Rhinoplasty for nose shape change; can we get any shape nose?

can we get any shape nose?

Doctor Answers 16

Great Question

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Rhinoplasty can change the shape and size of a nose however you do have limits.  Constraints such as skin thickness can limit how much tip definition you can achieve.  There are many other constraints as well and I always recommend a consultation with an experienced rhinoplasty surgeon to discuss your wishes.All the best!

Baltimore Facial Plastic Surgeon
5.0 out of 5 stars 9 reviews

Rhinoplasty Is Guided by Your Anatomy

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It is not possible to get any kind of nose shape during rhinoplasty. First, the anatomic structures of your nose will limit what is possible, depending on how much or how little cartilage you have, the thickness of your skin, and the shape of your tip. Second, there are many nose shapes that may look good on others but would not be flattering to you. The goal is to shape your nose so that it is harmonious and balanced with the rest of your face. I hope this helps.

Realistic expectations with the rhinoplasty procedure

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A full set of photographs are required to determine what can and cannot be accomplished with a rhinoplasty procedure. It's impossible to give a celebrity nose to someone. Each rhinoplasty operation is custom designed according to the patient's unique anatomy, therefore a unique rhinoplasty is performed for each individual. Digital computer imaging would be helpful and many before-and-after examples, please see the link and the video below

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Rhinoplasty results

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Hello and thank you for your question. The shape of the nose can be changed in rhinoplasty.  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.  Evaluation of before and after pictures will show you what can be done.   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

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 174 reviews


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Thank you for your question.Rhinoplasty can change the shape and size of your nose to make it look more pleasing and proportional to the rest of your face but there are limitations and restrictions. You have to find a balance between the patients health and cosmetic goals. For instance, a doctor wouldn’t want to reduce the size of the nasal tip and nostrils to the point where it would constrict the patients breathing, just because they wanted an extremely tiny nasal tip. Your goals have to be realistic and not cause any risks to your health.
Best of luck in your endeavors.
Sincerely, James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science

James Fernau, MD, FACS
Pittsburgh Plastic Surgeon
4.9 out of 5 stars 86 reviews

Rhinoplasty Question

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Thank you for your question!  While a rhinoplasty can create a dramatic change in the appearance of the nose, there are constraints on how much of a change can be achieved.  The goals of a rhinoplasty really should be to create a balance between the nose and rest of the face.  I would suggest that you consult with a board certified, fellowship-trained facial plastic or general plastic surgeon who specializes in rhinoplasty to discuss your goals for surgery.  I hope that this helps!
-David Gilpin

David Gilpin, MD
Nashville Facial Plastic Surgeon
5.0 out of 5 stars 25 reviews


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Thank you for your question. A rhinoplasty cannot change the underlying structure of your face, however, it can address the bridge and tip of your nose in an effort to create an aesthetic appearance that fits your desires and appearance. I suggest that you consult with a board certified facial surgeon.Best wishes,

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 124 reviews

The Goal of Rhinoplasty

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The goal of a rhinoplasty is to refine the existing structure of the nose you already have.  Although large changes can be made, there are obvious limitations.  Consult with a Board-Certified plastic surgeon who will accurately examine you, create a simulation that will show you what your nose could look like after surgery, and come up with a plan that works for you.


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There are limitations to surgery.  Surgeons work with what is brought to the table.  Surgery depends on your bones, cartilage and skin.  Consult with a board certified plastic surgeon who is highly experienced to discuss your options.

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 61 reviews

Can we get any shape nose?

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No, it doesn't work that way. The patient's anatomy places certain constraints on the surgeon. For example, someone with a very large nose will never have a truly small nose -- you just can't get a large skin "envelope" to shrink wrap a small nasal skeleton in a way that looks natural. Likewise, a patient with very thick nasal skin will never have thin, svelte nasal skin. 
That said, any patient with an "distracting" nose should be a candidate for a nose reshaping surgery that helps make their nose less of a distraction and simply fade into the background of their face. That, after all, is the goal isn't it?
Best wishes!  Harry V. Wright MD, Sarasota, Florida

Harry V. Wright, MD
Sarasota Facial Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.