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Too-Straight Nose After Rhinoplasty

asked 1 year ago by lilyrella in manchester
Latest answer by Richard W. Fleming, MD
Question viewed 1,033 times
Tags: profile, straighten

Basically I had rhinoplasty a year ago,to remove a bump and reduce my nose in size.My problem is that now my nose in my opinion looks too straight almost like a slope ,but not a ski slope where it goes up more ,rather a slope that goes too much into a straight line.I was wondering ,if there is any way to make the nose naturally curve more and maybe add a small bump to the nose ,so it looks more natural.I know alot of people ask for a perfect straight nose ,so is what I want out of the ordinary?

20 answers to Too-Straight Nose After Rhinoplasty

Straight Nose after Rhinoplasty

Although unusual, over the last 35 years I've had several patients ask to have a hump maintained or added during rhinoplasty surgery. I recently had a man ask that his nasal fractures be repaired without changing his large "Roman Nose". Clearly describe your goals with your surgeon.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Too straight of a nose.

Yes it is possible to correct this without a doubt with some type of graft. That being said, people generally love the so-called aquiline nose, and it is hard to achieve. Most surgeons are conservative and leave a bit of a bump. Most say it looks more natural, and it generally does, in the sense it is more common. But people don't always want to hae a common look so to speak. Also, surgeons are conservative in regards to the bump because over resection causes the so-called saddle... more

Srdjan Ostric, MD
Chicago Plastic Surgeon

Nose too straight after rhinoplasty

It is possible to create a bump on the bridge of the nose by adding a cartilage graft harvested from the internal portion of the nose and placed along the bridge line. This will add a slight hump to the side profile.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Nose too straight after rhinoplasty

This is a complex question, as evidenced by the wide range of answers you have already received. It is difficult to provide you with a good answer without seeing some photos, so these would be helpful. But I will tell you that patients will sometimes tell me that they want to maintain a subtle bump on the bridge of their nose, for fear of having an operated look. Others will actually want a 'perfectly straight' nose. It just depends on the patient. This is where preoperative... more

Ryan Greene, MD, PhD
Fort Lauderdale Facial Plastic Surgeon

Leave good Rhinoplasty result alone

I have seen good results worsen after attempts at revision Rhinoplasty. Without a deformity or complication, I would learn to accept the results and see how you feel about it in a year. Many patients find more acceptance over time. Be cautious. Dr. G.

Edward J. Gross, MD
Orlando Facial Plastic Surgeon

Rhinoplasty to Reduce Bump makes Nose Too Straight

Hi lilyrella in manchester, Without photographs, it's difficult to provide more specific answers. Generally, reducing a bump on the nose is a common rhinoplasty request. While many prefer the bump removed, some request to maintain the bump or to reduce it slightly with nasal surgery. Speak with your rhinoplasty surgeon. Only after a comprehensive evaluation can he/she help determine appropriate options for you. Best of luck. Dr. Chaboki

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon

Nose Too Straight After Rhinoplasty

Hi Lily, Speak with your rhinoplasty surgeon about your concerns. There are some things that can be done to help you achieve your goals. Judiciously injected filler may be the answer or revision surgery. Good luck and be well. Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Can a nose be "too straight" after rhinoplasty?

Actually, the answer can in some cases be "yes!" But when it is virtually impossible for any surgeon, however experienced or capable, to guarantee exactly how every patient will swell, scar, and ultimately heal and settle into a final result, how can it be your doctor's fault that it is "too perfect?" Most of my colleagues' answers include useful information, and the most important is that none of us can comment or answer as accurately and honestly as your own... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

Rhinoplasty - too straight nose

I'm trying to visualize what you mean - but it's difficult to figure out exactly what your nose looks like without a photo. If you want a little bit of a nasal dorsal bump, you can have some filler placed which is an office procedure. I'd recommend going back to your plastic surgeon to discuss your concerns. I'm sure he/she would be happy to help you achieve the look you want. Dr. Cat Begovic M.D.

