Rhinoplasty: Q&A

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Can This Rhinoplasty Result Be Achieved? What Do You Recommend? (photo)

I've asked this question before but the doctors told me to have a more realistic approach.Now I'm having a rhinoplasty this june...Can I achieve the result in the pictures added? I did a lot of research over these eight months and according to me I need an alarplasty,a nasal bone osteotomy and a tip lift.Tell me if I need any other procedure or exactly what I should get done to achieve the result?

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6 Doctor Answers | Asked by Liam Montgomery

Doctor Answers (6)
Community Comments (0)

Your goals now appear more realistic. Yet, computer simulation is just that--simulation!

Your main change in goal photographs (from previous question to present one) shows the base nasal width more realistically proportioned. In order for ANY nasal base width narrowing, Weir excisions must be performed in addition to any of the other nasal changes carried out during rhinoplasty. Your upper third of the nose can be narrowed, any hump removed, and the tip cartilages refined, retruded and elevated appropriately (slightly), but the nasal base width is NOT affected by any of... more

Realistic

It is difficult to answer your question without seeing profile pictures – with your thick skin you may not be able to get the narrowing you desire if you profile is also being reduced

Sam Naficy, MD

84 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

Questions and tips before rhinoplasty consultation and surgery

Photographs are an ideal addition to the rhinoplasty consultation in my Los Angeles office. I would begin by taking lateral, oblique, and anterior images and see what proportions can be improved. Narrowing of your nasal bridge, as seen in the photos, will not add aesthetic proportion if performed alone. Your projection and lateral profile are important in your assessment of your rhinoplasty.

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Thanks for the photos, but remember what can be achieved with computer simulation may not be achieved with surgery. Thick tissues do not refine as easily as thinner tissues.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Rhinoplasty and expectations

By looking at your photograph it appears that your expectations for the tip and middle area "osteotomy" region should be achievable and would appear to be a natural and aesthetically pleasing result. However your after photograph shows the base of the nose, between the eyes to a little bit to thin, which offsets the proportions of the nose then making the tip appear large. See a good experienced surgeon and if they have a digital imaging computer which I use in the consultation process they... more

Michael Elam, MD

87 reviews

Orange County Facial Plastic Surgeon

michaelelammd.com

Realistic Expectations with Rhinoplasty

My response is based on 1 picture without the opportunity to examine you and see your entire nose. I feel that bony portion of your nose is too narrow. It is difficult to determine if your nasal base is also too narrow. Listen to the recommendations of an experienced rhinoplasty surgeon; it sounds like you are getting honest advice from the surgeons you have seen.

Richard W. Fleming, MD

10 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

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