Is a rhinoplasty even possible with my squishy uneven nose? Or could it make things worse? (Photos)

Hi,Thank you for including photographs. A very important component of most rhinoplasty procedures is to add supporting grafts to the nose. It is important to examine your nose carefully to evaluate the septal cartilage (the piece of cartilage that separates the nostrils) because this usually the donor cartilage. If you have sufficient septal cartilage, then it can be used as grafting material to support the tip. The nasal bones can also be made thinner with carefully designed and controlled fractures of the nasal bones. I recommend a consultation with a facial plastic surgeon who can review your aesthetic goals with you and explain the surgery and recovery in more detail. All the best,Mehdi Sina, MD

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. A columellar strut graft can be performed for added tip support.  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

 A Closed rhinoplasty approach can accomplish narrowing the bridge line and narrowing the bulbous tip and adding structural support  with cartilage grafts. This would involve all of the incisions placed on the inside of the nose. A thorough internal and external examination of the nose is required to determine how squishy/ uneven it is.