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Pixie Nose Shape Require a Rhinoplasty Specialist?

Some people think my nose is cute because it’s pixie or elf-like. When I was younger boys made fun of me, calling me stuck up because of my nose shape. When I look at my friends and celebs no one has a nose like mine. I don’t feel sexy and I’m obviously self conscious about it. I’m considering finding a plastic surgeon for a nose job. Does anyone know if some surgeons specialize by type of nose job, or is a nose job just a nose job?

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nose facial plastic surgeon

Help for Pixie Noses

First and foremost, it is clear as others have stated already that you choose a board certfied plastic surgeon who is highly experienced with all types of noses. The more experience your surgeon has with difficult noses such as yours the less chance that you will have a need for revisions or major complications. Complications can be aesthetic or functional (breathing issues). A pixie type nose requires carefully placed grafts and lengthening of the internal framework of the nose. These... more

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Ashkan Ghavami, MD

Beverly Hills Plastic Surgeon

ASPS

Short or Pixie Nose

Hi, From your description, it appears that you have a small and up-turned nose. This is consistent with a nose that is short in comparison to the rest of facial features. You can have a good result if your surgeon is committed and patient. This is the type of operation that requires expertise and experience. Please make sure that your plastic surgeon is passionate about getting the best possible results and listens to your desires carefully and answers all your concerns. Hope... more

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Ali Sajjadian, MD

Orange County Plastic Surgeon

ASPS

You need to see an experienced Rhinoplasty surgeon for pixie nose

I would be curious to see what your nose looks like. I suspect you may have had an injury to your septum where it was fractured causing a short and over rotated nose. As some of the other answers suggest, a rhinoplasty is the most difficult and rewarding facial plastic surgical technique. The best chance of a great result is with the first surgery, so chose your surgeon carefully. After you have interviewed several you will figure out who is qualified and experienced. Good luck. more

Ivan Wayne, MD

Oklahoma City Facial Plastic Surgeon

Rhinoplasty or nose surgery requires someone who has performed many of those procedures

The most difficult plastic surgery procedure is a rhinoplasty. The reason for this is that the nose is three dimensional and requires correction of the underlying structures, soft tissue, cartilage and bone. The interrelationships of those three tissues can alter the shape and final appearance after rhinoplasty surgery. My recommendation would be to go to a surgeon who has done a large number of those procedures since they have more experience. A lot of general plastic surgeons only do a few... more

Scott Trimas, MD

Jacksonville Facial Plastic Surgeon

Choose a Surgeon Who Specializes in Rhinoplasty

Choosing a qualified surgeon is the most important decision you can make when deciding to under go nasal surgery because rhinoplasty is considered the most diffcult procedure in cosmetic surgery. Every rhinoplasty is unique -- a nose job is never "just a nose job." Tips on Choosing a Rhinoplasty Specialist: First and foremost, choose an surgeon who specializes in nasal surgery. Your surgeon should be experienced at correcting both cosmetic problems and functional problems (such... more

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C. Spencer Cochran, MD

Dallas Facial Plastic Surgeon

Treating upturned, pixie nose

Rhinoplasty surgeons don't usually sub specialize in only treating the upturned nose. If you are interested in improving this consulting with a few experienced rhinoplasty surgeons would be recommended. Counter-rotating the nasal tip is challenging but certainly feasible. I find that this is less difficult in patients like yourself who haven't had prior surgery. There is certainly a range of normal tip rotation (how upturned it is). Computer morphing of your nose would allow... more

Thomas A Lamperti, MD

Seattle Facial Plastic Surgeon

Specialist is in order

The answer is simple. You don't look for a surgeon who specializes in certain kinds of rhinoplasty. Anyone who dose so is an imposter. I have worked with and lectured with the best rhinoplasty surgeons over the past 30 years. I have also specialized is all kinds or rhinoplasty work, including revision work and reconstructive work during this time. All the highly qualified, and talented, and experienced rhinoplasty surgeons are so because they can do whatever is best and... more

Richard Galitz, MD

Miami Facial Plastic Surgeon

Choosing an rhinoplasty surgeon

Choosing the right rhinoplasty surgeon is important. I would focus on a surgeon who is a specialist in your ethnic characteristics and who can design a nasal surgery specific to your desires.

Raffy Karamanoukian, MD

Los Angeles Plastic Surgeon

Don't let it be confusing...

There are obviously many good points that have been brought up here, and it can get a bit confusing. I don't think that you should be worrying about counter-rotating or deprojecting and that this is just too much info. Just know that this can definitely be corrected and that the surgeon will likely need to add cartilage (which they will borrow from your septum, ear, or rib!) to "build up" your nose. Look for someone experienced in rhinoplasty. You generally won't find a... more

Ryan N. Heffelfinger, MD

Philadelphia Facial Plastic Surgeon

How to treat a pixie nose?

Depending on where you live and the experience of the surgeons in your area you should visit with a few either Facial Plastic Surgeons Or Plastic Surgeons who specialize in nose surgery. A well trained surgeon who performs many nasal surgeries per year should be able to help you. If you can pick a surgeon who can image you on a computer, that might help you determine what you would like to have done. Good luck

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Carlos Wolf, MD

Miami Facial Plastic Surgeon

Pixie Nose

Rhinoplasty is one of the most challenging operations we do and therefore a nose job is never "just a nose job". Pick a surgeon who does a lot of rhinoplasties. Your procedure will be difficult because it will be necessary to de - rotate or lengthen your nose. I strongly suggest you have an experienced rhinoplasty surgeon.

Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon

It's always about proportions!

