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Shaving off 8mm to 1cm from Bone Possible in Rhinoplasty?

asked 2 years ago by newts in UK
Latest answer by Mark B. Constantian, MD
Question viewed 2,352 times
Tags: bridge, face, nose, male, big nose, tip

I feel that my nose is too fat for my face and doesn't look right. It seems to extend too far off my face and I was wondering whether it would be possible to shave 8mm to 1cm off it in all areas (i.e from bridge to tip) to bring it closer to my face during the Rhinoplasty surgery. The nose bridge basically seems to be too high. Thanks in advance.

12 answers to Shaving off 8mm to 1cm from Bone Possible in Rhinoplasty?

Reducing Nasal Projection

Reducing the bony projection 8-10 can be done. However, "proportion" is the operative word (no pun intended) in rhinoplasty surgery. There must be proportion between the nose and the rest of the face , as well as a good relationship between the various parts of the nose. You want to achieve an aesthetically pleasing nose, not just a smaller one.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Almost categorically no.

Nose size means skin volume. If your nose is reduced by 8-10 mm, all that skin has to go somewhere without distorting--something that is virtually impossible. Many things make a nose look large--radix height, tip projection, nasal skin type, and so on. A capable rhinoplasty surgeon can separate these components for you and help guide you toward your surgical goal with a strategy that is safe and will work.

Mark B. Constantian, MD
Nashua Plastic Surgeon

drconstantian.com

Typically 4-6mm is removed during rhinoplasty

Eight millimeters to one centimeter is maybe too aggressive of a reduction in a rhinoplasty procedure. Four to six millimeters is more the amount removed during the rhinoplasty. This is both bone and cartilage reduction and sculpting to give a new refinement to the nose.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

One cm of bone reduction during Rhinoplasty is on the extreme side

One cm of reduction is on the extreme side and you really probably don't need to take that much off when you undergo rhinoplasty (or nose job / nose shaping / nose reshaping / nose cosmetic surgery / nose plastic surgery). What might bring your nose into balance is lifting up the tip of your nose and placing a graft in between the eyes to offset what you are feeling is a big hump of a nose. The only way to tell is to look at you in person or through some well taken photographs. Your... more

Philip Young, MD
Bellevue Facial Plastic Surgeon

Consultation with Digital Imaging is a Great Idea

I must agree with the other surgeons - taking 1cm off the nasal dorsum seems rather much. I would suggest visiting a facial plastic surgeon or plastic surgeon who performs digital imaging. The surgeon can then sit down and illustrate what may need to be done to achieve the goals you desire. In some cases, removing bone is necessary while in others, actually adding bone is what is needed to achieve your desired result.

D.J. Verret, MD
Dallas Facial Plastic Surgeon

A large proboscis

Newts, It sounds like a reasonable plan, but also sounds like a lot of nose to remove. I recommend consulting with a plastic surgeon for some guidance as to how much overprojection of your nose can be corrected. Good luck!

Kenneth R. Francis, MD
Manhattan Plastic Surgeon

How much to bring down a nose

Dear Newts Taking down the bump on a nose varies patient to patient. I must admit that it does sound like a lot 1 cm. It may appear this way to you but sometimes taking less off the bump and building up the bridge gives a much nicer look. See a plastic surgeon who does a good deal of noses both open and closed. Have him evaluate you on a computer to show you how you would look with the "new" nose and discuss your desires with him. You may need to see several doctors before... more

Steven Schuster, MD
Boca Raton Plastic Surgeon

www.schusterplasticsurgery.com

The bridge of your nose can be lowered or raised lowered during Rhinoplasty Surgery.

You can certainly have the bridge of your nose lowered, and have the tip of your nose deprojected with Rhinoplasty Surgery. 1cm sounds like you want your nose significantly smaller than it is now. Significant reduction in size will lead to other changes in your nose like widening. Seek several consultations from qualified, experienced Rhinoplasty surgeons, and view many photos. Feel free to post / email your photo (full face frontal, and profile), and I'll be happy to share my thoughts... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

www.ericmjoseph.com

See a rhinoplasty specialist.

It is possible to make your nose smaller in all dimensions. It is important to see an experienced rhinoplasty specialist to evaluate your skin thickness as well as facial proportions.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Shaving down a large nasal hump

Yes it can be achieved. However 1 cm seems to be too much. Look at your profile view and make sure you don't have a small chin. A small chin can make your nose look bigger than it really is. Also, reducing the nasal hump too much is more likely to lead to complications than a conservative reduction. Regards

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon

Rhinoplasty reduction

Newts UK, the amount of reduction performed on your nose really depends on a number of factors. One of the most important considerations is your skin type. If you have thick skin, there is a limit to how much your nose will 'shrink wrap' down following reduction of the underlying bone and cartilage. Thinner skin tends to shrink down more readily and is more favorable when looking to make the nose smaller in size. If you are able to reduce the nose by 8-10 mm from bridge to tip... more

John M. Hilinski, MD
San Diego Facial Plastic Surgeon

www.drhilinski.com

It is what you leave behind that matters in Rhinoplasty

It is what you leave behind that matters. The dorsal reduction involve reducing the bone and cartilage of the nose. The tip is a separate anatomical unit and its redduction is done by a series of well calculated sutures,excisions and grafts. A consultation with a certified plastic surgeon will be of great help.