Rhinoplasty: Q&A

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Rhinoplasty for Short and Wide Nose?

I'm a 25 year old girl and feel that my nose is too wide and bulbous. I have a short nose and the part where my nose meets my forehead is very low. I want to make my nose narrower and higher(where it meets my forehead), maybe longer (Is it even possible?). Can all these concerns be addressed with a single rhinoplasty surgery? What procedures would it involve? Also whenever I smile, my nose takes on a very different shape with the middle part pointing downwards. Can this be corrected?

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18 Doctor Answers | Asked by MagicalPixie in New York, NY

Doctor Answers (18)
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Well-performed Rhinoplasty Surgery may be employed to raise the height of your bridge and narrow your tip.

I read your concerns and reviewed your photos. In my practice, I use Implantech, ePTFE implants to add height to your nasal bridge. During your surgery, you could have tip refinement, and placement of a columella-strut which will support your tip and decrease drooping with smiling. Nasal lenghthening is difficult to achieve: and I don't think this is necessary for you. I hope this is helpful for you. Regards from NJ:

Eric M. Joseph, MD

197 reviews

West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Rhinoplasty for droopy tip and wide nose

Dear Rhinoplasty patient, Reviewing your pictures, I would recommend a reduction rhinoplasty and tip refinement for you. This reduction procedure can help to reduce a long nasal tip, a bulbous tip, and large hump or all of them in combination. An experienced rhinoplasty surgeon will consider these complex nasal structures and will modify them in proportion to create a natural looking nose.

Short Wide Nose-Tip Rhinoplasty wit Narrowing of Bones Best Option

Thank you for your question. First, I would say that you side view is excellent and I would be very cautious about changing it. You have a nice straight nasal profile with good tip projection. Trying to "fill in" the area near your forehead could cause a deformity. A Tip Rhinoplasty can narrow your nasal tip but you will also need narrowing of the nasal bones to keep the front view in harmony. BE AWARE-you do have a slightly twisted or crooked tip-probably caused by a curve in... more

Yes, it can be done in one procedure

The pictures you presented are good and you concerns can be addressed with open rhinoplasty. For the bridge; elevating it with a diced cartilage graft will not only improve the shape but will also improve the length. For the tip; a tipplasty with cartilage suturing techniques will improve the width and the height. As for the nasal tip depression during smiling; a release of the muscle the pulls the tip downward will correct this problem. I hope this is helpful.

Rhinoplasty for short, wide nose

The rhinoplasty procedure can address augmenting the radix or glabella with either the patient’s own natural tissues, such as cartilage from the internal portion of the nose, or a synthetic silastic implant. The tip droop that is occurring from the depressor septi muscle can be released. The tip can be tilted slightly upwards through some tip suturing techniques as well. This will also refine the width of the tip. Osteotomies are performed to narrow the nasal... more

Rhinoplasty for short and wide nose

The concerns you have about your nose: the tip pointing downward with smiling, the nose being too wide and bulbous, and the area where your nose meets your forehead being too low, can all be addressed with rhinoplasty. The tip can be supported and upwardly rotated with a columellar strut graft and by weakening the depressor septi muscles. The bulbosity of tip can be addressed with cartilage suturing techniques and/or a cartilage tip graft. The nasal soft tissue... more

James C. Marotta, MD

9 reviews

Long Island Facial Plastic Surgeon

www.marottamd.com

Short Nose Rhinoplasty

Hi MagicalPixie, Thank you for sharing your photographs. I agree with Dr. Westreich. Your results may be achieved with augmenting the bridge, which is typically performed with cartilage. Cutting the muscle that droops the tip would also be performed. Nostril narrowing will require small incisions at the base of the nose to remove excess skin. All of these procedure can be performed via an endonasal rhinoplasty or open rhinoplasty. Only after a comprehensive evalaution can a... more

Rhinoplasty Changes and Dynamic Issues

The situation you present is not an unusual one. Your concerns can essentially be grouped into the following: LENGTH: Making a nose longer can be accomplished with grafts. Depending on the nose, you either add length by derotating the tip, augmenting the bridge (as you showed) or adding a 'precrural' graft to the columella. Since your columella is not retracted, I agree with the photos that you showed on the site. Your tip is not over-rotated, so derotation does not make sense.... more