Catherine Huang-Begovic, MD
Beverly Hills Facial Plastic Surgeon

Nasal Dorsum Contour

Having before and after photos would help providing you with the best overall option for treatment (surgical, non surgical, no treatment). Discussion with your operating surgeon and imaging would be helpful as well so you can see together if you have the same goals. Certainly a quick fix is injecting a temporary filler (HA) to create a "bump" or contour to the dorsum of the nose. If you do not like it the filler will resorb over time or could be dissolved if... more

Christopher Tolan, M.D.
Saint Paul Facial Plastic Surgeon

Is there a way to add a bump back to the nose?

There is a way to place a bump back onto your bridge if that is what you desire. Having a consultation where computer imaging (and morphing) is done would be very helpful. This would allow your surgeon to best determine what outcome you're looking to achieve. A hump could be added back by grafting some of your own tissue such as cartilage or perichondrium (the natural covering found on cartilage). A temporary effect could be achieved with a soft tissue filler injection such as... more

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

Rhinoplasty created a perfectly straight nose.

Before you embark on another surgical procedure you may want to consider using a filler to simulate a nasal hump. IF you like this result, you could consider a long term result with a cartilage graft.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Too Perfect ... Not in Rhinoplasty!

I have never done a perfect rhinoplasty nor have I ever had a patient tell me her nose is too straight. We really need to see photos of our face and nose , at least a frontal and a side view so we can see what you are telling us . One of the key elements in performing a modern rhinoplasty today is to make your nose match or be in balance with the rest of your face. If you have a straight narrow nose and your face is long and narrow,... more

Rod J. Rohrich, MD
Dallas Plastic Surgeon

Can a nose ever be "too straight"?

Most all patients who come in for a rhinoplasty consultation request a straighter nasal dorsum on profile view. I have had a few patients ask that the hump be left alone so that it looks more natural. This is where computer imaging helps. In the initial consultation, I learn from the patient what they want from surgery and I discuss what can be achieved, realistically. You can have revision surgery, it would not be too hard to give you your bump back. You may consider trying a little... more

Theda C. Kontis, MD
Baltimore Facial Plastic Surgeon

facialplasticsurgerymd.com

Nose too Straight After Rhinoplasty

Rhinoplasty is the most complicated and challenging of all cosmetic surgeries. Getting a "perfect" nose sometimes just isn't possible. However, when you get pretty close most patients are ecstatic. Before you ask to have your nose made less straight, be very careful what you are asking for. Revision rhinoplasty is even more difficult. Adding a bump to the nose is likely going to leave you with not the "bump" you were looking for. If I were your... more

Vincent P. Marin, MD
San Diego Plastic Surgeon

Too-Straight Nose After Rhinoplasty

Yes, it can be done. I would suggest either yur own cartilage, from the septum or ear, or a synthetic graft like alloderm or enduragen. Ensure to discuss with your surgeon to make sure you both understand how much to add. Dr Siegel

Michel Siegel, MD
Houston Facial Plastic Surgeon

houstonfaces.com

Minimal revision to give a curve

I would agree that at times the dorsum can seem too straight. Options could include slightly reducing the dorsum a bit to give it a bit of a curve or perhaps a small graft to add fullness. Even an injectable such as fat may give the result you desire. Photos are crucial in planning nose surgeries.

Terrence Murphy, MD
Englewood Plastic Surgeon

Straight nose add a bump?

It is an unusual request to add a dorsal hump. Yes, sometimes patients who have a flat nose want more dorsal height, and in that respect it can be done.

Steven Wallach, MD
Manhattan Plastic Surgeon

Too-Straight Nose After Rhinoplasty

For any of us to respond a posted photo is needed. Otherwise a "perfect" result is not acceptable. Very unusual. Dr. B

Darryl J. Blinski, MD
Miami Plastic Surgeon

Rhinoplasty, just a little off the top

How your nose looks should reflect the real you, and if you feel that the straight bridge is not right, it is possible to preserve a small hump and curve the bridge. Some like the bridge straight, and some like the look of the slight curve or slope, few ask for a bump to remain. To get things right we prefer computer imaging to 'try out' the look before surgery. Putting the bump back is not a small project, but certainly possible. Best of luck, peterejohnsonmd more