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Who Decides Nose Shape for Rhinoplasty?

asked 2 years ago by pravin in VA
Latest answer by William Portuese, MD
Question viewed 979 times
Tags: nose

I want to know, could I get any shape for nose or the one the doctor selects for Rhinoplasty?

21 answers to Who Decides Nose Shape for Rhinoplasty?

+1

Shape of nose for rhinoplasty depends on many factors.

The shape of the nose for a rhinoplasty depends on many factors. It is important to discuss with your surgeons your concerns and general ideas that you would like to see for your new nose. It is important that the physician can deliver rhinoplasty results that the patient desires. It is also important that the nose looks natural and balanced with the face and does not appear to be operated upon. Computer imaging is also important in the discussion process to get a clear understanding of... more
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Who Decides Nasal Contour?

The answer to your question is your surgeon, you, and your genes. There are physical limitations. Regardless of the skill of my surgeon. he/she could not sculpt Paris Hilton's nose on my face ( see my photo on Real Self ). All kidding aside, you do ask a very good question. During consultation, patient and physician should thoroughly discuss what will be done, how it will be done, and establish reasonable goals.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

You should come up with a nose shape together

You should look at rhinoplasty as creating a significant improvement over the nose you currently have. It is not possible to create any nose during a rhinoplasty surgery, but you should go into a consultation with an idea of what kind of nose you would like. After the surgeon examines you, he or she will determine if that goal is possible. Every patient should be treated like an individual and if you are looking at pictures in a surgeon's office where every nose is done the same, then... more
Andrew Miller, MD

Edison Facial Plastic Surgeon
+1

Consider having computer imaging.

I find computer imaging to be a wonderful tool. It will give you a preview of the possible changes in the shape of your nose. With this technique you will have a better understanding of what is possible and what the finished product will look like. If your Rhinoplasty surgeon does not offer this service, I would get a second opinion with a surgeon that can perform computer imaging of your nose. Then you will see if your expectations can be met.
Todd B. Koch, MD

Buffalo Plastic Surgeon
+1

Nasal shape - desired vs. possible

Dear Pravin, It is good to know what kind of result you are interested in attaining, but with some patients, it is not possible to achieve a particular end result. A simple example is a patient with a very large nose with thick skin - it is not possible to achieve a very petite, refined nose. Surgeons cannot significantly alter the skin, and we have to account for how the skin will react to surgery. If you are unhappy with what you are hearing from one physician, visit with several... more
Michael A. Bogdan, MD

Dallas Plastic Surgeon
+1

Nose shapes

It's not clear why you and your plastic surgeon aren't agreeing to the ideal nasal shape for your face. Your plastic surgeon is likely looking out for your best interest and if you can't reach an agreement together then consider it a blessing and move on to a second opinion. If it is your first nasal surgery, then your goals should be identified and the technique is up to your ABPS Board Certified Plastic Surgeon of preference. However if you have had more than one nasal operation it's... more
Ricardo A. Meade, MD

Dallas Plastic Surgeon
+1

The shape of your nose after surgery...

The shape of your nose after rhinoplasty depends on its structural starting point, the thickness of the skin over it and the talent and experience of your surgeon.  You should discuss what you want very specifically and ask your doctor if your expectations are realistic.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+1

Only for Pinocchio

Pravin, You, the patient can choose the shape of your nose within the limits of your basic nasal structure.  This can be discussed with your board certified plastic surgeon.  Good luck!
Kenneth R. Francis, MD

Manhattan Plastic Surgeon
+1

Rhinoplasty

The original shape of your nose is genetically determined.  With this in mind, a rhinoplasty surgeon has to work with the tissue that he is given.   From this, the nose can be contoured to improve the shape while maintaining function.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Every nose imposes limits on how much it can be changed

Bone structure, cartilage thickness and flexibility, skin oiliness or dryness and depth all impose limits on how much any surgeon can change the nose. There are other issues that must be considered. Size and shape of head, distance between eyes, dimensions of the lip, structure of the upper jaw bone all influence the surgeons opportunities or lack of them to make a change that is satisfactory to the patient. All the above explains the need for a thorough and thoughtful consultion. Computer... more
Robert Kotler, MD

Beverly Hills Facial Plastic Surgeon
+1

You, your surgeon, and mother nature.

