Rhinoplasty Advice?

Your nose can be definitely narrowed and the Acne should not be a problem. Your acne should be under control before your surgery. There are many ways to control your acne through cleaning with a cleanser with salicylic acid, topical and oral antibiotics, a nightly retin A cream, etc. For your nose, the width is ideally one iris width. Your nasal tip should also be one iris width. The base of your nose should be approximately 3 iris widths. When I mean an iris width it is the width of the... more

Make sure acne is under good control prior to undertaking any rhinoplasty surgery. The nose can certainly be narrowed at the bridge in the tip to further balance with the facial features.  

The thickness and large size of your nose can make your case very difficult. Some surgeons may try to remove to much cartilage in order to make it smaller, which in turn will not support the skin envelope and deformities will result. It is extremely important to find a surgeon that specializes in rhinoplasty (not just plastic surgery in general), so you may be examined fully and proper expectations can be instilled. I think you can certainly have a nice improvement, though. Good luck.... more

Your problems is not an uncommon one, but difficult to answer without further information. In general though, one can make a large nose smaller with rhinoplasty, but not necessarily small. A profile image would be great to see, but most likely you would need attention to the nasal bones which would need to be "cut" and moved to make the nose more narrow. Along with this the cartilage that makes up the tip would need to be re-modeled to a more narrow and perhaps less projecting... more

Hi Kenzo, If your nose is bothering you cosmetically, you should see a (or a few) rhinoplasty specialist(s) in your area. Your nose does appear large, and likely can be made a bit smaller through rhinoplasty. In your case, it appears that you have thick and oily skin (hence the acne break outs). Thick, oily young male skin does not lend itself well to dramatic changes in the tip contour. Your surgeon after examining you should be able to give you a realistic idea of what to expect. If you... more

Rhinoplasty today has tremendous potential, especially with the the control afforded by open techniques to accurately shape the nose. The tip of the nose in your picture is quite heavy, and the bridge of the nose is broad. The best way to view possible results and options is to search out a surgeon in your area who can simulate changes in your nose through computer imaging programs. The pictures do not show exactly what you will look like, rather they will demonstrate how certain changes... more

Over the internet, our opinions are unreliable. I am an experienced rhinoplastic surgeon, as such, I need to see you inperson to evaluate what you have and what can be done. You can expect improvement, but see an experienced board certified plastic surgeon for an opinion in person.

When noses are evaluated, frontal projection and lateral views are used to assess surgical options. Your nose appears generally large for your face. Finesse issues are less likely to change because acne prone male skin tends to be thicker and less likely to show fine detail. Your nose would benefit from reduction rhinoplasty that generally reduces the nose proportionally in all three dimensions. I agree with Dr. Kasden's preliminary ideas. Seeing a Rhinoplasty specialist in your area... more

First, you only present us with one view, so information is somewhat limited. That said, it appears that your nose in general is wide. Based on inadequate information, my assessment is that the bony structure must be narrowed, the upper and lower cartileges must also be narrowed. It also looks like your nostrils are too wide, and consideration should be given to narrowing this as well. The acne should not affect surgery. sek