21 yrs old my nose is wide when I smile and my nostrils are asymmetrical. I want them to be symmetrical. Options?

Question

Concerns : Wide nose when smiling Asymmetrical nostrils Asymmetrical nose sides Droopiness Want: Symmetrical nose shape Symmetrical nostrils Bulbous reduced

Matthew Richardson, MD · Answer

Your concerns are very common. The nose can be improved by adding refinement and definition to the tip. Keep in mind that your desired nasal shape is helpful in order to communicate with the surgeon your desires, but surgery must be performed within a patient's anatomical limitations. We must also aim to keep the nose in harmony with the rest of the facial structure. The best way to proceed would be an in-person consultation with a rhinoplasty specialist to review your concerns in detail and discuss the types of changes you would like to see.
Be sure to see an expert who specializes in rhinoplasty and facial aesthetic procedures.
All the best,

Luis A. Mejia, MD · Answer

hello thank you for your question and provided information as well..based on the photos shown, to get the type of nose that is in the example photos as a base you must have another type of nose more elongated and with curvature in the dorsal part of the bone.but in your case the ideal is to consult in person by a certified plastic surgeon to see your case and evaluate which technique would be ideal in your case.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose.  Make
sure you specifically look at before and after pictures of real patients
who have had this surgery performed by your surgeon and not just a computer
animation system. The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

Gary M. Horndeski, MD · Answer

The base of your nose
is wide and your projection is deficient. 
Also, your nose is inclining to the side and you may have a septal
abnormality as well.  The tip is bulbous
and I recommend an open rhinoplasty to refine your tip, increase tip projection
and decrease the width of the base of your nose.  Best Wishes,Gary Horndeski, M.D.

Robert Singer, MD · Answer

Improving the
nostril width and refining the tip are frequent requests of patients wanting
nasal refinement. It is possible to improve the cosmetic appearance of the tip
alone without altering the rest of the nose in some patients. Whether the
optimal option in your particular situation would be a tip rhinoplasty alone or
an artistically performed natural appearing full rhinoplasty would best be
determined at a consultation. Either procedure can be performed with a closed
or open approach.
Following the advice from a surgeon on this or any other website who proposes
to tell you exactly what to do based on limited 2 dimensional photos without
examining you, physically feeling the tissue, assessing your desired outcome,
taking a full medical history, and discussing the pros and cons of the
operative procedure would not be in your best interest. I would suggest you
find a plastic surgeon with extensive nasal surgery experience who is certified
by the American Board of Plastic Surgery and ideally a member of the American
Society for Aesthetic Plastic Surgery (ASAPS) or a facial plastic surgeon (otolaryngologist)
that you trust and are comfortable with. You should discuss your concerns with
that surgeon in person.
Robert Singer, MD FACS
La Jolla,California

21 yrs old my nose is wide when I smile and my nostrils are asymmetrical. I want them to be symmetrical. Options?

Answers (8)

Answer: Open rhinoplasty

Answer: Open rhinoplasty

Answer: Wide nose when I smile and asymmetrical nostrils.

Answer: Wide nose when I smile and asymmetrical nostrils.

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Everything you need to know about Rhinoplasty

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21 yrs old my nose is wide when I smile and my nostrils are asymmetrical. I want them to be symmetrical. Options?

Answers (8)

Answer: Open rhinoplasty

Answer: Open rhinoplasty

Answer: Wide nose when I smile and asymmetrical nostrils.

Answer: Wide nose when I smile and asymmetrical nostrils.

Browse related questions

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.