What would I need doing to reduce the side of my nose from the side profile? (Photo)

Hello! Thank you for your question.
As far as I can understand from your question I can say that the open operation is always more reliable than the closed rhinoplasty operation, your wishes can be realized with a single rhinoplasty operation.
It would be better face to face consultation.
Best Regards!

Based on your photos, you appear to have an overprojected nasal profile appearance in your bridge and in your tip. That means that both the bridge and tip stick out a drop too far. Please consider meeting with several reputable rhinoplasty specialists who offer computer Imaging so you could see what to expect after surgery, both on your front and your profile views. Thank you for your question! Sincerely, Dr Joseph

Based on your photos, you can undergo a closed rhinoplasty with hump reduction without changing the tip at all if you like. Be sure to see a rhinoplasty specialist for consultation.

if you ONLY want to modify the dorsum, then you could do this closed. However, if you want to change tip, usually you need to have the nose opened.

The tip of your nose is strong in its forward projection away from your face, and the nose is tall -- that is, your upper lip is very short measured vertically because the nose is tall, impinging on the lip. In any nose, when you remove a dorsal hump, it has the tendency to make the nose *look* longer, and I don't think you'd like that.

With your strong chin, you do want a nose that is strong in its forward tip, projection. But lowering the bump also has the tendency to make the tip appear more projecting. My recommendation would be to lower the bump, but also deproject the tip and elevate the tip, enough to keep the nose balanced, and conservatively enough that you still like it and it didn't change the charachter of your face. This is not a simple operation.

How *much* to elevate the tip, or deproject the nose, or lower the bump, or make other changes? We figure that out with morphs, well before surgery. 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 better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, 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, and skill that most plastic surgeons don't possess with expertise. 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. And it also discusses how to take photos that are best for online evaluations.

You have a very slight dorsal hump and you also have a super tip hollow. To shorten the nose, I recommend an open rhinoplasty to reposition the lower cartilage more posteriorly and increase the anterior projection.

Best Wishes,

Gary Horndeski, M.D.

If you want your bridge lowered it can be done open or closed. I would recommend going in a few consult and bear in mind that you are likely to get different opninions

What could be done with your nose? your nose is actually quite nice. You could however refine it with a closed rhinoplasty. This would involve removing the dorsal hump, slight deepening of the radix, slight refinement of the tip, and slight reduction in the overall size and projection of the nose.. This could be done to a greater or lesser extent depending on what you discuss with your surgeon. Closed rhinoplasty would be ideal for this limited case since it is less invasive, and can address easily Address the minor issues involving your nose. A limited rhinoplasty such as this is sometimes referred to as a “finesse rhinoplasty“.

I recommend you get the insight of a rhinoplasty surgeon to help you make a quality assessment and come up with a good treatment plan.
Rhinoplasty surgery is fairly complex and it is beneficial to find providers who have extensive skill and experience for this procedure.
Look for plastic surgeons who focus exclusively on rhinoplasty surgery or those who have a strong emphasis on this procedure in their practice.
Look for providers who have at least one or two decades of experience doing rhinoplasty surgery.
I recommend Patients find the right provider by first, making a list of potential providers who seem to have a strong background in your community.
Schedule in person consultation with each of those providers.
Bring pictures with you of your face take them the same way plastic surgeons take before and after pictures to use as reference during the consultation.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar facial characteristics to your own.
An experienced provider should have no difficulty showing you the before and after pictures of at least 50 previous patients.
Being shown a handful of pre-selected images, representing only the best results of a providers career may be insufficient to get a clear understanding of what average results look like in the hands of each provider, what your results are likely to look like or how many of these procedures they’ve actually done.
There’s no correct number of consultations needed to find the best provider.
The more consultations you schedule the more likely you are to find the better provider.
The biggest mistakes patients make is assuming being board-certified in plastic surgery with a few years of experience and some good reviews Means somebody is good at rhinoplasty.
The second mistake is scheduling only one consultation.
Scheduling only one consultation, then scheduling surgery more or less eliminates the ability to choose the better provider.
Some plastic surgeons prefer an open approach, especially for complex procedures.
Some plastic surgeons do all of the rhinoplasty work through closed incisions only.
Some providers use both open and closed approaches.
The approach is not as important as getting the work done correctly.
Your efforts on finding the right provider.
Doing that usually is time-consuming and requires meeting a few providers.
Best,
Mats Hagstrom, MD