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Rhinoplasty Advice for a Natural-looking Yet Noticeable Result?

asked 2 years ago by dbk101 in Reseda, CA
Latest answer by Ramtin Kassir, MD
Question viewed 1,992 times
Tags: bridge, nose, nostrils, columella, hump, natural, tip

I'll be getting rhinoplasty, and I need advice on what to do to make it how I desire. I want a noticeable difference in my nose, but I don't want it looking artificial.

For the bridge, I want it to be narrowed so that from the front view it looks like it tapers into the tip (most narrow portion would be in the middle area). From the side view I want a very slight scoop or slope (right now, it has a slight hump). I want the nostrils narrowed slightly; I don't know what to do with the tip, should I have it slightly narrowed accordingly also?

I want to maintain the round appearance of my nose, I dont want a sharp or pinched nose. Would removing columella work? Look up Nick Jonas: that's the appearance Im looking for.

 

15 answers to Rhinoplasty Advice for a Natural-looking Yet Noticeable Result?

+1

Making a natural, non-noticeable nose is the mark of excellent surgery

The issues you describe can all be done with slight refinement of the tip without pinching. The tip would look a little to wide if not done due to the narrowing of the rest of the nose. See an experienced rhinoplasty surgeon and live patients that he has done to evaluate what you will be getting. It's one thing to say you do natural noses and another to actually do them!
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

+2

Imaging during your consult will help match your expectations with your surgeons

Based on your picture, the changes you seek seem very appropriate. As mentioned, the ability to use computer morphing software to visualize your expectations and those of your surgeons is key. The surgeon would modify the structure in question with input from you, directed by you, and therefore approved by you. The surgeon shows what is obtainable, not just sells you on an ideal as pure marketing. The other value of this process is that you can see how all of the regions of the nose blend... more
Kevin Robertson, MD

Madison Facial Plastic Surgeon
+2

Rhinoplasty and natural looking results

It is helpful that you have a vision of some of the changes you would like to see to your nose and helpful that you have a perceived surgical outcome. I think that a good rhinoplasty surgeon will be able to help you achieve these goals. Your frontal view gives me a good idea of some of the issues your surgeon will confront, such as wide dorsum, wide nasal Ala (nostrils), and thick skin. Other photos would also be helpful and I am certain that when you visit with a rhinoplasty surgeon they... more
Philip S. Schoenfeld, MD

Chevy Chase Facial Plastic Surgeon
+1

Rhinoplasty Advice for a Natural-looking Yet Noticeable Result?

The answer is yes. When patients mention celebrities, we use their pictures for discussion only. You will only look like yourself, with a refined nose. I'd pay attention to the following: 1. Thick nasal skin, limiting fine detail 2. Relatively narrow mid nasal vault (middle 1/3 of your nose where bone meets cartilage) requiring batten grafting after hump removal and upper 1/3 osteotomies 3. Wide nasal ala (nostrils) requiring reduction to maintain a... more
Ramtin Kassir, MD

New York Facial Plastic Surgeon
+1

Natural Rhinoplasty

All noses should look natural after rhinoplasty. The tip should be narrowed slightly so it is proportional to the rest of the nasal structures. I would also narrow the base of your nose. During consultation, make sure you and your surgeon agree on what will change to clearly establish the goals of your operation.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Male rhinoplasty

A rhinoplasty is a great way to improve the appearnce of the nose. I spend a lot of time with my patients during consultation so that we can discuss the patient's concerns and figure out a "game plan" for surgery that is in line with their desires. The key is realistic expectations.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Your surgeon's experience is critical in achieving a completely natural Rhinoplasty.

