Indian, South Asian - what rhinoplasty procedure would be best to enhance my nose aesthetic?

Hi - your best bet is to think about what exactly bothers you the most about your nose, gather some inspiration pics of noses you like and then have a consultation with a plastic surgeon focused on rhinoplasty to discuss your goals and align on a plan that improves profile harmonization. This may include tip refinement, lowering or raising portions of your dose and adjusting your nasal bones.

Your nose has a very wide base with poor projection. You would benefit from a rhinoplasty. You will need cartilage addition to your septum to increase your projection and make it more triangular. You will need the nostrils narrowed internally as well.

Best Wishes,

Gary Horndeski, M.D.

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.

Here is some general advice when considering a surgeon: I highly recommend that my patients focus much more on real longterm before and after photographs rather than 3D imaging.   I encounter so many patients in my practice who see me for revision rhinoplasty who previously had surgery elsewhere who feel like they were mislead into surgery by surgeons who relied heavily on 3D imaging without adequate real before and after pictures to back it up. Photoshop is easy but real surgery is very different.

I always recommend that you carefully evaluate your surgeon’s online before and after gallery on their website for both quality and quantity of results. Make sure that there are hundreds of real before and after pictures which demonstrate long-term follow up results. If your surgeon is posting mostly on table results without real long-term follow up results, that is usually a major red flag. If a surgeon is posting mostly just splint removal day videos without longterm follow-up pictures, that can also be a red flag. Long-term results are much more meaningful than on table results or 1 week post-op results.

With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon