Wide, big, crooked nose, bulbous tip and thick skin - what's a realistic outcome of rhinoplasty? (Photo)

There is great opportunity for this nose for a successful outcome!  You seem to have thicker skin -- reducing the small dorsal hump on the bridge, rotating the tip up a little, deprojecting the nose somewhat, and thinning the tip to add refinement would be recommended.It is unlikely that your nose could be made extremely thin because of the limitations of your skin, but excessively pinched looking noses are not desirable anyway.Best of luck!

While think skin does mask results somewhat, thick skin patients can usually accomplish their goals and obtain excellent results. Several different techniques are used in patients with thick skin. These include defatting the tip, adding firm structural support and adding tip grafts. All nasal concerns can usually be addressed during the same surgical procedure.

Hi.  Your skin looks to be of medium thickness.  I have had many patients with skin such as yours and you can still get very good results.  You would need a radix and dorsal hump reduction with tip refinement and likely a nasal tip graft. A septoplasty can be performed in the same operation.  You have lots of opinions now so it is best to pick your experienced surgeon and have a consultation.  Good Luck.RegardsDamien

Hi there.  Thanks for the question and defining the issues so well.There is nothing that you present that can't be improved, particularly dorsum, septum, breathing, tip projection. Standard open rhinoplasty will address all of this in experienced hands.Thick skin means that some of the relationships need to be exaggerated a little, and definition will be a little disguised, but you sound realistic and need to speak to an experienced rhinoplasty surgeon.I hope this helps.

Rhinoplasty would work well to address your hump, to a lesser extent width and bulbous tip correction. Your thick skin will have some limitations on the end result.
To further balance your face you could also consider a chin implant as you are out of proportion with a 'weak chin'. This would also make your nose look smaller.
Overall as long as you are realistic it would be worth proceeding. All the best.

You have delineated the multiple issues that often exist when a patient presents for a rhinoplasty.An added problem is thicker skin seen often in Middle Eastern noses.The breathing difficulties should be investigated and a CAT scan of your breathing passages could help define what is causing the problem.Usually all issues can be addressed by an experienced rhinolasty surgeon and in Australia we deal with many patients with similar problems to you.