Bridge Augmentation and Tip Narrowing Possible

Hello and thank you for including your photos. Bridge Augmentation: Your imaged photos showing two degrees of change to your bridge are well done and it is possible to achieve that kind of augmentation with surgery. There are various materials for bridge augmentation including your own cartilage or a Gore-tex implant. Tip Profile View: At rest, I think your tip position on profile looks perfect. Much of the angle change that you see when you smile is related to your facial muscles... more

Thomas Buonassisi, MD

28 reviews

Vancouver Facial Plastic Surgeon

www.8west.ca

Rhinoplasty for Short and Wide Nose

Hello, Yes, it is possible for all of your issues to be corrected in one surgery. Augmenting the dorsum can help improve the angle at which your nose meets your forehead. This can be achieved using your own cartilage. The nose will appear longer following this procedure. Your tip may be brought up as well, which will result in less of a droop when you smile. Thank you, and I hope this helps answer your questions. Dr. Nassif

Rhinoplasty, Nasal Surgery, revision Rhinoplasty.

Yes, you could build up the bridge of your nose, thin the nasal bones and tip cartilages. The tip appears, from your photos, to be rotated at approximately 110 degrees from the upper lip which is the proper aesthetic angle for a female nasal tip...so I don't believe that it needs to be lengthened (another way to say the nasal tip is rotated downward at 100 degrees or less). All of this could be done with a single closed Rhinoplasty. An open Rhinoplasty IMHO would... more

Rhinoplasty for Short Wide Nose

I agree with your nasal evaluation. You can augment your nose at the naso-frontal angle with cartilage or fascia - it is unlikely you will need to lengthen your nose after increasing projection as we just described. The entire nose can be narrowed and refined. A small muscle (the depressor septi), which pulls the tip down when you're smiling, can be interrupted. All of this can and should be accomplished with your rhinoplasty procedure.

Richard W. Fleming, MD

9 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Closed rhinoplasty will work nicely for your nose.

HI. 1) You actually made a good analysis of your nose and you provide good pictures. Fortunately your anatomy is favorable and you can expect the improvement you want without the need for an open (more invasive )rhinoplasty. 2) The worst thing for you would be to get a "standard" rhinoplasty, where the "bump" is removed. You are quite right that the nasion (the part of the nose that meets the forehead) is quite low. We raise this area with a soft graft made from... more

Rhinoplasty

Certainly your concerns can be addressed during rhinoplasty surgery. If you feel you dorsal height is a bit low there are several different things that can be used to raise this area up and this will also give the illusion that your nose is narrower. Tip narrowing and nasal width narrowing can be achieved as well.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

A rhinoplasty will correct your wide nose.

A rhinoplasty will correct your wide nose and the rest of it, too. Your surgeon will be able to make your nose narrower, to fill out the upper profile indentation, to lift the tip when smiling, and to make your nose fit into your face. Before doing the surgery make sure your surgeon shows you in advance by computer simulation what he/she can do before surgery. You want to choose the final appearance of your nose. G. Gregory Gallico, III, MD, FACS Associate Professor, Plastic... more

Rhinoplasty For Short And Wide Nose

All of your desired changes in your nose could be achieved in a single rhinoplasty procedure. The most controversial part of your procedure would be how the upper part of your nose (radix) will be made higher and built up closer to your forehead. Some plastic surgeons may choose a synthetic material, others use cartilage. Each has its own advantages and disadvantages. Otherwise, changing the tip shape and its projection and eliminating the pulldown on the tip are standard rhinoplasty changes. more

A: Rhinoplasty for droopy tip and wide nose

I agree with raising the nasofrontal angle to increse the length and give a thinner appearance on the feontal view. By clipping one of the muscles on columella the droopy tip will improve when you smile. It appears that you have thick skin which would limit the tip definition, even if a tip graft is used, but I cannot tell for certain from the photos. Lastly, the side walls on your tip appear to be weak, too much cartilage removal may result in a pinched look tip. Dr Siegel more

Michel Siegel, MD

37 reviews

Houston Facial Plastic Surgeon

houstonfaces.com

Rhinoplasty for Bulbous Tip and Increase Bulbouse Tip

Hi, I typically use a custom carved silastic implant to raise the height of the bridge and elevate the naso-frontal angle (the height where your nose meets your forhead). This will also make your nose appear longer. To refine the tip of your nose, a cartilage tip graft and defatting the tip will take away the bulbosity. My website below has many examples of this type of surgery. Best, Dr.S.