Considering Rhinoplasty and facelift (Photo)

Question

I’m 45 years old and have always disliked my nose. While I’m not displeased with the shape per se, I’ve always felt it was a bit too wide. Would it require a full rhinoplasty to thin it out a bit? I am also starting to to consider some anti-aging surgery as well and am wondering what I should have done?My face is starting to fall and I feel like my eyes are looking heavy (I already get Botox and filler).

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you are a better candidate for a full rhinoplasty, which would include tip refinement as well as a nasal tip deprojection. You could also safely do a mini facelift at the same time. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Eric M. Joseph, MD · Answer

If you are simply looking to narrow the upper and middle third of your nose, depending on your examination, bilateral osteotomies may be sufficient for providing this without additional nasal tip work. I hope this helps! Sincerely, Dr Joseph

Ramin Behmand, MD, FACS · Answer

Your primary concern revolves around the width of your nose, and that concern is supported by your photos. Addressing this would necessitate a complete rhinoplasty to narrow the nasal bridge. Following the bridge narrowing, it is ideal to maintain proportional balance and refine the tip.

On the list of priorities, any surgical manipulation of your face should rank low.  No matter what you may be feeling about the aging of your face, the benefits seem to be limited at this time. You look great.

Dr. B.

Gary M. Horndeski, MD · Answer

The tip of your nose is wide not the base. You would benefit from a tip rhinoplasty to refine the tip. An upper blepharoplasty would help the extra eyelid skin. You would also benefit from a browlift. This will lower the hairline, decrease the vertical height of the forehead and help the eyebrow position.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

Your nasal bones are wide and could be narrowed. This would require a full rhinoplasty. As far as a facelift you appear too young to really benefit much from having one

Steven M. Denenberg, MD · Answer

Your profile actually looks rather nice to me. Your nose is short, the bridge is low, the tip had good definition. As you said, from the front the bridge is wide, and the tip cartilages stand out, with that prominent dent between them. You didn't post a 3/4 view, but that view might also show the strength of the tip cartilages, as a prominence at the tip. You'd have to be careful that your surgeon is quite the expert at tip work, which would be the most delicate part of your operation, and that he knows exactly what you want to change and by how much, to protect yourself from someone just doing what he wants.

And boy oh boy, you are nowhere near ready for a face lift!

And boy oh boy, you are nowhere near ready for a face lift!

Zoran Potparic, MD · Answer

It would be very difficult to give you meaningful advice regarding nose and face surgery without in person consultation and discussion about your goals. In person consultation with a board certified plastic surgeon would be a good starting point. Good luck.

William Portuese, MD · Answer

A closed rhinoplasty approach can accomplish narrowing your nose from the frontal profile. Your side profile looks great, so nothing is needed from that standpoint. All of the incisions are placed on the inside of the nose. No external incision is required, and no painful is packing is required either. At 45 years of age, it appears that you have some loose and inelastic skin in the neck and possible fat deposits in the neck itself. A neck lift procedure may be able to accomplish your goals if those are fat deposits and your skin tone is excellent. If you have poor skin tone in the neck, you're going to need a lower face and neck lift procedure. An in – person examination is going to be required to make that determination

Darryl J. Blinski, MD · Answer

Based on your nicely posted, two photos, I agree you need a mini face necklace with muscle placation and a in fracturerhinoplasty. Fee $15,000-$25,000 depending on location of surgery. Best of virtual consult with.

Considering Rhinoplasty and facelift (Photo)

Answers (9)

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