Hi there, thanks for your question! I'm impressed with
your analysis. Based on your photos, it appears that rhinoplasty is a good
match for you. The issues you wish to address — a nasal hump and a downturned
tip that becomes more pronounced when smiling — are relatively common concerns
and are not generally difficult to correct with surgery. Refining or shaving
down the bridge of your nose would be a good option, as would nose shortening
and tip rotation or raising. Look for board-certified plastic surgeons in your
area who have plenty of experience with rhinoplasty.
Dorsum or bridge refinement along with tip refinement and elevation would help address your concerns.
Find a board certified plastic surgeon 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
Yes you are an excellent candidate for a rhinoplasty procedure. The procedure would involve shaving down the dorsal hump which is composed of both bone and cartilage. Medial and lateral osteotomies of the nasal bones are also required to prevent an open roof deformity. The nose should be shortened by lifting the tip. Narrowing of the tip cartilages is accomplished with suture techniques to the lower lateral cartilages. Also important to release the depressor septi ligament that pulls the tip down when smiling.
Your nose has a variety of issues but they are, for the most part, correctable. The length of your nose (from between your eyes to the tip) is quite long and could be shortened considerably. Rotation of the tip would help in making the lip not look so short (as would projecting the columella--the tissue between the tip and the lip). As the tip rotates, the "hump" would not be as noticeable but it could be reduced as well. Overall, you are a good candidate for rhinoplasty.