Rhinoplasty surgery is very delicate and is difficult at best. First you should choose a surgeon who is board certified and has the goals in mind that you are trying to obtain. There are so many maneuvers that can be performed to reshape the nose. Careful analysis internally and externally is so important as is a clear understanding of your goals. The reason the surgeon spoke of making small fractures into the bone to narrow them is because when you take the top bump down the nose looks very... more

You might also like...

Real Stories

Rhinoplasty Surgery is Booked!!! - Paoli, PA

I've been following everyone's stories on here for about a month now so now that I have...

Before + After Photos

View 3520 Rhinoplasty photos
+1

Rhinoplasty

Although a formal consultation is recommended, a surgical rhinoplasty appears to be necessary to achieve the results you seek based on the photos you have provided. Non-surgical rhinoplasty is best for patients with a small hump to enhance the profile. Please consult with a board certified specialist who can best assist you in achieving the results you seek.
+1

No need for open

I would do a closed rhinoplasty, obviously, an in person consultation is needed for a full evaluation, but I see no reason a well done closed rhinoplasty would not succeed in giving you a good result without an outside scar.
+1

Rhinoplasty

Your posted photos are inadequate for a full assessment because the eyes are not visible on the side view, the chin is not visible in any view, the head is tilted on the front view and the downward oblique view is non-contributory. It looks like your bridge is shifted to the left and your radix lies at or below pupil level. If you turn the tip upward more you risk being able to look into both nostrils on front view. The current tip rotation looks fine. I am not so sure you need hump removal... more
+1

To reduce a bump, surgical rhinoplasty is usually better

There are a number of ways to reduce or camouflage a nasal hump. Non surgical rhinoplasty fills in above the bump to make the profile more even. However your tip may also be a little weak and need strengthening as well. I like computer imaging to show what works best. Sometimes its a little hump removal and a little addition above and below to get the ideal balance for your face.
+1

Hump removal in rhinoplasty.

It makes no difference as to open or closed for what you want. Seek out a rhinoplasty surgeon that understands what YOU want and not what he wants. You will be seeing your nose every day not him. You are the one who needs to like your new nose!
+1

Simple Nasal Hump Removal

You only need a conservative nasal dorsal hump reduction. You have to remember that all surgeons have their own preferences and methods. It is not right or wrong, just a personal approach or philosophy. You need to communicate your EXACT desires to the surgeon and that will help her/him to understand your needs better. One more important point; when the hump is reduced it does involve breaking nasal bones, there is no way around it. Regards Dr. J Disclaimer:... more
+1

Open rhinoplasty best for non-projecting tip.

Hi, You will do best with surgery. The bump in your profile is not the only thing that can be improved. see video
+1

Non - Surgical Nose Job

Hi, In your case I would go with a rhinoplasty. It will give better long term results and the cosmetic result will also be better. I agree that your nose would do best with an open rhinoplasty. Best, Dr.S. see video
+1

Non-surgical

Given the size of your hump and your poor tip support you would get some, but limited, improvement from a non-surgical rhinoplasty. You would likely not be able to get a straight profile unless you have surgery
+1

Non-surgical vs surgical rhinoplasty

Non-surgical treatment will improve the profile but probably not do to much on your frontal view. I prefer to use Perlane. It is safe and can be easily removed if for some reason you don't like it. It lasts about a year.
+1

Rhinoplasty vs. Nonsurgical rhinoplasty

Nonsurgical rhinoplasty can add, but it can not take away. What I mean by this is that if your bridge (dorsum) was too low, then dermal fillers could be used to make it taller (dorsal augmentation). In your case, you have a tall bridge already, and have a dorsal hump as well. The best way to achieve the "straight" profile you are looking for would be with surgery.
Doctors will not see your comments on their answers. If you'd like to follow up, please go here to ask another question.

Comments (0)

Ask a Question

Welcome Back

Sign in with Facebook

Your information remains private and will not be posted without your permission.

Forgot your password?

Don't have an account? Create one now.

Join RealSelf

Join with Facebook

Your information remains private and will not be posted without your permission.

Please enter a valid email address
 Did you mean ?

By creating an account, you are indicating that you have read and accept the RealSelf Terms of Use.

Already a member? Sign In.

Retrieve your password

Enter your username or email address and we will send you a link to login.

Check your email

Check your email. We've sent you a link to reset your password.

Ok