Edward J. Gross, MD

Over-resection (excessive tissue removed) is one of the primary reasons patients undergo revision rhinoplasty. A revision procedure could restore a more natural appearance to your nasal bridge and a conservative de-projection of the tip. The procedure is complicated, so it's important to select a surgeon who is certified in both facial plastic surgery and otolaryngology—ENT with an extensive track record of excellent revision rhinoplasty results. Good luck to you.

I advise my patients to avoid all strenuous exercise and activity for 2 weeks after the procedure. You may slowly start building back up to your regular activity and exercise after the 2 weeks, reaching a normal routine at about 1 month. I would contact your plastic surgeon to get clarification about exercise guidelines.

The answer to your question is a resounding "Yes!" if you choose a plastic surgeon who specializes in rhinoplasty procedures. Ideally, the surgeon should be board certified in both facial plastic surgery and in otolaryngology—ENT. Even if your surgically refined nose looks technically attractive, symmetrical, and beautifully shaped, it’s no good if it doesn’t feel like your nose. Reducing the dorsal hump without creating the upturned tip you mention is a result that skilled rhinoplasty specialists can produce. One of the tools I use to ensure I clearly understand a patient's goals is computer imaging technology, which is a standard part of our consultation process. Good luck to you.

Six weeks is typically a safe interval between chin liposuction/buccal fat removal and rhinoplasty. It's important that your rhinoplasty surgeon is aware of the previous procedures. If you haven't selected a plastic surgeon for your rhinoplasty, I recommend consulting with double board-certified facial and reconstructive plastic surgeons /ENT with extensive experience performing cosmetic nose surgery.

I'm sorry you're experiencing this issue. It's difficult to determine with certainty what's causing these bumps, but if it's cartilage, then a laser treatment won't help. I understand your reluctance to undergo revision rhinoplasty, but it is likely the best option for you. Revision procedures can be complicated, so choose a double board-certified facial plastic surgeon/ENT, who specializes in revision rhinoplasty.

If you feel self-conscious about your nose's appearance, rhinoplasty can help. A bulbous, or wide, tip can be caused by the shape of cartilage in that part of the nose or the skin's thickness. Rhinoplasty is an effective option for improving the appearance of your profile and reducing the size of your nasal tip. Because rhinoplasty requires extensive understanding of nasal anatomy, I recommend consulting a board-certified facial plastic surgeon who is also a certified ENT.

Unfortunately, it isn't possible to provide a definitive answer based on your photos. Rhinoplasty won't make your nasolabial folds appear deeper. If you're self-conscious about the appearance of your nose, schedule a consultation with a double board-certified facial plastic surgeon who is also an ear, nose, and throat specialist with extensive experience performing rhinoplasty surgery. They will conduct a thorough exam and recommend a treatment plan. You could also consider getting fillers to add subtle volume to the folds.

Based on your question, it sounds like you've already done quite a bit of research. It's understandable that you'd prefer a nonsurgical solution for your concerns, but it appears from your photo that rhinoplasty would yield the best results. You can surgically narrow the nostrils using a technique called Weir incisions. Because rhinoplasty requires extensive knowledge of nasal anatomy, I recommend consulting with a board-certified facial plastic surgeon who is also a certified ENT.

It appears that you could benefit from rhinoplasty, although it's impossible to say with certainty without a personal exam. Rhinoplasty is perhaps the most complex facial plastic surgery procedure, so it's essential to choose a surgeon who specializes in cosmetic nose surgery, such as a board-certified facial plastic surgeon who is also a certified ENT.

Hormonal changes associated with pregnancy can affect the appearance of the nose. This includes thinning of the skin, especially in the nasal tip. It isn't clear how long ago you were pregnant, but in some cases, the changes in the nose reverse after pregnancy. I recommend consulting a dermatologist or a qualified facial plastic surgeon.