Revision rhinoplasty: is it possible to slope my nose? (Photo)

Question

I don't like my side profile. The bridge of my nose is too high I'm very self conscious abt it. I want more of a slope to my nose and skinny tip because my nose looks fat in pics.

Nima Shemirani, MD · Answer

Dear bthenurse,You can have create a little more curvature to the bridge of your noseYou might need to adjust the tip projection just slightly to narrow the tip and create a nicer profile as wellThis could be analyzed at your consultationVisit a revision rhinoplasty specialist who can address all of your concernsBest,Dr. Nima

Ronald J. Edelson, MD · Answer

Your nose Dan certainly be lowered slightly with revision rhinoplasty.  You still gave a small bump that is noticeable on side view.  This should be a pretty straightforward revision accomplished by filing your bridge a bit further.  You don't mention how long it has been since your original surgery, but you should wait at least six months.

Richard Chaffoo, MD, FACS, FICS · Answer

Hi and thanks for your question. Yes, it is possible to lower the bridge of a nose to create more of a slope. I would see a surgeon who is certified by the American Board of Plastic Surgery with extensive experience in rhinoplasty. For example my practice has focused on aesthetic surgery, especially rhinoplasty, since the mid 1980's. A personal consultation is really what you need so that you can achieve your aesthetic goals instead of any recommendations you might receive on this or other websites. Best of luck!

William Portuese, MD · Answer

It is possible to shave down the dorsal hump to give more of an  in-slope if patient so desires. Revision rhinoplasty  is harder than a primary, so choose your surgeon very wisely based on experience. Some minor adjustments to the bulbous tip can also be performed as well.

Robert Singer, MD · Answer

Improving the cosmetic appearance of the
nose by making it a little smaller and refining its shape, yet having the
result look natural, is a frequent request from patients seeking a rhinoplasty.

Following the advice from a surgeon on
this or any other website who proposes to tell you exactly what to do based on
2 dimensional photos without examining you, physically feeling the tissue,
assessing your desired outcome, taking a full medical history, and discussing
the pros and cons of the operative procedure would not be in your best
interest. I would suggest you find a plastic surgeon with extensive nasal
surgery experience who is certified by the American Board of Plastic Surgery
and ideally a member of the American Society for Aesthetic Plastic Surgery
(ASAPS) or a facial plastic surgeon (otolaryngologist) that you trust and are comfortable with.
You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

Arfat Jawaid, MBBS, FCPS · Answer

Naso frontal angle gives a break between the nose bridge and forehead. Ideally it should be 115 to 135 degrees. From your photographs it looks like your naso frontal angle has been blunted by the implant/graft placed over your nasal bridge. It can be fixed by trimming the upper end of implant/graft and a little rasping of bridge. It will also decrease the height of radix and give your nose a sloping look.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the photos and I would see some experts in your area who take your photo and then alter it digitally so you may see what can be accomplished with surgeryDr Corbin

Jon A. Perlman, MD (retired) · Answer

Thanks for your question.  I would advise waiting a year after your primary rhinoplasty and then a revision to lower your bridge should be successful.  Narrowing the tip further can also be considered at the time of your consultation.  Be certain to work with an experienced plastic surgeon and discuss carefully the changes that can be expected.

Edward J. Domanskis, MD (in memoriam) · Answer

Yes, you can slope your nose more if you already have had a nose job. You probably would not need your bones refractured.

Richard W. Fleming, MD (retired) · Answer

Your profile can be changed but work with an experienced rhinoplasty specialist so you maintain adequate projection and definition.

Revision rhinoplasty: is it possible to slope my nose? (Photo)

Answers (13)

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