Behrooz Torkian, MD

While many rhinoplasties include osteotomies for nasal bridge narrowing, the bridge can still look wide.  What causes this can be different in each case, but some are due to a bridge that is scooped too low - A rib graft would help to correct this.   While others are due to osteotomies that are not sufficiently moved inward to achieve the appearance that is desired - osteotomies would correct this.  Your particular case may depend on what is causing your issue.   Consultation with an experienced rhinoplasty surgeon is recommended.  Dr. Torkian

Dear Tania, During the healing process, the bridge of your nose will go through many different appearances as the swelling subsides and the healing tissue remodels to its final thickness.  This may result in a less scooped look as time goes on, but in some cases may result in more of a scoop.  While some patients specifically request a scooped nose, it is my experience that most people undergoing rhinoplasty are now looking for more natural looking bridge profiles.  I would suggest you discuss with your surgeon how your specific procedure was performed, as during the one month period it is very difficult to determine the final shape your nose will have once healed.  

Thanks for your question and photos.  The foundation of the nose is based on the central wall of the nose - the septum.  In cases like yours, an experienced rhinoplasty surgeon would be able to correct the septum and external crookedness or tilt of your nose, thereby correcting the underlying reason for the external appearance of your nose.  A series of techniques would need to be applied including osteotomies (internal cuts in the bone to reposition the bridge of the nose), septoplasty, and spreader grafts.  This would have to be further assessed with an in-person consultation.  Best of luck!

This is a controversial topic and may have many correct answers depending on the patient and their individual anatomy.  My preference is to place incisions in men within the creases anterior to the ear, and to meticulously handle the skin and incision closure.  In any circumstance, laser treatments, electrolosys and other scar treatments can help to hide or improve the scars and hair growth issues in the long term. 

The nasal tip is made of skin, subcutaneous tissue and cartilage.  Any of the above structures can be responsible for tip asymmetry and bulbousness.  From your pictures it appears to be a combination of tip cartilage asymmetry and thick skin.  Both of these issues can be addressed with open rhinoplasty.  The reason I would recommend open vs endonasal (closed) is that the open approach allows for improved ability to address asymmetries with attention to detail.  You appear to be a good candidate for this surgery.

Hello strive4happy.A silicone implant in the nose can be removed safely.  You may, however, be unhappy with the loss of volume and projection that the implant is giving you.  For this reason, once you heal, you would possibly then be motivated to replace the projection and volume to restore the current look with the implant.  During that time, the healing process may cause contracture in the skin that could make it more difficult to get the ideal projection and bridge result.  Given these facts, I would recommend that you consider reconstruction with a rib graft, or auricular cartilage graft at the time of the implant removal.  In the long term, you will be happier.

Hi BraveSoul.This is a particularly difficult time for rhinoplasty patients as the swelling is at its worst during the 2nd-4th week.  It also happens to be the time you are feeling better and starting to look in the mirror again.  Remember, as your surgeon probably told you, there are several stages to healing and there will be gradual change that comes in waves during the healing period.  It is hard to tell without having been in your surgery, but in my experience, the radix tends to be swollen for longer than the remainder of the bridge.  Hang in there and ask your surgeon for specific issues that come up.  He/she is by far the best resource for you during this time period.

Dear SYou appear to be a great candidate for rhinoplasty surgery to correct the hump on your bridge.  The best first approach is to visit rhinoplasty specialist in your area who have results that fit your taste. 

Hi, The asymmetries that you see are definitely not normal at this time in the healing process.  You should definitely begin to seek advise from revision rhinoplasty specialists.  In the right hands, asymmetries even more obvious than these can be corrected.  There are fortunately many qualified surgeons to correct this issue within your own neighborhood! 

This question is best answered with a photograph as your brow position, and eyebrow fullness (or lack thereof) would be critical in making a proper recommendation.  The two can technically be performed simultaneously, however, the position of the brow changes slightly after a brow lift is performed.  The most conservative way to get both accomplished with best balance is to wait a month for the brow to heal and fall into its resting position before deciding on the position of the eyebrow hair to be transplanted.  If your eyebrows are already pretty distinct and you would just like to have them "filled in" then you can consider doing these procedures at the same time. Good luck.