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?
Can This Rhinoplasty Result Be Achieved? What Do You Recommend? (photo)
Doctor Answers (6)
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 these surgical manipulations. The Weir excisions (alarplasty) are necessary in order to achieve the desired degree of nasal base narrowing. Sometimes this can be hard to judge accurately until the results of the rest of the nasal changes have been achieved. Thus, it may be appropriate to consider requesting that your surgeon defer the Weir incisions (alarplasty) until the rest of your nasal changes have healed completely, adding this later (can be done under local anesthesia). Of course, alarplasty can always be part of your planned rhinoplasty surgery, but once performed, it cannot be "taken back." You can always request more (up to a point, or nostril size is decreased too much), but you can't go back!
What you really need is to find a rhinoplasty surgeon who you can trust to make the assessments and judgements that you are attempting to make yourself. It is certainly OK to be clear about goals, participate actively in discussion, and be proactive in asking questions, but at some point you have to relax and leave the driving to us (like the old Greyhound bus commercials). Micromanaging your own surgery is neither wise nor helpful (nor possible once you're asleep)! Think about plastic surgeons who undergo plastic surgery themselves!
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
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.
Rhinoplasty and expectations
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.