African American Rhinoplasty. What are my options? (Photo)

It's all about architecture or the lack there of. The structure between your nostrils, the columella cannot hold the tip of your nose up because of weak cartilage. The tip, which is shaped like an arch gets pulled closer to the face and falls some. This is called tip ptosis and causes the tip to round out. Until your tip is supported with a columella strut, surgically the nasal tip will fall. This only gets worse with age.

Hi @mhchris20! Thank you for sending you photos--you would be a great candidate for a rhinoplasty. You can narrow the bridge and refine the tip. A rhinoplasty in my opinion is one of the most difficult procedures to perform. The skill, artistry, and technique of the surgeon will determine the outcome. 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!

Hello you need to up tip of your nose to see the projection . Also make a little bit smaller, if you have breathing problems also will be solved after the surgery.

From your photos, it appears you are a very good candidate for rhinoplasty. This procedure could narrow the bridge and refine the tip. By adding alarplasty, you can also reduce the size of your nostrils. Rhinoplasty is a complex procedure that requires a tremendous amount of experience, expertise, and artistry to produce a proportionate, natural result. In your case, you also want a surgeon that has extensive experience performing rhinoplasty for African American patients, as this skin type requires additional knowledge to create the best possible outcome. A board-certified facial plastic surgeon who can show you many before and after photos of previous African American patients will be your best option. 

You are a good candidate for rhinoplasty. You have a small bumpOn the bridge which can be removed. The entire nose can be made narrower on the tip and bridge. Your nostrils can be reduced with a procedure called alar wedge excisions.