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Is There Anything That Can Be Done for my Nose? (photo)

I feel like my nose is too wide across the bridge and there are two small bone humps that stick up. I also hate the fact that the end of my nose is so round like a ball and my nostrils are massive. However, I don’t like super skinny noses and I am concerned that with my nostrils being so large, going to anything smaller or more narrow would make me feel like I couldn’t get enough air. Is there anything that can be done for these problems and if so would these concerns be warranted?

Doctor Answers 15

Wide Nose

Hi Jessie.  

Your concerns are common and are amenable to rhinoplasty.

Most likely, an “open rhinoplasty” (where the soft tissues are gently elevated to allow direct access to the tip cartilages) will be required. These tip cartilages are then sculpted and sutured to refine the nasal tip. Osteotomies are required to reposition a wide nose closer to the midline.

If you like, please follow the link below. The article on Nasal Analysis contains many diagrams that you may find helpful. This may help guide your conversation with your surgeon.

Hope this is helpful. Best wishes.


San Antonio Facial Plastic Surgeon
4.0 out of 5 stars 5 reviews

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Rhinoplasty can address multiple concerns

The rhinoplasty procedure is customized to each person’s needs, wishes and anatomical facial features.  Osteotomies are performed to conservatively narrow the entire nasal bridge.  The bulbousness of the tip can be addressed with different tip techniques such as cartilage removal and/or sewing the tip cartilages together.  Any hump on the nasal bones along the bridge line can be conservatively rasped.  This can all be done through an endonasal or closed rhinoplasty approach without having to perform open rhinoplasty.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 62 reviews

Rhinoplasty

The photos you submitted are excellent and really give me a good idea regarding what  I would do if you were my patient.  I would reduce the tip cartilage to give the tip more definition. I would also perform nasal bone osteotomies {meaning I would break the bones with a small chisel) to narrow the nose. I think you would get a great result.  The most important decision you will make is selection of an experienced surgeon.  I would use   the closed rhinoplasty approach but the open technique would be fine also.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 15 reviews

Rhinoplasty

Subtle changes can give you a very nice result.  Narrowing the nose can be achieved.  Go to an experienced surgeon.  Good luck.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Rhinoplasty

Based on your photos it appears that you may benefit from slight narrowing of the bridge.  You have a nice profile which fits your face.  I think the key it to keep the changes subtle - nothing too drastic

Sam Naficy, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 164 reviews

Goal of Rhinoplasty Surgery

Everything you have noted can be improved with rhinoplasty surgery by an experienced surgeon. By reducing the size and width your nose can be brought into proportion with the rest of your soft, defined facial features.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 19 reviews

Subtle rhinoplasty question

Hi there. You have a beautiful face, and your chin is fine unless you think it's not... Your profile is striking. You are absolutely correct in that the only non harmonious aspect of your face is your nose from the front and three quarter view. You are articulate in what you are hoping to achieve. Consult some expert rhinoplasty surgeons in your area, be articulate, and it's highly likely you'll have a very successful rhinoplasty experience and your goals met. Good luck.

What can be done for your nose

You are a surgeon's dream. Attractive face and appropriate concerns. Nothing severe about your nose. You should get a great result. Go get some opinions and go for it. Good luck.

Is There Anything That Can Be Done for my Nose?

  Aesthetically, the bridge is wide as is the nasal tip.  Rhinoplasty can be used to narrow both areas a little or more, depending on what you're specifically looking for.  In selecting your Rhinoplasty Surgeon, be sure he/she understands and follows the proper aesthetics of facial (and nasal) beauty for the creation of a naturally, more attractive nose and face.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Warning! Do not get a rhinoplasty without addressing your chin!

The answer is yes, but be very careful!  your complaint is in regard to what is called a boxy tip.  The tip cartilages are splayed apart.  This can be corrected by carefully suturing them back together. As far as the nostrils splaying when you smile, this is really the same problem, you dont have enough tip support and your tip is actually collapsing when you smile.  Your nostril asymmetry is also related.  You need what is called a columellar strut which will help adjust the angle of your nose, give it support and allow the lower lateral cartilages to be sutured appropriately.  As far as your breathing concerns, you should actually breath better after a well performed rhinopasty(you may need something called a spreader graft for the dorsum of your nose). 

 

BUT BEWARE:  I would warn you however to stay away from a rhinoplasty that does not include an operation to address your chin.  The nose and chin are tied together aesthetically and in your face a rhinoplasty without a reductive genioplasty especially in the vertical plane will not likely deliver a beautiful result.  Even the best executed rhinoplasty will not look quite right if your chin is not corrected.  your chin should be shortened vertically about 8mm and taken back horizontally a few mms.

 

I hope this helps!

 

All the best,

 

Rian A. Maercks M.D.

Rian A. Maercks, MD
Miami Plastic Surgeon
5.0 out of 5 stars 43 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.