The patient and the surgeon together decide on the goal. That goal is a compromise based on what the patient has to work with anatomically and what the surgeon can physically achieve given the limits of techniques and technology. In the end, though, mother nature really has the final say. ;-) --DCP
David C. Pearson, MD

Jacksonville Facial Plastic Surgeon
+1

Nose Job

The goal of most cosmetic surgery is to have a happy patient at the end of the process. With this in mind, the final shape of the nose is a collaboration between the patient and the doctor. What I tell my patient is that we are friends right now, but right after surgery you won't be happy with me, but we will be friends again in the coming weeks. What I mean when I say this is that right after the surgery, you are swollen and sometimes bruised. With time and healing, my patients are... more
Sean Wright, MD

Philadelphia Plastic Surgeon
+1

Nose shape in rhinoplasty.

Hi! You decide on the nose shape for a rhinoplasty, as long as your choice is reasonable and fits your face.  An experienced plastic surgeon will give you the necessary guidance. I would not do a rhinoplasty if a patient wanted a shape that I thought was inappropriate.
George J. Beraka, MD

Manhattan Plastic Surgeon
+1

Shape of the nose-who decides

It is a mutual decision between you and your surgeon. It is important to realize that a particular shape of the nose cannot be guaranteed. The first goal is to make sure you are not requesting a nasal shape that cannot be obtained surgically or does not fit the general aesthetic principles. Having said that you can describe your desire to the surgeon. A good way to describe your ideal nose to your surgeon is to pretend you are a plastic surgeon and you can change the nose any way you want.... more
Tanveer Janjua, MD

Bedminster Facial Plastic Surgeon
+1

Goals of Surgery Should Be Agreed Upon By Both Surgeon & Patient

The goals for rhinoplasty should be agreed upon by both the surgeon and the patient. Every rhinoplasty patient is unique and so should their rhinoplasty -- i.e, there is no "one nose fits all". For the nose to look natural, it must be in balance and harmony with the other facial features. One way to gain a better understanding of how rhinoplasty would change your appearance is to visit with a rhinoplasty specialist who show you what your potential rhinoplasty resuls would look... more
C. Spencer Cochran, MD

Dallas Facial Plastic Surgeon

www.rhinoplasty-usa.com

+1

Nose shape after rhinoplasty

No doctor can guarantee the final nose shape after a Rhinoplasty nor can they give you a nose that is "exactly like....". I recommend my patients come in with pictures of noses they like and do not like. Then, I also use digital images of their nose that I can modify to help the patient understand the possible options / outcomes. However, these are all tools for communication, not a guarantee of the final result. The final product depends on what you start with, what your... more
Michael Kulick, MD

San Francisco Plastic Surgeon
+1

Consult with your surgeon

The decision to undergo rhinoplasty is a personal one. A patient who considers rhinoplasty has usually thought about certain things that they do not like about their nose and want changed. It is true that in the textbooks there are certain 'ideals' that one would consider to be a 'good' looking nose. However, this doesn't necessarily fit with every patient's needs or desires. On the other side some patients have a particular nose shape in mind which may not be possible. I often get requests... more
Samson Lee, MD

Seattle Facial Plastic Surgeon
+1

Nose shape with rhinoplasty

The final shape of your nose is a collaborative effort amongst you, your surgeon, and your nasal anatomy. It's obviously very important for you to communicate your desired nasal shape and appearance to your surgeon. After a detailed nasal examination, particularly focused on the anatomy of your cartilage, nasal skin thickness, and nasal airway, your surgeon will relay to you what he or she thinks is possible and what is advisable. His or her aesthetic judgment will obviously play a role,... more
Sam Jejurikar, MD

Dallas Plastic Surgeon
+1

Shape is limited by anatomy and function

As with any cosmetic procedure, you should discuss your concerns and goals with your surgeon. Some surgeons have digital imaging software where they can illustrate fairly accurately what the end result of surgery might be. In any case, rhinoplasty surgey is always limited by the underlying anatomy of the patient's nose and a desire to maintain the function of the nose. At times, a patient's goals for surgery may not be attainable because they would cause pinching of the nose and difficulty... more
D.J. Verret, MD

Dallas Facial Plastic Surgeon
+1

Nasal deformities

Rhinoplasty is directed to manage deformities that are already present. For example a nasal hump, a droopy tip or a deviated septum. Your board certified plastic surgeon will be able to help you identify these abnormalities and could give you a realistic picture on what could be the outcome. Best of luck!
Hisham Seify, MD, PhD

Los Angeles Plastic Surgeon

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