It seems every time I look I find something else wrong with my nose, but I still want my nose to be "mine." I know I want to fix my drooping tip when I smile by cutting the depressor septi muscle, but I can't decide whether my dorsal hump is more an issue or the drooping tip that I have when I'm not smiling. I also don't know what to do about the extreme skinniness (literally nothing but cartilage and skin) around my bridge and the oblong shape of my tip. Any advice would be much appreciated!
What would be the recommended procedures to help fix my nose without it straying to far from being 'my nose'? (photo)
Doctor Answers 9
The best advice that I can give for you is to go and see a rhinoplasty surgeon for consultation. Computer imaging is useful to make sure you and your surgeon are "on the same page" also. Rhinoplasty does not need to be dramatic. In fact, more often, subtle changes are made to improve tip definition, smooth the bridge out, etc. without changing the overall look. I would be happy to discuss this in person. My office is in Midlothian. Good luck!
Rhinoplasty without it straying to far from being 'my nose'?
Improving the cosmetic appearance of the nose and refining its shape, yet having the result look natural, is a frequent request from patients seeking a rhinoplasty.
Following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on 2 dimensional photos without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of the operative procedure would not be in your best interest. I would suggest you find a plastic surgeon with extensive nasal surgery experience who is certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or a facial plastic surgeon that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla, California
I would find a board certified PS who can take your photos and then alter them digitally until you find the look for your nose in the photoshopped images that he has created. That way you and he will have the same final result in mind when you go to the operating room and you should be fully informed what the risks are and the possibility of creating that result.
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You want to refine your nose without severe changes. Just removing the hump and correcting the droopy tip will make a big difference. Consult with an experienced surgeon specializing in rhinoplasty to explain your alternatives and help you clarify your goals.
What would be the recommended procedures to help fix my nose without it straying to far from being 'my nose'?
Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties and rhinoplasty revisions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.
Kenneth Hughes, MD
Los Angeles, CA