Is this what my nose will look like after rhinoplasty? (Photos)

Question

My surgeon told me he’d make my nose straight and that it’d be smaller. He didn’t show me any drawings or photos, so I have no idea what it’d be like. I showed a photo of a curved nose but he just said mine wasn’t that long. Will my nose look like the photo? I think that still looks big. Also, is it possible to get a curve on my nose? I’ve added a photo of the kind of nose I want, is it achievable?

Lucian Ion, FRCS · Answer

Hello and thank you for your question.
The simple answer is that it is achievable to create a profile relatively close to the reference shape you have provided.  The second part of the answer is whether you would like it in the context of your facial features.  This is best evaluated using computer imaging and simulations. The characteristics of the nose integrate with the rest of the profile and this is where you can appreciate better the size and shape that would make you happier.

Suleyman Tas, MD, FEBOPRAS · Answer

Hello,Thank you for your question. Before your operation you need to have a clear mind with real understanding of what can be achieved and what your plastic surgeon can do. Based on your photos you may benefit from the refinement of a tip with uplifting for a more feminine look and dorsal hump removal by my own Dorsal Roof Technique. This technique provides the opportunity to support the internal valve, determine the dorsal height, treat the wide base, treat the wide dorsum, treat the dorsal hump without resection and maintain the integrity of the dorsal bone-cartilage complex. Alar flaring can be treated as well by alarplasty. Breathing issues can be adressed at the same time.
A beautiful and natural looking nose, that suits your face can be achieved by the help of the Closed and Atraumatic Technique in Rhinoplasty, which minimizes swelling and bruises, maximizes healing, prevents tissue damage and eliminates a scar on the columella. To find out more please click on the attached link.
  
Best Regards

Steven M. Denenberg, MD · Answer

Your nose is very strong in its forward projection from your face. The tip needs to be brought back closer to your face. We call that "de-projecting" the tip. 
Then, when a nose is de-projected, it tends to *look* longer, as if the tip had drooped. So it's important to elevate the tip. But your tip sits somewhat low anyway, so elevating the tip is even more important.
Then, lower the bump on the bridge, of course, and then match the position of the bridge to the new position of the tip.
And finally, create a curve in the bridge to match your personal tastes. And voila, apply those changes, and you get the profile of the "goal" picture that you posted.
I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. 
I said it's unlikely that your nose would look like the "goal" photo, because, at least from your post, you didn't do any basic research into the skill of your surgeon. You didn't see any photos of his other patients, so you have no idea of his skill level. And he didn't make morphs of your nose for you, so you have no idea what he plans to do to your nose. You're walking into a buzz saw.
Remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, requiring skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. 
Your nose is also a perfect example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. I always email morphs to my online rhinoplasty consultations. When you see the surgeon's goals in the morphs, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are large enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. How would you ever get that figured out without the morphs?

Toby Mayer, MD · Answer

you need to select another surgeon. A very experienced rhinoplasty surgeon will show you multiple photos of noses like yours and possible and varied results. Do not rely on Imaging but actual results since you want to make sure you get  The nose you wanted not what the surgeon thinks would look good on you. He will not look at it  every day but you will.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. First and foremost, if you are not able to view any non-photoshopped before and after pictures of real patients performed by your surgeon, then you should consider looking for another surgeon.  Based on your photographs, you may benefit from a tip refining rhinoplasty, a cephalic rotation of your tip to turn up your tip slightly, and a dorsal hump reduction.  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.  You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon.  If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. The most important aspect is to find a surgeon you are comfortable with.
 
 Best wishes and good luck.

Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon

Is this what my nose will look like after rhinoplasty? (Photos)

Answers (5)

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