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

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.

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,Good questions.  Soft cartilage very much affects the manner in which a rhinoplasty is performed, especially when the goal is a more refined nose.  Skin type is also a critical factor, but more importantly, there is much less than can be done with difficult skin types as compared to difficult cartilage.  In your case, your skin type appears to be ideal.  The issues with your cartilage can be overcome by using cartilage from your septum to reinforce and reshape the tip.  In my hands, you should expect a nasal tip that is actually more rigid than the average nose after surgery.  Regarding the wide boney base, this is quite correctable using standard rhinoplasty techniques of cutting, moving, and resetting the bones.  In summary, I can't say for certain without a full exam of your nose inside and out, but based on your description and photo, I think you are a good candidate for rhinoplasty.Best Regards,Dr. AAustin, Texas