Could a rhinoplasty make my nose appear less bulky and more defined? (photos)

Question

Im 20 male and my nose is to big and wide nose bridge. The side is upturned which doesn’t suit my face. I want my nose to be more defined and structured and more downturned. My nose tip is slightly slanted and my columella barely shows.

Randal Haworth, MD, FACS · Answer

If you are considering changing the shape and size of your nose, the best option would be to consult with a board-certified plastic surgeon who specializes in rhinoplasty (nose surgery). They can evaluate your nose and facial structure, discuss your goals with you, and recommend the most appropriate surgical approach to achieve the desired outcome.

Based on your description and photos, it sounds like you may benefit from a reduction rhinoplasty to address the size and width of your nose, as well as a tip plasty to refine and reshape the tip. Depending on the amount of nostril show you desire, a columella-plasty may also be necessary. Additionally, a downward rotation of the nasal tip can be achieved with certain surgical techniques.

It is important to keep in mind that rhinoplasty is a complex surgery, and the results may not be immediately visible as it can take several months for the swelling to fully subside. There are also potential risks and complications associated with any surgical procedure, so be sure to discuss any concerns you have with your surgeon and follow their pre- and post-operative instructions carefully to optimize your outcome.

Best of luck !

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. You are likely a candidate for rhinoplasty to reshape the nose and create balance with your other facial features. During this surgical procedure, the nasal bridge can be narrowed, the tip refined and appropriately downturned, and the columella slightly retracted to produce the desired result. Nasal width is generally narrowed with an alar base reduction or osteotomies, or increasing the nasal tip projection to create a more narrowed appearance.

Keep in mind that rhinoplasty is one of the most complex of all plastic surgery procedures, requiring skill, experience, and artistry to produce the best possible result. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques. They will be able to discuss your aesthetic goals with you to decide on the best course of action.

Zoran Potparic, MD · Answer

It would be very difficult to give you a meaningfull aswer based on these photos. Only on the basis of in person evaluation with a board certified plastic surgeon with expertise in rhinoplasty you will be able to get satisfactory answer. Good luck.

Eric M. Joseph, MD · Answer

In our experience,  derotating a nasal tip may be difficult, and may require a septal extension graft. Since that is one of your goals, if you decide to consult with specialists, please make sure that nasal lengthening or septal extension grafting is offered. Hope this helps! Dr Joseph

Lucian Ion, FRCS · Answer

Thank you for your question and sharing your photographs.

Rhinoplasty can indeed achieve the goals that you have described but it would need to some preparation to make the most of it.

To begin with, it would be wise to have a cone beam CT scan to make sure that the structures at the top of the bridge are normal and that it is a simple matter of wider configuration. Ultrasonic rhinoplasty can help to dramatically change the width of the bridge although in most instances it is preferable to do a moderate rather than a dramatic change.

For the underside of the tip, my impression is that the tip defining points are in good position and what is needed is more curvature of the cartilages of the nasal tip with support so they do not move up again.

Simple photographs are not of great value to simulate the impact of this change. 3D photographs can highlight the impact of changes in the columella and without changing the position of the nostril rim.

Tanveer Janjua, MD · Answer

The nose appears good in the profile side view. From front the nasal bones, tip and nostrils appear wide. Alarplasty, Tip-plasty and Nasal osteotomies should address that.
Regards
Dr. J

Ronald J. Edelson, MD · Answer

I honestly don’t see that a rhinoplasty would be very worthwhile. I don’t know what specifically you want changed . Consultation with a rhinoplasty surgeon could be helpful but make sure you are specific  in discussing exactly what you want changed.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.I have evaluated your case from the photos and information you provided. Your nose looks a bit too high and the skin around the nose looks thick. The nostrils are wide. I recommend you a rhinoplasty surgery. The nostrils can be smaller and we can make the nasal bridge smaller. With a rhinoplasty surgery you can achieve a more defined nose.Best regards!

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you very much for your question and photographs.

Yes a properly done rhinoplasty can narrow your nose and refine your nasal tip to look less bulky.

Modern rhinoplasty technique involves an open rhinoplasty through a small incision underneath the nose which will not be visible.  Using this procedure the nasal bones can be realigned to a narrower appearance and the cartilages and the tip can be refined.  Be certain to ask your plastic surgeon if they will use cartilage grafting.  Is very important that a small cartilage graft called a strut graft to be done to prevent the nose from dropping years after surgery.

Could a rhinoplasty make my nose appear less bulky and more defined? (photos)

Answers (9)

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