I want a nose job but my nose basically has no shape, what are my options?

Question

My nasal bridge, bone, and bottom are too wide. My nose is also too long and there is no symmetry. What can be done?

Andrew Miller, MD · Answer

From your photos, it looks like you a great candidate for rhinoplasty. A well performed rhinoplasty can reduce the overall size of your nose some and give a better defined tip. It all starts with a consult with an experienced rhinoplasty surgeon where you can undergo computer imaging to give you a better idea of what you make like...

Philip J. Miller, MD, FACS · Answer

I would recommend starting with a consultation with a board certified facial plastic surgeon that specializes in rhinoplasty surgery to discuss if rhinoplasty can address your concerns. 
I would recommend writing down the following questions before scheduling your consultation:
1. Are you unhappy with the tip of your nose? 
2. Do you feel that your nose is too wide? 
3. Do you want to make your nostrils smaller in appearance? 
4. Are you looking to decrease the general size of your nose?
I hope some of these questions will help you pinpoint what it is that you don't like about your nose.  Cost will vary due to various factors like anesthesia fees, facilities fees, etc. I wish you the best as you research your options when scheduling a rhinoplasty consultation.
Sincerely,
Philip J. Miller, MD, FACS Double Board Certified Facial Plastic Surgeon

Luis A. Mejia, MD · Answer

hello thank you for your question and provided information as well.. based in your question its difficult evaluate you with this angle of  a picture, my recommendation is get  a consultation in person with a plastic surgeon to discuss all about theme.

Bahman Guyuron, MD · Answer

It would be very difficult to advise you accurately based on the pictures that you have posted. In order to offer you an meaningful advise it would be important to have a profile, head tilted back and straight head front views. You can post these or even e-mail them to me to let you what needs to be done.

Deepak Raj Dugar, MD · Answer

Hello! 
Thank you for your question and pictures. Taking everything into account I think that you have a beautiful nose that only needs refinement of your tip along with one of the most used popular surgical techniques for Alar base reduction, which is the Weirs technique (It's when you make internal cuts and tuck in your nostrils). A closed rhinoplasty procedure is the best option for someone who is looking for a refinement of the nose. I recommend going to a Plastic Surgeon that specializes in closed scarless rhinoplasty (preferred by actresses and celebrities) because there is no risk of external scarring and much less healing and recovery time. Closed rhinoplasty enables you to have flash recovery with very minimal bruising if at all. You will only have to wear a cast for 5-7 days, no one will know you had anything done. All the incisions are made from inside the nose. The goal is to finesse and enhance the nose without drastic change. It still looks like it is your nose just more refined without looking fake. Meaningful refinement is the key!  All the same surgical maneuvers your nose requires can be performed with a skilled closed scarless surgeon. 
Best of luck, 
Deepak Dugar MD
ScarlessNose Institute of Beverly Hills

William Portuese, MD · Answer

A full set of facial photographs from all angles are required to make a determination about how best to proceed, since the nose is a three-dimensional structure, and rhinoplasty is performed in all three dimensions. The nasal tip can be improved, the dorsal hump shaved down, and the bridge line narrowed. The nose can also be made more symmetrical, but it's important to understand there is no perfect nose, just improvement. For many before-and-after examples of  closed rhinoplasty, please see the link and the video below

James Shire, MD · Answer

You would be a good candidate for a tip defining structural rhinoplasty. However, the more important question concerns locating the best surgeon for you. First you must decide what about your nose is of concern and if you really want to correct it. The next step is to consult with an experienced expert in rhinoplasty who will exam you and discuss you concerns and your options. Feel free to get second or third opinions if necessary.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your
photographs, your nasal tip is wide with a wide alar base and thick nasal tip skin.  You may benefit from a tip refining rhinoplasty and an alar base reduction. When good technique is used, this can have a very natural appearing result with thinning and refinement of your nose.  Make
sure you specifically look at before and after pictures of real patients
who have had this surgery performed by your surgeon and not just a computer
animation system.  You should be able to
view numerous pictures of actual patients with noses similar to yours performed
by your surgeon.  
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

Jonathan Kulbersh, MD · Answer

Your nose could be improved with rhinoplasty, which would give permanent improvements in symmetry and shape. You can bring the pictures that you think would be flattering to your face and these can be discussed.  It takes special interest and study to understand the facial aesthetics to create a nose that is harmonious with your other features. Take the time to find the right facial plastic surgeon and ask them to create digital images of the nose they propose for you and discuss the cost.
Hope this helps.

Ali Razfar, MD · Answer

Thank you for your question. A side profile view would give important information as to which technique would be beneficial for you. A thorough physical examination would also determine whether the support structures of your nose are weak. I suspect you have a weak septal cartilage causing poor projection of the tip. This can also result in widening of the nostrils. Your tip likely needs to be further projected to increase tip definition. This will narrow the nostrils simultaneously. Your modest dorsal hump can be reduced at the same time. An in-office consultation with a board certified surgeon can help determine which approach is right you. Good luck.

I want a nose job but my nose basically has no shape, what are my options?

Answers (14)

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