Rhinoplasty: Q&A
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Rhinoplasty Recommendations for the Bottom Half of my Nose? (photo)
I'm a 28 white female. Honestly was considering the lip lift for quite sometime but decided against it due to scarring. Currently undergoing braces to move my lower bite so I will be postponing any nose surgery until that is finished. However, I wanted to get professional opinions on my nose! A recommendation I received was to lessen the upturn and straighten the bottom of nose. I'm kind of hesitant of this because i just can't imagine it. I have no hump, the tip just needs to be refined.
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7 Doctor Answers |
Asked by
Lynn2569
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Not sure you need a rhinoplasty.
Dear Lynn2569;
Based on the photograph that you offer, I am not sure I would recommend any surgery. It is not totally clear exactly what “lessening the upturn and straighten the bottom of the nose” would be, but I don’t blame you for being a bit skeptical.
As far as refining the tip, it is hard to tell what would be wise without seeing a frontal view.
I think you should have an additional consultation or two because from where I sit, looking at...
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Rhinoplasty Recommendations for the Bottom Half of my Nose?
I have performed Rhinoplasty, for over 20 years and I only have a profile shot so I can't really see the front of the nasal tip. IMHO, the nose appears shortened with an over-rotated nasal tip that's at 120 degrees. The aesthetic maximum for nasal tip rotation is 115 degrees for women and 110 degrees for a man. This over-rotation makes the columella have increased "show" or prominence.
Closed Rhinoplasty to refine the tip using a retrograde...
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Rhinoplasty Recomendations
It is best to complete your orthodontic work as you are doing. After looking at one picture, not examining you, and not talking to you I suggest you add to your radix, lower your dorsum minimally, slightly decrease tip rotation, lift the columella, reduce the nasal spine, and place a chin implant.
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Tip rhinoplasty nasal tip refinement
It is always helpful to have 2 views when making a rhinoplasty plan but with what you have shown, and assuming you are seeking the "ideal" (noses are very personal) aesthetic, I would suggest tip refinement and creating a pretip break. This would really create an classically elegant nose. This would entail work in the lower lateral cartilage, dorsal septum and nasal bones. A very important concept in rhinoplasty is balance. Often small changes to the...
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Rhinoplasty recommendations
Your tip is under projected relative to your dorsum and "tense" at the nasal septal angle. You have a lot of columellar show. Lowering of the rims, conservative lowering of the dorsum at the sepal angle and increasing tip projection will give you more pleasing aesthetics.
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Rhinoplasty
Your columella lip angle is well within normal limits for an aesthetically pleasing nose. There is a bit of columellar show and the nostrils may be brought down a bit. Also, without a frontal photo and in-person exam, the exact surgical plan can't be determined. Waiting until the orthodontia is completed is a good idea. Then you should consult with a Board-Certified Facial Plastic Surgeon in your area.
Good luck.
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Recommendation for rhinoplasty
. The columella lip angle is OK
Two things: consider a small chin implant and lower ever so slightly your dorsum to achieve a slight "suprstip" dip
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