Am I a good candidate for rhinoplasty? I’ve always wanted it but people say it looks fine but I think they lie.(Photos)

Question

I’ve always wanted a nose job and hated my nose. I have extremely large pores and oily kin however and I wonder if that would change my outcome? Whenever I talk about getting one people say “oh you’re nose is fine, what are you talking about?!”, yet it’s the first thing people insult me about in other circumstances.

Robert Singer, MD · Answer

No one ever "needs" a rhinoplasty. It is an elective procedure and only you can determine if your nasal features concern you enough to do something about improving the cosmetic appearance of your nose and whether it would be worthwhile.
.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 the Canadian Society for Aesthetic Plastic Surgery (CSAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.
 
 Additional information about the procedure will help you decide if it is a procedure that you want to pursue.

Robert Singer, MD FACS

La Jolla, California

Steven M. Denenberg, MD · Answer

Click on the "Learn more" link, just below my response, or go here:
FacialSurgery.com/RealSelf/RealSelf_ivygurl7.html
I made a computer morph of your nose, and an animation of the morph, to show the changes that are possible for your nose in truly expert hands.Besides having that bump on the bridge, you have a strongly-projecting nose, which means it comes out forward, away from your face. Your tip and entire nose need to be moved back closer to your face. Maybe you'll see that best in the animation. If just the hump is taken down, your nose will probably look larger than it is now, not smaller!The woman in the short video that I posted with this answer had her nose brought back closer to her face.Then, when a nose comes back closer and a bump is removed, it makes the nose *look* longer, as if the tip drooped, so it's important to elevate the tip. You'll see that in the animation, too.And finally, when a tip is deprojected and a bump is removed, it's important to lower the bridge up where it starts, between the eyes. You can probably see that better in the animation -- reducing the bridge in that location. If the bridge isn't lowered there, your profile would start to look like a Roman Statue's, with the profile sliding from the forehead right onto the nose, without that little dip in front of the eyes that we expect to see:
FacialSurgery.com/RealSelf/RomanStatue.jpg
You should understand that the changes I demonstrated in the morph require advanced techniques, techniques that most plastic surgeons cannot handle.  Be sure to read the section in the "Learn more" link on how to stay out of trouble while searching for a rhinoplasty surgeon. Rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. Read that page very carefully. For most noses, it's better to not have surgery than to have inexpertly-performed surgery.
I'd love to hear what you think of the morph. Did it seem to address your main concerns? I could modify the morph to your taste if you wish.
Your nose is also a good example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. When you see his goals, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. How would you ever get that figured out without the morphs?! But remember, you're not hiring him for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer.
In your case in particular, you need to find a surgeon who understands all of the issues I mentioned, and how they fit together, and who can actually accomplish them in surgery.

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. You may also benefit from a nasal tip deprojection and a conservative dorsal hump reduction.  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

Jonathan Kulbersh, MD · Answer

This depends on how you feel about your nose. Your nose could be improved with rhinoplasty, which would give permanent improvements in symmetry and shape. You can bring the pictures that you think would be flattering to your face and these can be discussed. When you meet with a facial plastic surgeon, he or she will consider your nose in balance with your other features and can over the cost of the procedure.

Jeffrey Jumaily, MD · Answer

It's what you think that matters, not my or anyone else's opinion. If the nose bothers you, there are definitely aspects that can be improved about your nose. It has a bump, it's slightly long and the tip is not as refined as it could be. Consult a rhinoplasty surgeon to get all the information you need.

Am I a good candidate for rhinoplasty? I’ve always wanted it but people say it looks fine but I think they lie.(Photos)

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Am I a good candidate for rhinoplasty? I’ve always wanted it but people say it looks fine but I think they lie.(Photos)

Answers (7)

Answer: Good candidate for rhinoplasty?

Answer: Good candidate for rhinoplasty?

Answer: Rhinoplasty

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