Can I have a rhinoplasty without changing entire shape of the nose? (Photo)

   Rhinoplasty can be tailored to meet your individual goals.   There is not a standard rhinoplasty.Kenneth Hughes, MDLos Angeles, CA

It is possible to perform a tip rhinoplasty, but the remainder of the nose must be in balance. This is not possible when there is a dorsal hump present which will make the entire nose un-balanced when performing only a tip rhinoplasty. Computer imaging would also help at the time of consultation to understand what can and cannot be accomplished. The  far majority of patients must undergo a full rhinoplasty to make sure that the components of the nose balance with each other, and the new nose balances with your facial features

Improving the nostril width and refining a bulbous
tip are frequent requests of patients wanting nasal refinement. It is possible
to improve the cosmetic appearance of the tip alone without altering the rest
of the nose in some patients. Whether the optimal option in your particular
situation would be a tip rhinoplasty alone or a full rhinoplasty would best be
determined at a consultation. Either procedure can be performed with a closed
or open approach.

Following the advice from a surgeon on this or
any other website who proposes to tell you exactly 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 operative procedure would not be in your best
interest. I would suggest you find a plastic surgeon with extensive nasal
surgery experience who is certified by the American Board of Plastic Surgery
and ideally a member of the American Society for Aesthetic Plastic Surgery
(ASAPS) or a facial plastic surgeon (ENT) that you trust and are comfortable
with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla,California