Is it possible to achieve this nose? What would be required to get these results? My main concern is my columella. (photos)

What I truly love about being a plastic surgeon is creating noses that are unique to each patient. One patient might wish to eliminate a bump, another might not like a plunging tip, and you, yourself are unhappy with your hanging columella. Indeed, this look could be achieved. Your own pictures are very close to your wish picture. I don’t know if it is of concern to you, but your dorsal hump is a little more pronounced than hers. If you wished to address it, the bone could be filed to a slightly straighter (but not straight) line and the cartilage could be trimmed as well, allowing you to still maintain a slight hump (like in the picture). The tip cartilage and columella could also be adjusted like in your wish photo. As a specialist in rhinoplasty, yours appear to be reasonable goals.

Hi @puppyluver869! You would be an excellent candidate for a rhinoplasty. Based on your photos--you have a dorsal hump and a droopy tip. I recommend seeing an expert rhinoplasty specialist for an in person examination. There are several options for you that can be determined after examination. In my practice, I utilize piezosurgery. Piezosurgery is a more gentle technique that allows for greater precision. Less bruising and swelling is common with Piezosurgery. In a typical rhinoplasty, a hammer and chisel technique is performed leading to more inadvertent fractures. Best of Luck, Dr. Nima!

Based on your pictures you may benefit from eliminating your hump and droopy tip, also refinement of your bulbous tip preferably with a Closed Atraumatic Rhinoplasty which reshapes and strenghtens your nose by protecting its anatomy and has a very short downtime. Seek out for an expert in this area as it is a challenging procedure and open for complications.

Thank you for your question. You are an excellent candidate for rhinoplasty, I think it is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you.

Dear puppyluver869,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from rhinoplasty. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello,
Your request fro rhinoplasty to correct a hanging columella is very reasonable to achieve. This is typically achieved by reducing the lower portion of your nasal septum along with upward rotation of the tip skin.

A closed rhinoplasty approach can accomplish shaving down the dorsal hump, decreasing the overall projection of the nose, refinement of the nasal tip, narrowing the bridge line and reducing the significant hanging columella with all of the incisions are placed on the inside of the nose. No external incisions are required, and no painful packing is required either. Digital computer imaging of your nose upon your facial features would be helping the communication process to understand what your new nose look like.

Thank you for the question and photos and I would go on some complimentary consultations with that use digital photography to show you what can be accomplished with your nose and how it might be done and then look at photos of similar patients and become fully informed about the desired procedure

Dr Corbin