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

 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.

Thanks for your question!With the limited views that you submitted, it is tough to develop any sort of specific operative plan to address your concerns.  It's best to be evaluated in person so that a proper external and internal nasal exam can be performed and all views of the nose can be evaluated. At that visit your goals can be discussed and expectations set by the surgeon. I would suggest seeing a facial plastic surgeon or plastic surgeon for consultation.I wish you well!Parker Velargo, MD

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

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.

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

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.

The areas that you described and
would like improved can be addressed with a subtle natural appearing
rhinoplasty performed by an expert artistic plastic surgeon with extensive
rhinoplasty experience. It can be achieved with either an open or closed technique.

Keep in mind, that following the
advice from a surgeon on this or any other website who proposes to tell you
what to do based on limited 2 dimensional photos without examining you, physically
feeling the tissue, assessing your desired outcome, taking a full medical
history, and discussing the pros and cons of the proposed operative procedure
with you and your parents may not be in your best interest. I would suggest you
find a plastic surgeon certified by the American Board of Plastic Surgery and
ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS)
or facial plastic surgeon (otolaryngologist) that you trust and are comfortable
with. You should discuss your concerns with that surgeon in person. The
length of the procedure, cost, and the specific operative steps to achieve an
ideal cosmetic result vary from patient to patient and would depend on the
findings at your consultation examination.

Robert Singer, MD FACS  LaJolla, California

Your photos provide limited information; however, I agree with your assessment of the nose being too long for your face.  You also appear to have a slightly crooked nose, which may indicate a septal deviation (or a partition between the two nostrils being crooked).  At the very least, you may benefit from cartilage grafting to increase tip support (and prevent it from drooping when smiling and animating) and likely shortening and straightening the septum.Your best first step is to schedule an in-person consultation and exam with an experienced rhinoplasty surgeon.  These are plastic surgeons and facial plastic surgeons who count rhinoplasty (nasal surgery) and revision rhinoplasty as a significant part of their practice.  You can generally get a feel for this by reviewing physicians' before and after photos and asking how frequently they perform rhinoplasty.  Your physician must have a good understanding of nasal and facial anatomy and physiology and have a frank conversation with you regarding expectatopns, post-rhinoplasty healing, complications, and his/ her revision rate; you should feel as though you have a good rapport with your surgeon, as the aftercare is just as important as the surgery.Meeting with a surgeon (or several) should provide you with a good amount of information and reassurance.  Good luck!