Would I be a good candidate for a rhinoplasty? Currently have a wide, thick and crooked nose (photo)

Question

Hello, I am considering a rhinoplasty. I have a thick nose so debating how effective a procedure will actually do. My nose is a bit crooked and wide. I do small have a smaller chin that might make symmetry challenging. Was hoping to get thoughts about doing one with my situation. Thanks in advance.

Randal Haworth, MD, FACS · Answer

Hello !

A rhinoplasty could be, in my experience and based on the pictures you provided, effective.

Procedures targeting the symmetry of the chin exist as well.  An « in-person » consultation would be necessary to discuss your needs.

I hope this helps, good luck !

Jonathan Kulbersh, MD · Answer

Thank you for your question and photo. You appear to be a candidate for rhinoplasty to straighten and narrow your nose. A nose that appears crooked is generally caused by bone or cartilage, which may entail osteotomies or other techniques to straighten the cartilaginous portion. Narrowing a wide nose often requires an alar base reduction to remove the tissue causing the excess width. Together, these steps can create a nasal shape and size that complements the rest of your facial features. 
It’s important to note that rhinoplasty is one of the most complex of all plastic surgery procedures, requiring experience, skill, and even artistry to achieve an optimal outcome. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques. They will be able to discuss your concerns and aesthetic goals with you to develop the best treatment plan.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.I have tried to evaluate your case from the photo you provided but for a better evaluation I would need more photos.Anyway your nose looks wide and your skin looks thick. It is possible to perform a rhinoplasty surgery (but we also need to check your medical condition first). You will probably need cartilage reconstruction especially for the tip.Best regards!

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. You are an excellent candidate for rhinoplasty. I think it is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery.  it is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases.  In your case, you want a make sure that your surgeon has experience with ethnic rhinoplasties and thick skin.  The incision in open rhinoplasty heals almost always invisibly. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you.

Tanveer Janjua, MD · Answer

Reduction Rhinoplasty
Reduction rhinoplasty is the term used for making a big nose smaller. However it can have many components. 
1. Large as in sticking out on side view.
2. Large as in big tip
3. Wide nostrils
4. Wide bones in the front view.
5. Dorsal hump making it look big.
All these can be addressed together or separately depending on the individual situation.
Regards
Dr. J

Ronald J. Edelson, MD · Answer

Even if you have thick skin the photo you sent indicates that you could get a dramatic improvement with rhinoplasty. I would perform surgery such as yours expecting a nice result even if it’s not perfect

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have a wide and somewhat crooked nasal appearance  with flaring nostrils and a droopy tip. Consider consulting with several reputable rhinoplasty specialists who offer computer imaging so you could see what to expect after rhinoplasty surgery. Hope this helps! Dr Joseph

Thomas Spalla, MD · Answer

Your thick skin hides any minor asymmetries that could occur from surgery, but it does make changes more difficult to see, and I think you recognize that by your question.

See a surgeon comfortable with such situations, but improvement is certainly achievable.

William Portuese, MD · Answer

Based on the one limited photograph, a rhinoplasty can accomplish narrowing and straightening the bridge line, and reducing the size of your nostrils with an alar-plasty. A full set of photographs from all angles would be required to make a better determination. You have thick skin in the nasal tip area, so it's also important to have realistic expectations

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