Can my nose look more slimmer and straight with my tip slightly narrowed?

The internal and external nasal areas that you described and would like improved can be addressed with a nasal surgery (rhinoplasty) and a septoplasty which are typically done at the same time. A natural appearing nose can be achieved when the procedures are performed by an artistic plastic surgeon with extensive experience in nasal surgery.



Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you what to do based on a limited two dimensional photo 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) or facial plastic surgeon (otolaryngologist) that you trust and are comfortable with. You should discuss your concerns with that surgeon in

person.



Robert Singer, MD FACS



La Jolla, California

Every rhinoplasty is both a functional operation as well as a cosmetic undertaking, and yours will be no different. You certainly seem to be realistic, and appreciate the limitation that no surgeon can give you the exact nasal appearance of another patient. I do believe that a septoplasty will correct your breathing and straighten the bridge of your nose. The profile and tip appearance can be significantly enhanced with a rhinoplasty, and I would encourage you to visit a board-certified plastic surgeon to have an in-person consultation. I have found 3-D imaging to be a very useful tool to convey what changes can be performed during surgery to your nasal appearance. The consultation will be very useful to determine what, if anything, can be done to address the concerns with your lip. Good luck!

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. Cartilage grafts may also be used to help improve tip refinement.
You may also benefit from spreader grafts to help straighten your nose.  Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. 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