What type of Rhinoplasty would I benefit from? I dislike my nostrils and how my nose looks like an arrow when I smile. (photos)

Question

I see the most common rhinoplasty procedures are tip refinement and removing bumps or crooked bridges.I don't see many before pictures like my nose, and I'm scared I'd look like Michael Jackson after. I don't like my nostrils, especially from the profile. I feel like you see straight in my nose. When I smile the tip points down like an arrow and my nostrils go up. I feel that my nose is so large on my face, but I'm unsure what would be done to fix this other than completely changing it all

Toby Mayer, MD · Answer

Rhinoplasty's do not result in the Michael Jackson look unless you go to a surgeon who is poorly trained. I have done rhinoplasty as have many other surgeons on the site without any results remotely looking like that. Choose a surgeon who is very experienced and does natural looking noses and you will have an excellent result.

Fred G. Fedok, MD, FACS · Answer

As others will note, one cannot give a definitive opinion without seeing you in person.  As you may note, given the lens characteristics of most phone and home cameras your nose will look bigger in such pictures.Nevertheless, a few words.  Your nose appears that it may be overprojected, long, somewhat droopy, and crooked.  After reading this you may be thinking "yikes", but those are not unusual features in those seeking rhinoplasty opinions.So what do you do:Seek a qualified opinion and find someone you trust and can communicate with.What "kind" of rhinoplasty will depend on what the goals are, and the skill set of the surgeon.  Although I have been able to produce good results operating on people with such characteristics via an endonasal technique, it is sometimes necessary to do an "open' technique to accomplish the results.  My point is don't get hung up with "open" vs "closed".  What you want to do is establish the realistic goals with a surgeon, maybe get a preview on an imager and then trust your surgeon can accomplish those goals for you.Good luck, there are many qualified people who would be happy to see youFred G. Fedok, MD FACS

Ron Hazani, MD, FACS · Answer

You are a good candidate for a reduction rhinoplasty via a closed approach. Seek a plastic surgeon who performs hundreds of these procedures, has great reviews and photos, and is an expert in this field.

Jawed Tahery, FRCS · Answer

Hi,deffinatly open approach in my experience, you need removal of the hump, tip refinement ,elevation of the tip, re-adjustment of your nostrils to prevent to much of nostril show!best wishesJawed Taheryconsultant ENT/Facial Plastic Surgeonchester UK

William Portuese, MD · Answer

A closed rhinoplasty approach can address reducing the overall size of the nose. To narrow wide nostrils is accomplished with an alar-plasty. A tip rhinoplasty with suture techniques applied to the lower lateral cartilages is required to narrow the tip. Osteotomies are required to narrow the wide bridge line.  Rhinoplasty is performed for patients at res, not upon animation, so the nose will still widen when smiling.

What type of Rhinoplasty would I benefit from? I dislike my nostrils and how my nose looks like an arrow when I smile. (photos)

Answers (8)

Answer: What type of rhinoplasty

Answer: What type of rhinoplasty

Answer: Rhinoplasty to narrow the tip, nostrils and bridge

Answer: Rhinoplasty to narrow the tip, nostrils and bridge

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

What type of Rhinoplasty would I benefit from? I dislike my nostrils and how my nose looks like an arrow when I smile. (photos)

Answers (8)

Answer: What type of rhinoplasty

Answer: What type of rhinoplasty

Answer: Rhinoplasty to narrow the tip, nostrils and bridge

Answer: Rhinoplasty to narrow the tip, nostrils and bridge

Browse related questions

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.