Can I achieve my desired look with a rhinoplasty alone? (photos)

Question

I'm interested in rhinoplasty, and this is what I'd love to achieve! Is this a realistic result without saggy skin and/or compromising the structure of my nose? I know everyone is different, so just generally speaking.

Oakley Smith, MD, FRCSC · Answer

Hi , It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery process.

Erin Smith, MD · Answer

Based on the images you provided, it does look like the changes you made to the bridge and tip of your nose would be very reasonable. When choosing a surgeon, I encourage you to find a facial plastic surgeon who specializes in rhinoplasty and someone who shares your aesthetic goals! Bringing these photos to your appointment will help describe your goals to whoever you choose to see.

Jacob Tower, MD · Answer

Hello, hope you are well. Yes, the changes you have made with your nose are all achievable with rhinoplasty techniques. Based on the view we can see here, you have lowered the dorsum, made the tip smaller, and de-projected the tip slightly. I think you have good aesthetic sensibility, and would have a very nice outcome.
Best,Dr. Tower

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.As far as I can see from your photos ,you can achieve much better with rhinoplasty. I recommend you rhinoplasty surgery.It would be more convenient to decide with face-to-face consultation. Best regards!

Pasha Mostofi, MD, DMD · Answer

Hello there, 
While any cosmetic outcome may not be 100% on the mark according to a patient's desires, your expectation based off of the edited after photo is realistic for your nose and the outcome could be pretty close without compromising the structure of your nose or creating a sagging skin appearance. Going into any cosmetic procedure with a healthy and realistic expectation of the outcome will help with patient satisfaction ultimately, so smart question!

Steven M. Denenberg, MD · Answer

You took down the little bump on the bridge, narrowed the tip, elevated the tip just a teeny bit, and then deprojected the tip and bridge a touch. It's like a much milder version of the before and after I posted with this answer. It looks fine, of course, but I'd like to see you evaluate a morph with just a little bit more tip elevation. When you lower a bump on the bridge, and when a nose is deprojected, those changes tend to make the nose *look* longer, so sometimes it's nice to elevate the tip as well. Not to make a Miss Piggy nose, but just so there's not the impression of a longer nose in some of the views.

More morphs might help.
Finally, remember that 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. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

Ronald J. Edelson, MD · Answer

Yes I think that’s a realistic and achieveable result. It could be accomplished with a very basic closed rhinoplasty

William Portuese, MD · Answer

Yes, a closed rhinoplasty approach can accomplish improvement of the bulbous nasal tip, and shaving down the dorsal hump and reducing the overall projection and those with all the incisions placed on the inside of the nose. You  appear to have thick skin, so be prepared for a few steroid shots to the Nasal tip to reduce swelling in that area after the surgery.

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