I cant decide if its just the bump on the bridge, the length, the width or the bulbous tip? (Photo)
Doctor Answers (8)
Recommendation to address this issue
As an ENT and a plastic/reconstructive surgeon, I can tell you that you seem to be a good candidate for a corrective rhinoplasty dealing with the aspects of your nose that you dislike while complementing your facial features and providing you with a natural look.
However, without a physical examination it is not possible to provide you with specific details. I highly recommend that you schedule a consultation with a well-experienced surgeon.
It is important to mention that the finest cosmetic results in any particular case are based on a variety of factors, including: the unique anatomy of the patient, realistic expectations, a well-informed and detailed discussion with your plastic surgeon concerning the best options for you especially covering a deep understanding of the pros and cons of any given choice you will adopt.
Please keep in mind that following the advice from a surgeon online who offers to tell you what to do without a physical examination covering the nature and the status of the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative solution would not be in your best interest. With that in mind, it is the safest and for your best interest to find a plastic surgeon with solid experience and certified by the American Board of Plastic Surgery who is ideally a member of the American Society of Plastic Surgeons that you will trust and be comfortable with. You should discuss your concerns with that surgeon in person.
Ali Sajjadian, MD FACS
Aeshetic Nasal Surgery and Functional Surgery
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Functional and cosmetic nasal surgery
The functional component and the cosmetic component of the nose are 2 completely separate issues. Look for a ENT/ facial plastic surgeon who performs hundreds of septoplasty/rhinoplasty procedures a year who can address both functional and cosmetic components of your nose, and is board certified in facial plastic surgery and in the ear nose and throat surgery. For more information and our photo gallery, please see the link below
I cant decide if its just the bump on the bridge, the length, the width or the bulbous tip?
I would deproject the nose and reduce the tip while refining the bridge.
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
Problem with the Bump, Width, and Length of Nose
It can be done at the same time
ENT/Facial Cosmetic Surgeon
In North America, Otolaryngologist - head and Neck Surgeons (ENT) are one of the few specialties that operate solely above the shoulders (100% of the time). A part of our training is in facial cosmetic and reconstructive surgery. In fact, a number (such as myself) of Otolaryngogists do extra training in facial cosmetic and reconstructive surgery. A nice benefit of having an ENT do the procedure in this situation is that both your breathing and cosmetics can be addressed. Now, this sounds easier said then done. there is a very find line between breathing well and having a nice looking nose. What I mean by this, is that often times people who have a "wide" nose and want it narrowed end up reducing their ability to breath. Doesn't take a surgeon to know that narrowing the opening of your nose will make less air enter it! But I digress....My point is, when you are going for both function (breathing) and form (cosmetics) you need to have a surgeon who has knowledge and is willing to tackle both.
Looking at your nose, i agree that you have a few things that could improve both your front view and your side view. Starting with the front, you do have a wide nose. When we view the nose this way, we look at it in thirds, upper, middle and lower. To me, i see wideness primarily in the middle and lower third of your nose (the upper may be wide, but difficult from the picture). Treating this area is a bit more involved and has a higher risk of poor breathing. Nevertheless, if you had these area narrowed, had your nasal valve tightened (this prevents your nose from collapsing when you breath in) and a septoplasty, i do think you'd have a nice result on the front view.
From the side, i notice two things. You seem to have a long (projected nose) and the fullness (or hump) in the middle. Again, these two things can be improved and you face will have more symmetry from the side. Here in ottawa, Canada we have three ENT - Facial Cosmetic Surgeons that work together, so we are used to these types of issues.
My recommendation is to do some research and find a surgeon that is comfortable achieving the goals you are interested in. Breathing and cosmetics.
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.