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Nose Too Flat for Rhinoplasty?

asked 2 years ago by 7887anon in maryland
Latest answer by William Portuese, MD
Question viewed 1,012 times
Tags: flat

It seems like everyone here has something to work with. I don't have much of it. It's wide, flat, and crooked. It used to be the bane of my existence, but I guess I had to grow into it. It doesn't look too bad now, but with plastic surgey being closer within my grasp, I would love to have a bit more projection, like show everyone that I have nostrils, well aesthically anyway. Can it be done with my nose, or am I just stuck with it?

16 answers to Nose Too Flat for Rhinoplasty?

Augmenting the flat nose.

Yes, your nose can be helped greatly by using your own cartilage for your septum and or ear to raise your tip and bridge. See a rhinoplasty specialist who is experienced in ethnic rhinoplasty to get the best result.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Rhinoplasty options for a flat nose

You do have options with ethnic rhinoplasty. The crookedness can be straightened out. An alar base augmentation with ear cartilage graft set at the base of the nostrils will add a projection to the nose. The tip techniques that are required to give you more projection to your nose will include suturing the cartilages together with a cartilaginous projection strut and maybe even adding some grafts on top of that such as an extended shield graft.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Tip and Dorsal Augmentation for African American Rhinoplasty

Hi, To correct the low bridge and flat wide tip, you would benefit from what I call the " three tiered approach". The first tier involves building up the bridge with a custom carved silastic implant called the "slupimplant". Make sure you DONT get preformed "one size fits all" implant. The second tier involves using cartilage grafts to build up your tip and provide projection and support for your drooping tip. The last tier involves removing any fat in the... more

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

www.facechange.org

African American Rhinoplasty

Your nose can be improved significantly by augmenting the present structures to increase your projection and definition. Altough many good surgeons use different material for the grafts, I prefer to use the patient'sr own cartilage. See a surgeon experienced in ethnic rhinoplasty.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Rhinoplasty for low bridge and poor projection

It seems that your nose has a low profile dorsal line and poor tip projection. This can be significantly improved by grafting thes areas. It certainly can be obtainable.

Steven Wallach, MD
Manhattan Plastic Surgeon

African-American Nose Job (Rhinoplasty)

In Western society, we have become accustomed to visually equate rhinoplasty with Reduction Rhinoplasty, in which hook noses and other prominent nasal dorsums are brought down, smoothed and or narrowed. But - this is just a part of what rhinoplasty can do. In Black noses, the cosmetic problem is quire different. The noses frequently LACK a dorsum, the nose is low and the nostrils are flaring. To correct this you would need an Augmentation Rhinoplasty with tip refinement and correction of... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Nose surgery can improve the projection and shape of your nose

Hello - It appears as though you're a great candidate for a rhinoplasty. During a rhinoplasty, your nose can be narrowed and grafts can be added to the bridge in order to add volume and projection. Grafts can also be used to straighten out your nose. The grafts come from cartilage inside your nose and extra cartilage from your ears. The procedure takes about 3-4 hours and the discomfort is controlled well with oral pain medication. All in all, a rhinoplasty can be a very satisfying... more

Jeffrey E. Schreiber, MD
Baltimore Plastic Surgeon

Augmentation Rhinoplasty

Hi Anon Maryland, Your nasal bridge can be built up with grafts during rhinoplasty. The graft material may be your own cartilage, or an implant, I prefer Medpor (Porex) for what you desire. Consult with experienced rhinoplasty surgeons, and then choose your surgeon carefully. Good luck and be well. Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

There are limitations with what you could expect with Rhinoplasty Surgery.

I agree that you would benefit most from tip projection so you wouldn't have such a "flat" appearance. Tip projection is best achieved with septal cartilage grafts: likely you would need a columella-strut, and an "extended-shield" tip graft (Pre-columella-lobule tip graft) for adequate projection. In my experience, African skin is thick, and cartilage is weak. This combination may lead to results that are less than expected. If you're ready to check your options,... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Rhinoplasty for flat nose

Yes, your nose could certainly be helped with a rhinoplasty. You may require grafts to elevate the nasal tip and provide volume to the dorsum. You should see a surgeon in your area who is experienced with rhinoplasty surgery. Best wishes, /nsn.

Nina S. Naidu, MD
New York Plastic Surgeon

Enlarging or augmenting a small nose with cartilage grafts

You would achieve your desired results using an augmentation rhinoplasty. Generally this is achieved using cartilage grafts. In your particular situation, the most likeley source of material in order to achieve sufficient enlargement is the ribs. Silicone implants could be used but are generally not preferred in the United States. Other options are available and you should discuss this with a qualified surgeon.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Rhinoplasty includes building up noses, not just reducing them

Rhinoplasty is a general term that refers to cosmetic nasal surgery. Sometimes that means building up the nose by adding what are called grafts. Grafts can be used to raise the bridge, strengthen the tip (which actually makes it look smaller) and even address the bones supporting the nose underneath. To get the best results, see a rhinoplasty specialist for an opinion on how to build up a flat nose.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon

You will require augmentation rhinoplasty

In order to enhance your profile, your nose needs to be made larger. Routinely, we use cartialge for this. Your rhinoplasty surgeon will require a significant amount of your own cartilage to achieve a good improvement. Sources include the nasal septum (where you likely have relatively little to spare), your ears and rib. A thorough examination and discussion are necessary in order to discuss the extent of improvement possible but I would think that rib cartilage will be very beneficial for... more

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon

www.drfechner.com

Fixing a flat nose with rhinoplasty

You may certainly benefit from rhinoplasty. Based on the picture that you provided, you need augmentation of the pre-maxilla (where the nose joins the skin of the upper lip), and increase in nasal tip projection. Both of these maneuvers require cartilage grafts which can be harvested from the septum within your nose. Consult with a rhinoplasty surgeon in your area, and ask to see if they have any patients with similar characteristics as your nose. Good luck

Maurice M. Khosh, MD
New York Facial Plastic Surgeon

Rhinoplasty for a flat nose

There certainly are improvements that can be made to your nose. It is not a typical rhinoplasty were the dorsal hump is removed and the tip is defined. You will need a more extensive surgery involving cartilage grafting and/or implant material to achieve the final look. Good luck with your surgery.

David Shafer, MD
New York Plastic Surgeon

Correction of flat nose with rhinoplasty

You have a tip that is poorly projected as well as low bridge. You should expect amazing results with rhinoplasty to improve both problems. This of course would require an in person examination just to confirm that your nose will amenable to the proposed changes but there is no doubt that the changes would dramatically improve the attractiveness of your nose and face.