Facial balancing, rhinoplasty - Options? (photo)

Hello! Thank you for your question.
As far as I can see from your photos Rhinoplasty could refine nasal width,particularly at the base,to achieve better proportion when smiling. A personalized in-person consultation would help determine the most natural and balanced outcome.
Best Regards!

Hello and thank you for your question and the pictures.

It sounds like your nose is your primary concern, so let's focus on that for now. Addressing the shape of your nose (especially the nasal tip) is actually one of the most common reasons people seek out and undergo a rhinoplasty. An open septorhinoplasty can best address both your aesthetic concerns and any functional issues with your nose. I would be able to adjust the size, shape, and definition of your nose (particularly the bridge and tip)!

This truly is a surgery of millimeters- and whether you're looking for a minor adjustment or a major transformation, it requires exceptional surgical skill to achieve functional and natural-looking results! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading rhinoplasty experts (who performs 1,000+ nosejobs annually).

I also trained under a world-renowned master of complex facial aesthetics, so when you're ready to discuss other areas of your face, I'll be happy and ready to go into all the details with you!

I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Thank you for your inquiry! We would love to meet with you in person or virtually to discuss your goals and create a surgical / non-surgical plan for you. Schedule a consultation with a Board-Certified Plastic Surgeon like myself to help you reach your goals.

I would recommend a lower eyelid blepharoplasty to address the lower eyelid excess skin. This can be combined with laser to treat the skin "crepeyness". I would recommend a rhinoplasty if you are seeking one for nasal shape and/or breathing purposes.

Based on your photos, you are a good candidate for rhinoplasty. The tip droop can be brought up and the tip and bridge can both be made a bit thinner. At the same time, the nose would be supported better so it resists drooping when smiling. Fat transfer can easily address hollowing temples and areas around the eyes and cheeks. Be sure to see a rhinoplasty expert for consultation.

I would recommend a mini lift with high SMAS technique that would lift your cheeks, reduce nasolabial folds and reduce temporal hollowing. A short scar technique can be used if you do not need any neck tightening. A rhinoplasty can be added to refine your tip and narrow your bridge.

I can see that you have a bit of a wide and asymmetrical and droopy nasal tip appearance. If this is bothering you a lot, rhinoplasty surgery may be considered for achieving a narrower, more symmetrical, and less droopy nasal appearance. Fillers may be considered for your temple hollows. Please consider meeting with several reputable rhinoplasty specialist so you could see what might be best for you moving forward. I hope this helps. Sincerely, Dr Joseph

If you draw up a vertical line from your medial canthus, your nose should be the width of that or smaller. You nose appears to be normal width. Your tip could be refined as well as the dorsum and increase the nasal columella angle. However, another thing to consider would be a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. You would also benefit from Botox to the crow's feet areas.

Best Wishes,

Gary Horndeski, M.D.

Dear ae.hearts thanks for sharing your pictures and concerns, after evaluate your photos you will be benefit for Rhinoplasti fixing the width of your nose at the same time, for the under eyes skin a Inferior Blepharoplasty. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

It would be very difficult to suggest how to bring more balance to your face without in person or at least teleconference consultation. It is quite possible that cheek augmentation with fat grafting and lower blepharoplasty would address some of the issues, possibly conservative rhinoplasty. However, in person consultation with a board certified plastic surgeon with expertise in facial rejuvenation would be my recommendation. Good luck.