Should I get my nose bone broken or leave it alone to get the best result? (Photo)

Hello from Istanbul! Going by what you've shared and the photos, breaking the bone, or an osteotomy, seems necessary to achieve a balanced look with your new nose. Just doing the tip and alarplasty might not give you the harmonious appearance you're aiming for. I know the idea of "breaking the bone" can sound a bit scary, but it's done very carefully to ensure minimal impact on the bone and tissues, which means less swelling and bruising for you. If you're really looking to change your nose's appearance, it's important to communicate your goals clearly to your surgeon. They can then tailor a plan specifically for you. Definitely consider a face-to-face consultation to get a clearer picture of what to expect. Hope this helps!

Since you appear to have a wide nasal bridge appearance, if you're undergoing rhinoplasty surgery, having osteotomies performed for a narrower nasal appearance will not add significant pain or downtime to your procedure. I hope this helps! Sincerely, Dr Joseph

Hi, there are different approaches during a rhinoplasty. It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery
process.

Thank you for your enquiry and sharing your photographs.
To a great extent, it depends want you wish to achieve with the surgery. In general, a somewhat narrower nasal bridge can be a way to emphasise the appearance of the eyes.
Computer imaging and simulation can help you understand better your potential changes although it is fair to say that from the front view they are not as productive as the profile simulations.
On the view from from the left hand side, the nasal bridge appears to have a small bump which is due to the asymmetry in the height of the dorsal aesthetic lines. It looks like the right dorsal aesthetic line is slightly higher.
When the nasal bridge stays the same but the nasal tip is narrower, on the oblique view it will appear that your nasal tip is less projected even if it maintains exactly the same projection on true profile. As a result, on the view from your left hand side, it is likely to appear that your nasal bridge bump is somewhat stronger.
If this is an element that you feel indifferent to, reduction in the width of the tip is appropriate. If you would like to maintain a straighter contour of the semi profile of the nose, correction of the nasal bridge shape would also be necessary.

for defined nose you must get nasal bones cut with piezo device to narrow the nasal bones.if you do only tip pasty the bones will be seen wide.for female it will be not pleasant

Your photographs are limited. I do not have a proper lateral view. It appears you have broad bony base and a small dorsal hump. At the time of surgery, sometimes the bone can be filed, not necessarily fractured. However, sometimes if the base is narrow then the bone will need to be fractured. More photographs are needed to give you an accurate answer.

Best Wishes,

Gary Horndeski, M.D.

In your case if you get a rhinoplasty you definitely need the bones broken to narrow it. Many times a surgeon will try to avoid breaking the bones especially if they’re not comfortable with the procedure. A good rhinoplasty surgeon will never shy away from breaking the bones when needed

Overall these photos look filtered and grainy. Hard to see your nose well. But, don't worry about what will be done - worry about the result. Most of the time narrowing the nose is helpful and it is likely the case for you as well, UNLESS you want just a smaller change to the tip. How you get to the result doesn't really matter.

The decision should be based on what results woukd make YOU happy. Use computer morphing software with your surgeon to show what the results would look like with tip and Ala only vs. Full rhinoplasty. See which results make you happier. If it's the "bone breaking" itself that is the concern, then don't let that stop you. It's a very small part of the procedure and not the "breaking" that most people imagine. If the results of the full rhinoplasty are what truely make you happy, and you're already doing nose surgery, it's best to do it right. When it comes to the nose especially, make sure to choose a surgeon that truely specializes in performing rhinoplasty. I have a few videos that help patients know what to look for during consultation. Also attaching a video to explain the bone breaking. Good luck!

Nasal tip plasty verse full rhinoplasty:
You appear to have a small dorsal hump. The pictures are not clear enough to tell if your bridge is wide, but if it is wide in addition to the dorsal hump then a full rhinoplasty with bridgework coupled with the nasal tip plasty would better suit your pretty female face according to most traditional aesthetic principles, And be in better harmony with a refined tip