My nose protrudes out too much causing my chin and mouth to look small. What changes would my nose need to fit my face? (photo)

Click on the "Web reference" link, just below my response, or go here:

FacialSurgery.com/RealSelf/RealSelf_radahlen.html



I made a couple of computer morphs of your nose, and animations of the morphs, to show the changes that are possible for your nose in truly expert hands.

I brought the tip of the nose back closer to your face, and also elevated the tip, and lowered the little bump on the bridge of the nose. From the front, I also narrowed your tip a bit. I'm curious whether you liked the changes overall. Did I do enough? Did you want even more decrease in the forward projection?The woman in the short video above also had her nose brought closer to her face, although more than you need.



You should understand that the changes I demonstrated in the morph require advanced techniques, techniques that most plastic surgeons cannot handle.  Be sure to read the section in the "Web reference" link on how to stay out of trouble while searching for a rhinoplasty surgeon.





Your nose is also a good 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. When you see his goals, you'll know whether he has an eye for a beautiful nose, and whether he shares your opinion of what constitutes a beautiful nose. You'll also know whether the changes he proposes are enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. But remember, you're not hiring him for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer.

Based on your photos it appears that you would benefit most from a combination of rhinoplasty and chin augmentation (chin implant).

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. You may also benefit from a nasal tip deprojection to make the overall size of your nose smaller and a conservative 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. 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

Thank you for reaching out and posting photos.  If you are concerned with the appearance of your nose, the best option would be to visit a few Board Certified Surgeons and express your concerns, ask a lot of questions and learn about all of your options. Make sure to find a surgeon that is experience in rhinoplasty! Best of luck! Dr. Kim

Hi there, thanks for your question and sharing photos.  Your nose can be made more proportional to the rest of your face with a reduction rhinoplasty, including reducing the dorsal hump and refining your nasal tip.  This will improve the balance from the front and side views.  You may also want to consider a chin implant to bring the receding chin a bit more forward in order to better match the profile on side view.  Hope this helps and best of luck to you!

Your long nasal tip can be reduced in its projection. This will also require a hump reduction as well as this will become more apparent with the tip is shortened.

Thank you for the question.  You are certainly not alone feeling self conscious about your profile.  This is without question the most common concern among patients considering rhinoplasty.  You could definitely benefit from rhinoplasty to de-project your nasal tip and reduce the height of the bridge, or dorsum.  In addition, a small anatomic chin implant may enhance your overall appearance by giving better balance to the lower third of your face.  While you are not that concerned about the appearance of your nose from the frontal view, I believe that your tip appears broad and that refinement in this area will be of benefit to you as well.  I recommend consulting with facial plastic surgeons who specialize in rhinoplasty and to critically evaluate before and after photographs of patients who have undergone similar procedures.  Good Luck!

Nasal cosmetic surgery and a chin implant are frequently performed together in the appropriate patient. The ideal aesthetic result should be individualized to achieve harmony with your other facial features and improve the areas that concern you.  Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you what to do based on two dimensional photos without examining you, physically feeling your 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. Natural appearing results need to be individualized and what is appropriate for one patient is not necessarily the best for someone else. I would suggest that you find a surgeon with extensive rhinoplasty experience certified by the American Board of Plastic Surgery and one who is 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. The extent and length of the procedure, cost, and the specific operative steps to achieve an ideal cosmetic result vary from patient to patient and would depend on the findings at your consultation examination.



Robert Singer, M.D., FACS



La Jolla, California

The side profile photograph demonstrates an overly projecting nose, and an under projecting chin. Under projection of the chin makes the nose look overly-projecting. Consider a rhinoplasty and chin implant combination for better facial balance and profile. A closed rhinoplasty approach can accomplish decreasing the projection of the nose, refining the nasal tip, and shaving down the dorsal hump with all incisions placed on the inside of the nose. Consider a chin implant placement to augment the mandible forward, which will give the illusion that the nose has less projection. Chin implants are manufactured in a large variety of sizes and shapes, are composed of silastic, and can be custom carved when necessary to match patient's unique anatomy. The chin implant can be placed under local anesthesia, or both procedures would be done under general anesthesia as an outpatient surgery. For more information, many before-and-after examples of rhinoplasty/chin implants, please see the video and the link below below

Hi there, thank you for your photos and question. To improve your profile, you can consider rhinoplasty to decrease the size of the nose, refine the nasal tip and lower your nasal bridge. Surgeons use the term "nasal projection " to describe how much your nose protrudes from your face. Your nose can be refined to protrude less which would make your profile more balanced and still look very natural. These changes would also improve the front view. You can consider a small chin augmentation as well. My recommendation is for you to meet with rhinoplasty surgeons in your area and review their before and after photos as well as a simulation of your result.  Good luck!