After viewing my pics, what would you plan on doing to the dorsum and tip? (photos)

Would you rasp the bone, osteotomies, cartliage in the tip etc? My concern is not to loose the masculine dorsum while tightening the tip to a sharper triangle. Woud the nostrils notflare as much under this procedure? Thank you Doctors for your respose

Doctor Answers 11

After viewing my pics, what would you plan on doing to the dorsum and tip?

Thank you for your question. There are different kinds of rhinoplasty operations however we can divide them as the one that requires bone excision and the one that does not need bone excision. The main fact that we classify the rhinoplasty operations like that is that the results and postoperative period is associated closely with this fact. In the operations like “nasal tip correction”, “simple rhinoplasty” there is no need for a bone excision however these minor operations cannot be beneficial for everyone. The operation type is need to be determined by the surgeon according to needs of the patient. In these minor operations the rhinoplasty is performed with closed method. The bone and the cartilage tissues are not involved in the surgery directly. Small nasal bumps can be removed in these operations.


Turkey Plastic Surgeon
4.9 out of 5 stars 79 reviews

Male rhinoplasty

Thank you for your photos and question.  It is important to first understand what attributes of your nose you wish to change in order to properly counsel you about your options.  Maintaining a masculine appearance to your nose is certainly important and this is a critical component of the conversation between you and your surgeon.

You do have a slight dorsal hump, which is a masculine feature.  With that said, you could conservatively decrease this, while still maintaining a masculine appearance.  Your tip is somewhat ptotic (droopy), with a hanging intratip lobule and alar retraction. You could leave the dorsum essentially as-is and concentrate on the tip and alae.  This would involve suture techniques and possibly grafting to reduce the prominence of the infratip lobule and grafts to bring the nostril margins (alar margins) down.  

Again, it is very important to determine what you want to change, then have a good conversation with your surgeon regarding what is feasible and the expected postoperative appearance.  

Best of luck!

Josh Surowitz, MD
Charlotte Facial Plastic Surgeon
5.0 out of 5 stars 32 reviews

Gender and Rhinoplasty

The specific techniques to be used are something you'd discuss with your facial plastic surgeon during the consultation. Carefully evaluating your nose and having a discussion with the surgeon will be critical.

As someone who specializes in the role of gender in attractive appearance, I can tell you that you are right to want to protect the masculine appearance of your nose. It's easy to create something that sends the wrong message!

Jeffrey H. Spiegel, MD
Boston Facial Plastic Surgeon
4.6 out of 5 stars 40 reviews

Be aggressive but natural with rhinoplasty

To truly determine the best treatment plan for rhinoplasty, you need a thorough consultation that will clarify your goals and allow careful analysis of your nose (inside and out). 

But based on your pictures, you may benefit from:
  • lowering of the bridge (hump reduction), which would include osteotomies (narrowing of the nasal bones);
  • deprojection of the tip (bringing it closer in);
  • decreasing nostril size and flare;
  • the tip should also be narrowed, refined;
  • the rotation/angle of the tip is good and can be maintained. 
  • a strong, high, masculine bridge can be maintained. 
This analysis is a starting point for evaluation. Find a qualified, enthusiastic rhinoplasty surgeon and clarify what is best for you. Good luck and thanks for your question. 

Steven Goldman, MD
Cleveland Plastic Surgeon
5.0 out of 5 stars 118 reviews

Rhinoplasty goal

SO do you wan to leave the dorsal hump?  The flaring is a problem because they will have a propensity to flare after surgery as well.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Rhinoplasty candidate for masculine nose

A closed rhinoplasty approach can accomplish shaving down the dorsal hump which includes rasping the bone. Osteotomies are placed in the nasal bones to narrow them and close the open roof created from the hump removal. A hanging columella and also be trimmed back to prevent the nostril flare. The tip cartilages can be adjusted accordingly, as needed.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 reviews

Masculine Nose but big

You have a strong masculine nose.  If you want to refine it you can undergo a gentle dorsal hump reduction as your nose currently appears to have a mild poly-beak appearance.  You require a gentle cephalic trim, cartilaginous and bony dorsal hump reduction in a conservative fashion and low lateral osteotomies with infracture.
If you are concerned about the nostril flare then you need an alarplasty, watch below.

Regards,

Dr. J

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 97 reviews

Rhinoplasty

What you want done is completely up to you.Rhinoplasty typically starts at $5,500 depending on the area you live. To make sure you get the best possible result, the surgeon should perform a detailed exam of the nose and provide a realistic goal that you and your surgeon agree upon. Rhinoplasty are permanent, but with age facial features do change. Find a surgeon and go for a consult, I think you would be very happy after the surgery

Elliot M. Heller, MD
New York Facial Plastic Surgeon
4.6 out of 5 stars 87 reviews

How male rhinoplasty differs

You are absolutely right, contouring a masculine nose is far different from a feminine one.  Discuss this with your board-certified surgeon and see what recommendations they make.  I imagine a tip refinement and reduction would be in your future, but this can be difficult to tell from pictures alone.

Good luck!

Dr. E

Waleed Ezzat, MD FACS
Boston Facial Plastic Surgeon
5.0 out of 5 stars 11 reviews

Male rhinoplasty

As has been mentioned, it is best to have yourself seen and examined by a rhinoplasty surgeon. You may ask to have computer imaging performed so that you have a better means of communicating your goals for rhinoplasty surgery.  From your question, it appears that your main concern in to preserve your masculine features.  In male rhinoplasty cases such as yours it is important to leave the height of the dorsum well preserved so that the nose does not take on a more scooped or feminine appearance.  From viewing your profile photos, it appears that your issue is more of a droopy tip which is referred to as a ptotic tip and a hanging lobule.  If you simply corrected the droopy tip it would give your profile less of hump while keeping a high dorsum.  Further analysis and an in person examination would be needed but I would be guarded about lowering your dorsum.  Your hump is not so much of a "hump" as it is a droopy tip.  It just appears like a hump because your tip is hanging.  By elevating and securing the tip, your nose will take on a 'strong' and more masculine aesthetic.  Computer imaging would help you "see" if this is the aesthetic you desire.  Hope this helps. Good luck.     

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.