Pixie or upward pointing noses were all the rage in the '80s. This trend has changed to make noses more natural and soft. Earlier rhinoplasty procedures really created a over-operated appearance. The first thing to do is to carefully analyze your face. The size of your face, the skin texture, the patient's height. All of these variables affect the overall proportion of the nose with respect to the face and body. Shorter, petite females can carry of a... more

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Raghu Athre, MD

Houston Facial Plastic Surgeon

Difficult Rhinoplasty

The description you are giving of your nose is "pixie", and "stuck up", conjuring up an image of a small nose with an upwardly rotated tip. I am assuming that the changes you would ike to have relate to a relative lengthening or de-rotation of the nasal tip. This is actually a very difficult result to achieve in Rhinoplasty, requiring cartilage extension grafts. This is not, "just a nose job" and requires a Surgeon very experienced in Rhinoplasty to address... more

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Stephen Prendiville, MD

Fort Myers Facial Plastic Surgeon

Pixie Nose: Is Beauty in the Eye of the Beholder?

Your nose, the pixie nose, was once the most sought-after nose to have. If you look at pictures of models in the 1960's, many have pixie noses. Indeed, the rhinoplasties performed then, with the scooped bridge and turned-up tip, were designed to emulate the pixie nose. Today, we think of a higher bridge and less-upturned tip as more esthetically ideal, but the pixie nose look is not dead. Many of my patients from South America still want that look since there it... more

Minas Constantinides, MD

Manhattan Facial Plastic Surgeon

Seek a rhinoplasty specialist for your procedure

Since rhinoplasty can be one of the most complicated procedures in plastic surgery, it is recommended that you seek a specialist in that procedure. In your consultation you should ask your doctor if he performs the procedure frequently and see as many before and after pictures as you can to be comfortable that he/she can help you achieve the results you are looking for. Having realiatic expectations is also very important. A rhinoplasty specialist will help you understand what you can... more

Jacob D. Steiger, MD

Boca Raton Facial Plastic Surgeon

The truth about nose surgery

All nose jobs are NOT created equal. Your surgeon should have specialty training in rhinoplasty- this will most likely be a facial plastic surgeon or plastic surgeon. You must visit with the doctor, review your goals, and look at many b/a photos of patients with SIMILAR noses to yours. You'll know when you've met the right physician. If I met with you I'd like to start with some additional information: 1. Your age 2. Whose nose do you like the most (celebs, etc) 3. In your mind, what... more

Ramtin Kassir, MD

New York Facial Plastic Surgeon

The Pixie Nasal Deformity

The pixie deformity as it refers to the nose usually refers to a nose that is considered too small for the face. It's turned up appearance is due to the shortness of the nose and can result in excessive intranasal "show". This problem can occur naturally or can be a result of nasal trauma as a child causing the nose not to grow as it normally would. Regardless of the cause, reshaping of the nose with lengthening and dorsum or bridge contouring is usually necessary. This is... more

Paul S. Howard, MD

Birmingham Plastic Surgeon

ASAPS ASPS

Rhinoplasty for short noses

A skillful rhinoplasty surgeon will have the ability to correct your short nose. It is important to find a skilled surgeon who is a Board Certified Facial Plastic Surgeon or Board Certified Plastic Surgeon. As long as they are skilled and have experience then your anatomy should not be a problem for them.

Jason B. Diamond, MD

Beverly Hills Facial Plastic Surgeon

Rhinoplasty for Small Nose

Treatment of the pixie nose, or a smaller turned-up nose is indeed more tricky than standard reductive rhinoplasty. Treatment of this kind of nose may involve lengthening the nose or derotating the tip (derotating = making the nose less upturned). Often the techniques used to achieve these goals are the same used in revision rhinoplasty cases -- where cartilage grafting and other techniques are used to add structure to the nose. As such, I would recommend finding a board-certified facial... more

A. John Vartanian, MD

Glendale Facial Plastic Surgeon

Rhinoplasty for pixie nose

What you need is to find a Board Certified Plastic surgeon with experience. There is no specialist in this or that type of nose. Experienced rhinoplasty surgeon will deal with all forms and types of noses.

Samir Shureih, MD

Baltimore Plastic Surgeon

ASAPS ASPS

Rhinoplasty for short noses

My goal is to create a nose that fits the patient's face. I see many patients who have had previous surgery that is technically good, but aesthetically, the nose does not fit the face. Be careful with alterations of a pixie nose! It is difficult, and the aesthetic goals must be clear.

Jay Calvert, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

PIxie nose

From what you said, it sounds like your nose is maybe too short and perhaps sticks up in the air too much. Also, depending on your height, it might actually be too small. Clearly, I cannot give you a great opnion without at least a photo, but everything I have mentioned so far can often be improved.

Stuart H. Bentkover, MD

Worcester Facial Plastic Surgeon

Pixie Nose

If you are unhappy with the appearance of your nose, then you should definitely see a rhinoplasty specialist. Review your concerns and I am sure he will review a simple plan to correct your problems.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Seek out an expert to treat your Pixie Nose

I am only guessing, but I bet by "pixie like" you mean that your nose is overly "cute" -- turned up, short, and very refined. You need to seek out a very, very experienced rhinoplasty surgeon to treat this condition, as most rhinoplasty maneuvers result in further refinement, further "turning up", and further shortening of the nose! Lengthening, turning "down", and de-pixifying a nose is actually more of a challenge than treating a large, humped, or... more

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Laxmeesh Mike Nayak, MD

Saint Louis Facial Plastic Surgeon

Rhinoplasty requires an expert

Hi, I truly believe that rhinoplasty is one of the most complicated cosmetic operations we do. It is very important that you see someone who is experienced. This is especially true because when you have a "pixie" nose the operation to lengthen and de-rotate the nose is even more complex. Make sure that the surgeons you interview do at least 50 of these operations a year. Furthermore, make sure that you see their before and after photos. Make sure you see examples of noses just like... more

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