Rhinoplasty Recommendations for the Bottom Half of my Nose? (photo)

asked 7 months ago by Lynn2569
Latest answer by Robert Kotler, MD
Question viewed 154 times
Tags: recommendation, upturned

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.

7 answers to Rhinoplasty Recommendations for the Bottom Half of my Nose? (photo)

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... more

Robert Kotler, MD
Beverly Hills Facial Plastic Surgeon

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... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

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.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

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... more

Corey S. Maas, MD
San Francisco Facial Plastic Surgeon

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.

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

www.palmbeachface.com

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.