Rhinoplasty: Q&A

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Do I Need More of a Change? (photo)

I need my nose straightened, remove my bump & possibly fix the concave nostril with a graft. I saw a surgeon & he thought my nose would still be too long. I've attached a photo of what I'd like, I personally don't mind the projection so was his suggestion based on what the average person would want? I just want an improvement of my own nose, can I not just do these subtle changes with a nice result? Will putting a graft push out the skin that has dented in? Any thoughts would be appreciated.

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bump concave straighten

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7 Doctor Answers | Asked by breanneashley

Doctor Answers (7)
Community Comments (1)

Rhinoplasty for projecting nose

The photographs show a projecting nose with a large hump and a wide tip. The photo imaging that has been performed only show hump removal without balancing the tip and projection in the remainder of the nose. It is very important in the rhinoplasty procedure to make sure the entire nasal components balance with each other and the entire nose balances with the your facial features. Virtual rhinoplasty software is available on... more

Do I Need More of a Change?

Many thanks for the question. Yes you are a great candidate for a good job on your nose. You can get what all you want if you can manage to reach the right surgeon .Wish you all the best.

Rhinoplasty is the patient's choice and should not be the surgeon's.

Rhinoplasty is the patient's choice and should not be the surgeon's. I do many noses with very subtle changes because that is what the patient is comfortable with and since she will be looking at it every day and not me that is the most important consideration. Look at the surgeon's results and not computer imaging!

Toby Mayer, MD

7 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Do I need more change?

I love computer imaging but sometimes it can fool you as well. When you lower the hump you have you are going to have an open roof that requires an osteotomy to narrow the bridge so you don't look wide and flat. If you don't refine your lower nose to balance this it's going to exaggerate it's size more and be very out of proportion. It won't look like what you have imaged from the side on front or oblique views. You certainly can keep your length and maintain a "strong" nose if... more

Michael L. Schwartz, MD

3 reviews

Fort Lauderdale Facial Plastic Surgeon

www.palmbeachface.com

Rhinoplasty, Hump reduction, Projection

Breanne: One of the ways to accomplishing a complementary rhinoplasty, one that enhances the overall appearance, is to have a nasal contour that is natural and in harmony with the face and with the adjacent structures of the nose. From reviewing the photographs you have provided it is my opinion that if you reduce the hump without reducing the projection the projection will become a distraction. This would occur, especially if you reduce the hump to match the height of the root... more

Dorsal Hump Reduction Alone

I think the dorsal hump reduction alone is Ok to consider. Cartilage graft palpabiilty and visability is always a risk. I cannot evaluate the need for a graft based upon the pictures and your description. Kenneth Hughes, MD Los Angeles, CA

Excellent Candidate for Rhinoplasty Surgery

Dear Breanne, During consultation I typically use a digital imaging computer to show the patient their proposed surgical result. I am not sure during your consultation if the consulting surgeon did this and you still wanted your nose longer and did not like the imaging or if the above photographs are pictures that you morphed? Sometimes a patient may discuss during consultation just removing a hump not realizing that other aspects of surgery must be performed to make the nose look... more

Michael Elam, MD

83 reviews

Orange County Facial Plastic Surgeon

michaelelammd.com

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Comments (1)

breanneashley 18 Mar 2013

I figured to add a comment to give me more space to type, I'm assuming the graft is to help push out where the skin has concaved and made the nostril appear a tad smaller. It's not the biggest concern, I ideally just want symmetry, but I don't think it's that apparent to the look as it is to the touch if that makes sense. I don't think my nose is overly bulbous, is it? The photo is my own imaging as I just took down the hump, if that is the result I can expect, I'd be thrilled with it. My concern is altering the tip, I like my appearance overall and don't want a drastic change. My surgeon couldn't really give me a great frontal view of what my nose would look like, the profile seemed great even with bringing in the projection, but I don't like being unsure of how that would alter my other angles. Is straightening the nose and removing the bump going to require any other work? Or can I just make those small changes, I figured if after I feel like I need something fixed it's better to do too little than too much and have to back track. My tip seems twisted some, does that correct with the straighten? I wouldn't be too upset if it wasn't exactly perfect, just curious if that does help with the twist.

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