Big nose with tiny eyes, which one I should fix? (Photo)

The best first step is to find a rhinoplasty specialist. Using computer imaging, you can get an idea from the side view how your profile would be improved by making your nose smaller and chin bigger. It appears that your facial balance would improve significantly. The puffy eyes can be improved at the same time if you wish.

Dear Fahad Saleem;You
have bags of the eyes and dark skin, and of course, that needs an
evaluation. It may be that
blepharoplasty is the proper procedure, but you certainly would want to get
that checked out. Be sure to see someone
who is a specialist in eyelid cosmetic surgeries for that. Ophthalmic plastic surgeons are the most
skilled in that field; living in New York, you will have no trouble
locating one. Their focus is entirely on
eyelids and the tissue surrounding, including the brow.



You
are an excellent candidate for rhinoplasty in these photos. The tip of your nose is too wide. The nose is long. It has a minor bump and certainly if you have
been thinking about rhinoplasty for a long time and want a better profile,
there is no reason not to do it. I
cannot tell in these photos if you need a chin implant because the
photos are a little difficult to evaluate due to the beard, but it does
suggest that a chin implant may be an excellent ancillary procedure. Some cosmetic surgery homework may be in order. Here's how:The homework time you spend will be worth it. You want to do cosmetic
facial surgery right – the first time. The most critical element of the process
is surgeon selection. Ideally, you want a board-certified surgeon, in either
plastic surgery or head & neck surgery fellowship trained, who is highly
focused on the procedure(s) you want, who performs such at least
weekly and who has been in practice for a minimum of ten years.



Websites are the key to understanding the practice. You should see at
least dozens of before and after pictures, showing the changes in the procedure you
want. The most helpful sites have a variety of graphics, including photos of
how you might look one or five or ten days after surgery. Look for detailed
explanations of all procedures. The site should answer nearly every question
you have. Generally, the top practices have the thickest, richest
and most informative websites. The dedicated doctor spends much time building
an educational website for your benefit.



Here is another hint: Ask the practice if you can speak with one or more
patients who have had the same procedure(s) you want. See their before
and after photos if possible. You learn most from walking in the shoes of those
who have made the journey before.

Also, look for a super-specialist:Today’s
medicine is an area of extreme specialization because medical knowledge doubles
every 18 months, even specialists in a particular field of medicine select and
concentrate on just a handful of procedures, becoming extremely familiar, efficient
and adept at performing or delivering them. For instance, a cardiologist knows
all about the heart, but does not operate on them. A cardiac surgeon handles
heart surgeries but may ask a heart valve specialist to do operations on heart
valves. That heart valve surgeon has gone beyond being a specialist and is now
a super-specialist, which is a medical, (and not advertising) classification.
Likewise, a cosmetic plastic surgeon who specializes in only four to seven
facial procedures has become a super-specialist in say, cosmetic and functional
nose surgery along with a few procedures of the face and neck. The
super-specialist is more likely to have had a fellowship, an arrangement
in which a younger surgeon works at the side of a Master Surgeon for a year,
concentrating on and performing only a handful of procedures. The
super-specialist works so efficiently, healing is faster because less tissue is
disturbed going in and coming back out. The procedure is also more likely to be
done correctly, the first time. In the case of nose surgery, that’s extremely
important in a field where almost 20 percent of first nose jobs must be redone
in a second revision surgery, owing to the extreme complexity and delicate
nature of rhinoplasty which is widely known as the most difficult
cosmetic surgery. Choosing a super-specialist means having something akin to an
insurance policy in your back pocket.Another tip for an excellent outcome: ask for computer imaging.Here’s how it works: photos are taken
of you as you are currenty and uploaded onto a special computer system that can morph
your present appearance into an anticipated after picture (The technology is
also known as Computer Morphing.). Such imaging is an
incomparable learning tool because it provides a forum for doctor-patient
agreement on the after surgery result that would satisfy you and is also a result the
doctor can deliver. After all, cosmetic surgery is 100% visual. It's about
appearance but without visuals and everything is left to the imagination. To
anticipate a successful outcome, there must be a meeting of the minds between
surgeon and patient. Why waste your time on a consultation in which the surgeon
can’t demonstrate what he envisions as the outcome? Would you buy a painting
without seeing it? In my opinion, a consultation without computer imaging is
nearly worthless.

Best wishes,
Robert
Kotler, MD, FACS

It is impossible to  make tiny eyes larger. The bags on the lower lids can be addressed with a conservative trans-conjunctival removal of the 3 little fatty compartments on the lower lids. The profile view shows an overly projecting nose and under projecting chin. Dorsal reduction and removal of the hump, de-projection of the nose, can  be accomplished with a closed rhinoplasty procedure. This will make the nose smaller. Inserting a chin implant and augmenting the chin forward will significantly help with facial balance and proportions. Chin implants are manufactured in a variety of sizes and shapes, or inserted through sub mental approach at the same time as the rhinoplasty procedure. For many examples and more information, please see the link and the video below