I'm over 50. I'd like to have a minor rhinoplasty no extensive change just improvement. It's too big. (photo)

Question

Over the years my nose has got so much bigger. I hate my profile with a bump and my tip is long. But I'm scared as I'm older. What in your professional opinion is my best option? And priority, tip or bridge? I'm scared to do both.

Gary M. Horndeski, MD · Answer

You can undergo a rhinoplasty at age 50 as long as you have not underlying medical problems. A rhinoplasty can take care of the dorsal hump, refine the tip and improve the nasal columella angle as well. This takes 2 hour to perform under general anesthesia and costs $7,000.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Lucian Ion, FRCS · Answer

Thank you for your enquiry and sharing your photograph.

The area of redness on the tip of the nose does not correspond to typical placement of stitches for contouring the cartilages. It therefore seems unlikely to be related to a low-grade infection at an interval from your surgery.

I suggest discussing this with a dermatologist in case it is an unrelated event.

Selcuk Inanli, MD · Answer

Hello!Thank you for your question.
As far as I can understand from your question There is sagging at the tip of your nose and at the same time there is a hump on the back of your nose for this, the most permanent and safe method I recommend to you will be rhinoplasty surgery.
It would be better face to face consultation.
Best Regards!

Andrew Miller, MD · Answer

Based on your photos, you are a great candidate for rhinoplasty. The length can be reduced and the tip refined and lifted a bit, all while looking natural. Be sure to see a rhinoplasty expert for consultation.

Eric M. Joseph, MD · Answer

My rhinoplasty teacher taught me 26 years ago about the youthful benefits of rhinoplasty surgery. Based on your photos, you appear to have an overprojected nasal appearance with a droopy tip and a dorsal hump. A tip lift and hump removal may be considered for achieving a less distracting, more feminine, and more youthful nasal appearance. I hope this helps! Sincerely, Dr Joseph

Tanveer Janjua, MD · Answer

There is no reason to be scared of rhinoplasty in old age as long as you are healthy. I had mine done at age 52. I have attached a link to my own journey below. 
The dorsal hump reduction can be easily accomplished and the tip can be lifted with mild grafting at the same time. 
Regards
Dr. Janjua

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

William Portuese, MD · Answer

A closed rhinoplasty can accomplish shaving down the dorsal hump, lifting the nasal tip, and narrowing the bridge line and refining the nasal tip. Also important to release the depressor septi ligament which dynamically pulls your tip downward when smiling. All of the incisions are placed on the inside of the nose, and there's no painful packing. This procedure is performed under a brief general anesthesia which takes about one hour.

I'm over 50. I'd like to have a minor rhinoplasty no extensive change just improvement. It's too big. (photo)

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