I think you're an excellent candidate for Rhinoplasty surgery. Your expectations are reasonable in that you could have a narrower bridge, tip, and nostrils along with profile refinement. You won't get a Jonas-nose. You'll get a refined version of your current nose. You should interview several board-certified, experienced Rhinoplasty surgeons before proceeding. Computer imaging is helpful for you to see what you'll look like after Rhinoplasty surgery. I hope this is helpful for you.... more
Eric M. Joseph, MD

West Orange Facial Plastic Surgeon

www.ericmjoseph.com

+1

Natural nose appearance after Nose Job

DBK The most crucial step in having a good nose job result is picking a good nose surgeon with whom you can communicate; It can be either a Plastic Surgeon (from www.PlasticSurgery.org) or ENT surgeon. A few comments : - I am not a big follower of the Jonas Brothers but you and him do NOT share the same ethnicity and you have a much thicker skin. As a result different nose procedures may need to be done on you to try and achieve such a nose. - As regards your nose "For the bridge, I... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Options for changing the appearance of the nose (nose job rhinoplasty)

Reviewing your concerns in order: Subtle changes can be accomplished in order to maintain your ethnicity and keep it looking natural. Although you may desire the middle portion of your nose to be narrow, we must avoid making the middle one third too small as this could result in an inverted V and narrowed breathing passage or airway. A supporting graft or strut to the tip is often required to give the illusion of a "scoop" tip without making the nose too small. The nostrils can... more
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Natural-looking Rhinoplasty results

Hi, The best way for you to know what you are looking for in a rhinoplasty is to have your surgeon do computer imaging on your nose and explain to exactly how he is going to achieve those results. Best, Dr.S.
Oleh Slupchynskyj, MD

New York Facial Plastic Surgeon

www.facechange.org

+1

Rhinoplasty Advice for a Natural Looking Yet Noticeable Result

Hi Dbk, You can have a noticeable and natural difference in your nasal appearance after properly performed rhinoplasty. The bridge of your nose should be narrowed with osteotomies so that there is a smooth transition from your medial eye brow to the tip of your nose. Your nasal tip will need to be refined so that it is proportionate to the rest of your nose. Your nasal ala appear to be wide in your photo, so consideration of subtle alar narrowing with Weir's excision should be... more
Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon
+1

The key to a natural looking nose

Dbk101, Obviously the real answer to a natural looking nose, is completely individualized. The idea is to look at your face, your height, your ethnicity, and then work with you to understand your aesthetic so that we can accomplish the nose that feels and looks right to you. We find that by going through this process, taking your pictures in multiple views, and imaging them to allow you to see the result allows you to truly appreciate what can be done for you. Much of what you are requesting... more
Peyman Solieman, MD

Beverly Hills Facial Plastic Surgeon
+1

Rhinoplasty advice

The best advice that I can give you regarding the wishes of your outcome for your rhinoplasty would be to make sure that you and your physician are on the same page and that he/she tries to achieve the result you are looking for. All of the changes you mentioned are certainly achievable and I would agree with them. However, not having other views of your nose I cannot say for certain but they seem reasonable. As far as working on the tip, I generally am in agreement that a pinched or boxed... more
Scott Trimas, MD

Jacksonville Facial Plastic Surgeon
+1

Every rhinoplasty is different

Each patient for rhinoplasty should be treated as an individual. You have very specific requests. It is impossible to give accurate advice about a complex surgery without a full set of photographs (8 views) and the surgeon being able to touch and look inside your nose. I suggest you seek a rhinoplasty specialist to review your goals and let them suggest what is best for you. A consultation should be a dialog between the two of you. You state what you desire and a good surgeon will discuss... more
Steven J. Pearlman, MD

New York Facial Plastic Surgeon
+1

Natural looking rhinoplasty results

It is important to have natural-looking rhinoplasty results, so it does not look as though any nasal surgery has been performed. Seek out a rhinoplasty surgeon who has performed thousands of rhinoplasties. Narrowing the nasal bridge can be performed with osteotomies. The tip cartilages can be narrowed and refined through suturing techniques and/or possible removal of a small amount of cartilage from the tip. Alar base reductions can be done to narrow the nostrils. It is important on... more
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

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