Rhinoplasty: Q&A

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Rhinoplasty to Improve Front View of Nose?

I like my nose overall, but I'm not happy with the front view. I think it's too wide from base to nostril. Also it spreads and droops when I smile. I would like a narrower nose, a pointier tip and smaller nostrils, more like Monica Bellucci's nose. Is it possible, or do I run a high risk of it looking too fake?

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32 Doctor Answers | Asked by MischaNJ in Fort Lee, NJ

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Revision rhinoplasty may be planned one year after your initial nose surgery

Hi, So based on the pictures, it looks like you had a rhinoplasty but not sure how long ago. If it has been over a year, then a possible revision may be planned. If it is less than a year, then you really need to give it time to heal and let the swelling to go down. A narrower, more refined nose is possible but HOW much narrower depends on a surgeon examining you and cannot be based only on pictures. How thick your skin is, how much cartilage is left, are some questions that need an... more

Narrowing the nose through rhinoplasty

Thanks for the question and photos, Mischa. Based on what I can see of your nose, it does appear that you would be a good candidate for rhinoplasty. There are three primary issues that seem to bother you: 1) bulbous tip, 2) c-shaped nose (deviated middle third) and 3) drooping/width of the nose with smiling. I would address the bulbous tip by reshaping your tip cartilages with the use of sutures and perhaps cartilage grafts. The idea is to build a narrower and more refined... more

Rhinoplasty can improve the front view of your nose

Hi Mischa, After studying your photographs, I believe your nose may be narrowed and refined naturally while strengthening tip support for a life-long improvement. I will describe these changes below: 1) The lower nose (tip and nostrils) Permanent sutures may shape and refine the cartilages that define the tip of the nose. There are limitations, however, to how much narrowing one can get because of thickness of the overlying skin. The nostrils can be narrowed with incisions that... more

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Tip Definition in an otherwise nice nose

Tip definition should be easily accomplished in your case with some onlay tip grafting. Using cartilage from your septum (or your ear if you have had previous surgery), your tip cartilages can be strengthened and projected so you get a narrower, prettier tip that looks less wide when you smile and doesn't plunge. Of course there is no such thing as a simple rhinoplasty, but a skilled surgeon should be able to give you a result that is prettier and natural looking. ... more

Your Goals Sound Reasonable

The specific changes you are considering seem achievable and realistic. Find a well reputed and experienced Rhinoplasty surgeon. Get consultations with two or three different surgeons to find the right one for you.

Nasal reshaping can result is a more pleasing frontal profile

Surgery can narrow the nasal base and reshape the tip to a more favorable position. The most important aspect of the procedure is to make sure the surgeon has a good sense of the balance and proportions in order to change the nose to most effectively improve your front view.

Robert Mounsey, MD

5 reviews

Toronto Facial Plastic Surgeon

revesse.ca

Rhinoplasty aesthetics

Improving the appearance of the nose is variable from patient to patient. Ideals seen in some individuals may not be possible in others. A thorough exam is critical.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Options for improving appearance of your nose.

Your nose also has a slight septal deviation with mild indentation on the right. Acheiving the nose you desire should be a somewhat reasonable goal. It likely will require a graft to the tip as well as alar base reductions and a cinching suture to minimize lateral displacement with smiling and animation. see video

Achieving Your Goals with Rhinoplasty

A “done” look is not necessary, even when rather extensive work is done on the nose, when performed by a skilled and aesthetic-eyed surgeon. So many maneuvers in rhinoplasty are connected: strengthening of the columella (that midline portion on the bottom of the nose that divides the 2 nostrils) complements the refining of the tip, which also prevents dropping of the tip on smiling. This dropping can be further reduced by cutting what is called the “depressor... more

Tip and base of the nose can be narrowed with surgery.

The flaring of your nostrils with facial expression will not be altered by a rhinoplasty. The base can be narrowed but it is done at the expense of an external incision. If this is overdone, it can flatten the curve in the nostril and make it look artificial.

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