Is this photoshop version of my rhinoplasty attainable in real life? (Photo)

Question

Primarily, I wish to bring down my doral hump into a slight slope. This, however, might make my nose look long. So on top of that, perhaps the length can be altered by 1-2 centimeters. Here's is an image I edited on my own. Although given, a consultation is required to truly find out whether or no this is possible, is it still a possibility?

Brock Ridenour, MD · Answer

Yes, the profile result that you have shown is quite attainable. It involves reducing a modest hump, elevating the tip of your nose slightly, and then performing osteotomies to maintain the ideal width of your nose. I  assume that you are happy with the front view of your nose since you haven't provided photos? Keep in mind that sometimes the front view is the more difficult result to achieve.  You appear to be a good candidate for rhinoplasty and should be pleased with the outcome if you find a capable surgeon.

Kenneth Hughes, MD · Answer

Though I am sure that the result will not look exactly like the goal, I think that the modifications are reasonable.Kenneth Hughes, MDLos Angeles, CA

David C. Pearson, MD · Answer

The simulated/Photoshopped image appears quite reasonable. There are some factors, such as very thick skin, that can limit the ability of a surgeon to achieve that result precisely, but if your skin is not too stiff or thick, the profile view certainly seems realistic.All the best,--David C. Pearson, M.D.Pearson Facial Plastic Surgery®

Toby Mayer, MD · Answer

Realistic rhinoplasty goal? Yes--IF u see an experienced rhinoplasty surgeon who does natural noses like the one u have shown.

James Shire, MD · Answer

Yes, from the photo submitted I think your goals are realistic. But the only way to know what truly can be achieved is by having and examination and consultation. Photo imaging is a great way to communicate, but it is not a predication or guarantee of a surgical outcome. You should seek a facial plactic surgeon who actually specializes in rhinoplasty. Best of luck.

Ronald Schuster, MD · Answer

First, it's good that you are trying to explain the result you want. It will help your surgeon communicate what can be done. Second, it looks like you might have made your nose a bit too small in proportion to your face. You certainly have a hump but it also looks like the radix might be a little low. If this is the case, sometimes it is best to add a graft to raise the radix so the hump doesn't have to be lower too much. Sounds like you are ready for a consult. Good luck.

Jeffrey M. Darrow, MD · Answer

Yes, you are correct that only after a hands on examination can any surgeon tell you whether your goals are attainable given your anatomy and skin characteristics.  That said, it appears what you are requesting for a rhinoplasty should be obtainable as many patients request the same correction and contouring and achieve it.  See a local board certified plastic surgeon to see how best to achieve your wishes.

Laxmeesh Mike Nayak, MD · Answer

The overall change seems like it would be appropriate. My only concern would be how small you have made your nasal tip – this may not be achievable depending on the thickness of your skin. An in-person examination would answer that question quite readily.

J. Andrew Bartlett, MD, FRCS · Answer

The edited image does look attainable.  This would involve bony and cartilage hump reduction and osteotomies. I would be careful that if you want a slope, it be minimal as overresection in this area may lead to nasal valve narrowing and nasal  obstruction. The nose can  shortened somewhat but the aim should be for millimeters, not centimeters.

Peter E. Johnson, MD · Answer

What you show probably is obtainable with rhinoplasty. Many practices will use computer simulation for planning and communication of possible rhinoplasty results. Your idea of hump reduction and some tip rotation or shortening are indeed attainable.

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