My nose is one of the biggest I've ever seen, what are my options? (photos)

Question

My nose is very big and disproportionate to my face the pictures says it all,I am determined to do something about it and I need to know what should i expect realistically in a rhinoplasty i suspect my skin is somewhat thick plus an oily nose! thanks in advance

Richard W. Westreich, MD · Answer

While your nose may be too big for your face, there is no specific limit to how much of a size reduction you can make with Rhinoplasty. From the submitted photos, you tip is ptotic and overprojected. Cartilage shortening in the tip is a must to deproject the nose. The bridge can be made to balance off the tip in a way that is still proportional.

Clark Schierle, MD, PhD, FACS · Answer

Rhinoplasty to address the size and shape of your nose should help you address your concerns. You have to understand that there is no such thing as the “perfect” nose. As rhinoplasty surgeons, we are able to improve the structure and function of the nose to address specific issues you have with how your nose looks and and how well you can breathe. Perfect symmetry does not exist in nature. Attempts to improve the symmetry of your nose should be aimed at achieving an improvement in your asymmetry to the point where it is no longer very noticeable. If you look carefully enough, you will always be able to find imperfections. The goal is a normal looking nose that is in harmony with the rest of your anatomy.

Steven J. Pearlman, MD, FACS · Answer

You have visibly oily skin but it does not appear to be very thick. I feel that you can get a significant improvement in the overall size of your nose and still look natural. You should see an expert in rhinoplasty for a personal examination. You have one nose and should do it right the first time.

Michael Dobryansky, MD, FACS · Answer

Thank you for your question. From the excellent photographs you provided it appears that you have a large dorsal hump and a high radix. You nose may also be a little too long for your face. You can expect to have this altered in a reliable way and achieve improvement while keeping things natural.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  Based on your photographs, reducing your dorsal hump and shortening the overall length of your nose will dramatically improve your satisfaction with your nose.  It is very important to decrease the overall size of your nose but also to maintain a natural and masculine look to your nose.  The most important aspect is to find a surgeon you are comfortable with.  With good surgical technique, you could have an outstanding result.  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.Harvard-trained plastic surgeon

Emmanuel Mallol Cotes, MD · Answer

Thank you very much for sharing your concerns with us.The harmony between facial parts makes us instinctively recognize the beauty... without knowing it, without defining it, just a perception that surprises and captivates us.In this regard, I suggest perform a Closed Rhinoplasty (without visible scars) to treat the tip, base and nasal bridge.With this procedure you get a delicate nose, better harmonize with your other facial features.Respectfully,Dr. Emmanuel Mallol Cotes.-

Peter A. Aldea, MD · Answer

You appear to have- a large back (dorsal) hump of mostly cartilage- a very projecting nose tip- the nose appears long- potentially a septal deviationALL of these are correctable with a FULL Rhinoplasty.Good LuckPerter Aldea MDMemphis, TN

Ivo Gwanmesia, FRCS(Plast) · Answer

Thank you for your post.Yes certainly you do have both dorsal and caudal overprojection. If you came to me for a rhinoplasty procedure, I would use an open approach to address the issues you've raised.Following surgery, I would use both internal and external splints for a week, and I would see you in my office at 1 week, 6 weeks, 3 months, 6 months and 12 months post op.Hope that helps!!

Steven Wallach, MD · Answer

Yes, I think you could benefit from a rhinoplasty if you are unhappy with the appearance. The photos are not the easiest to review because of the angles that you took. It looks like your chin may need something as well. The best thing for you to do is to go for a consultation and see what your options are.  You can have a softer version of your nose. Do not expect a tiny nose. Goo luck.

Barry M. Weintraub, MD, FACS · Answer

A rhinoplasty could help bring your facial features into proportion. You can realistically expect a nose with a neat, straight line from takeoff (opposite the blink crease) to tip, no bump, and less projection, while still keeping a masculine nose that looks appropriate to your face. My best advise is to seek a board certified plastic surgeon who specializes in rhinoplasty.

My nose is one of the biggest I've ever seen, what are my options? (photos)

Answers (16)

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