Is midface reduction a good treatment for a prominent nasal spine + long midface? WILL travel for surgery (Photo)

Thank you for your question about mid face reduction.A cephalometric analysis would be necessary to determine whether a mid face reduction would be beneficial for you.To be sure, see two or more experienced, board-certified Plastic Surgeons or maxillofacial surgeons for a complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.I hope this helps.

The muscle that goes from your nasal spine toward your tip pulls your tip down especially upon smiling. Your tip is long and droopy and therefore needs to be corrected to give you a more attractive nasal lip complex and nose.  This will create a far more feminine and attractive look. See an experienced rhinoplasty surgeon for this.

 There's not enough information in the photographs talk about very specific recommendations. The deformation of the upper lip could be treated with Botox. There may be a prominent nasal spine which is occasionally dealt with in a rhinoplasty. Unless I'm missing something any treatment more extensive than what I just discussed would not be indicated.

Dear heyyyo:Thanks for sharing your photos!The mid-face is considered that trianglular area of the cheeks from: the eye-lid / cheek crease above, to the naso-labial and lateral nose centrally, and the corner of the lips to the high point on the mid-cheek.Lifting the mid-face is performed through different ways and requires significant skill by your surgeon. The nasal spine is not part of this feature. It is hidden under the columella or fleshy division of one nostril with the other. Removing the nasal spine may further lengthen your upper lip and possibly create a droopy nasal tip. These photos do not provide enough visualization of the length of your nose.Based on these photos, these are not procedures I would necessarily recommend. You may be best off with proper skin healthcare and fillers. Please, consult several well experienced and Board Certified Plastic Surgeons or Facial ENT's to identify what is best for you.All the best!

The rhinoplasty procedure can reduce the  columellar show which is caused from a prominent nasal spine. The tip can also be lifted as well with a tip rhinoplasty procedure and a columellar- plasty.  It's also important to release the depressor septi ligament, which is pulling the tip down with animation. For many examples and more information, please see the link and the video below

Following the advice from a surgeon
on this or any other website who proposes to tell you what to do without
examining you, physically feeling the tissue, assessing your desired outcome,
taking a full medical history, and discussing the pros and cons of each
operative procedure would 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)
that you trust and are comfortable with. You should discuss your concerns with
that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

A midface lift corrects midfacial sagging.  This can usually been seen with prominent nasolabial folds.  This does not seem to be your concern.  A rhinoplasty can address your concerns.  Specifically, an intranasal reduction of your nasal spine, elevation of your tip, placement of a strut to hold it in place and removal of your depressor septi muscles.  A more detailed plan will be determined in your preoperative visit.  Best wishes

I cannot see the upper part of your nose but a rhinoplasty or tip-plasty to refine your tip and lift your columella with reduction of the nasal spine and end of the septum will improve the contour and length of your upper lip..