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Can Rhinoplasty Refine a Thick "Meaty" Female Nose?

I've always thought my nose is too big and "meaty." Recently, a friend said my nose also "lacks shape" and looks like "a mound of meat on my face" -- sounds kind of disgusting. I guess there are more unappealing things about my nose that I haven't noticed. What's wrong with my nose? Can Rhinoplasty help me fix these problems? What needs to be done?

Doctor Answers (12)

Your nose looks perfectly natural. Rhinoplasty can change the shape if you wish.

+11

Dear JustMaybe,

I think your nose looks perfectly natural and normal. I think your friend was beeing rude and inappropriate.

You have a very pleasing normal Asian face with nice features.

Rhinoplasty can be done but reducing the thickness of the skin is impossible.

Cartilage grafts can be used to build up the bridge and elevate and narrow the tip. This would change your nose significantly to a more caucasion or Occidental type of nose.

If you never disliked your nose and are happy with your Asian features, dont consider Rhinoplasty. I would ignore the "friend" who made such a rude statement.

Boston Plastic Surgeon
5.0 out of 5 stars 24 reviews

Rhinoplasty is not uncommon for Asian patients

+6

Justmaybe,

I do see patients in the Chicago area of all ethnic backgrounds and rhinoplasty is a common request, second to upper eyelid procedures in patients of Asian descent.

As I viewed your pictures you look very plesant and attractive and I don't see anything really wrong with your nose. It is unfortunate that your friend has been so critical and it is certain to bruise feelings. Nothing needs to be done at all.

Certainly your nose can be changed with rhinoplasty and others will consider raising the bridge with some narrowing of the nose, and also thinning and refining the tip.

Cosmetic surgery should only be considered if you feel the changes will enhance your life and who you are. We are seldom sucessful trying to change ourselves to suit anothers expectations. The answer as to whether you should consider rhinoplasty is within you alone. And while you are considering, make some new friends who can like who you are and support the decisions you make for yourself.

Best of luck.

Web reference: http://www.peterejohnsonmd.com/rhinoplasty

Chicago Plastic Surgeon
4.0 out of 5 stars 25 reviews

Be careful what you wish for

+5

I had a patient who had an ethnic nose come asking to look like someone not of their ethnicity. Typically, the media glorifies the small petite nose of the caucasian starlets.

After the patient received the procedure, her family and church responded in a negative fashion because she lost part of her ethnic look and charm. With that said, there are things that can be done to you nose in part or in total to make it look more petite;

1. Defatting of the skin: a technique that can help to narrow the tip of the nose. Be careful, this technique has risks and should only be attempted by someone with experience using it.

2. Reshaping the nasal tip cartilage with sutures and grafts: this routine technique can be used to add a tighter more pyramidal shape to the nasal tip. It can also add projection.

3. Adding projection to the dorsal profile so that it is straighter.

4. Softening the angle of the columella to the lip so it is not so angular.

Best of luck.

New York Plastic Surgeon
5.0 out of 5 stars 13 reviews

Thick skin can be reason for thick nose

+3

Rhinoplasty surgery is not performed for thick skin on the nose; it is not a skin operation. The skin is lifted up, the bone and the cartilage is sculpted, and the skin is placed back down. Thick skin will obscure refinement in the nose after a rhinoplasty. The skin cannot be thinned down. The thickest skin on the nose typically is in the tip with thick olive, oily, sebaceous-type skin. Very thick-tip-skinned individuals are probably not going to get the desired cosmetic result from nasal surgery.

Seattle Facial Plastic Surgeon
5.0 out of 5 stars 52 reviews

Thinning the tissue under the skin can help

+3

Thinning of the subcutaneous tissue can give minimal changes in your type of nose. Patients who have this surgery are often not happy because the expect a thin skinned nose and this can't be done. Your nose looks good the way if is. It can be made to look smaller by doing a chin implant to balance your face. This would be I think a more satisfying procedure for you.

Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 9 reviews

Involves tricky surgery, see an experienced surgeon

+2

To JustMaybe,

Hi! The lower part of your nose and the tip of your nose can be made more defined and "sculptured" with internal sutures and grafts. Since this is something you have thought about for a while, go ahead.

But this is tricky surgery, and the correction of the "ethnic" nose (Asian, African American) is a subspecialty in its own right. So make sure to go to a very experienced surgeon, and ask to see lots of before and after pictures.

Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

Asian rhinoplasty and thick skin

+1

thank you for your question

based on your photograph I will very plainly state to you that tip refinement in any Asian rhinoplasty maneuvers in your case will have a good but limited effect. The worst thing you can do is be aggressive with something like alar base reduction. Another pitfall in your case is that the surgeon may assume that trimming the lower lateral cartilages on each side will give you better definition. In your case this is probably not true and that the cartilages and your nose are actually small and weak most likely. Therefore sutures placed to make the tip sharper and possible cartilage grafting may be needed. I would also avoid large L-shaped implants in your case.  Asian rhinoplasty is definitely an art form and the techniques we are all taught in training or read about in a book are not uniformly applicable to each patient.

You can get a nice result but it will take some work and you want to avoid aggressive maneuvers as I think very noticeable refinement of the tip in your case is probably not obtainable or may not reach your personal goals. Get more than a few consults with surgeons familiar with Asian facial plastics.

Chase Lay, MD

Bay Area Asian facial plastic specialist

double board certified facial plastic surgeon

Web reference: http://chaselaymd.com/rhinoplasty.html

Bay Area Facial Plastic Surgeon
5.0 out of 5 stars 33 reviews

Thick skin - rhinoplasty concerns

+1

Thick Skin is a common issue with Asian rhinoplasty. Asian noses typically have thicker skin along the nasal tip region compared to someone of Nordic decent. Also the nasal tip cartilages in the Asian nose tends to be thinner and weaker. As such to increase tip definition the Asian nose requires tip augmentation with use of cartilage grafts and some "thinning" of the nasal skin subcutaneous fat. 

Manhattan Facial Plastic Surgeon
5.0 out of 5 stars 5 reviews

Thick nose

+1

Yes a rhinoplasty can refine a thick nose......to some degree...mostly depending on the thickness of the skin. You have to see a surgeon who has experience and confidence in thinning the skin of the nose. The other major maneuver involved is cartilage grafting to give the nose shape, support, and usually projection. These noses need material added not removed which only makes them look saggier and less defined. Thinning and/or moving the nostrils medially may also help if done conservatively so as to look natural

Miami Facial Plastic Surgeon
5.0 out of 5 stars 5 reviews

Rhinoplasty and Thick skin

+1

One of the biggest challenges in rhinoplasty is working with a variety of skin types.  In some thicker skin noses, the underlying support of the nose can be weak.  Surgeons who work with thicker skin can discuss ways to create a more defined nasal tip based on your anatomy, both cartilage and skin.  

Web reference: http://www.shahfacialplastics.com/nose.html

Chicago Facial Plastic Surgeon
5.0 out of 5 stars 55 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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