I have always disliked the brige of my nose. What would you fix/how? (Photo)

Question

I have always disliked the bridge of my nose (too wide/not feminine) and there is a slight bump on the side profile.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question. From the photos you provided I can say that you have a dorsal hump and it makes your face more masculine. For gain more feminine, slightly curved and elegant looking I recommend you open rhinoplasty surgery. It would be more convenient to decide with face-to-face consultation. Best Regards!

Donald Groves, MD · Answer

Hello and thank you for your question. It sounds like your biggest concern is your nasal dorsum, which is wide and has a dorsal hump, as you mentioned. Addressing the dorsum (especially a dorsal hump) is one of the most common reasons people seek out and undergo a rhinoplasty. Many people also complain about their nasal tip, saying it is too "bulbous" or "boxy" or just poorly defined, and that they would like their nose to be smaller, cuter, more defined, or more feminine. An open septorhinoplasty can best address the entire nose, and is particularly effective for addressing both the dorsum and the nasal tip. 
During this procedure, the dorsal hump can be shaved down, and the overall dorsal shape can be refined (made narrower in your case) to provide better aesthetic balance to the nose and entire face. In addition to addressing your aesthetic concerns, your septal cartilage would be harvested (removed) and turned into multiple cartilage grafts, which would then be secured into different areas of your nose for structural support.
The open approach is very effective in facilitating complex, precise maneuvers to refine the nasal shape and size to a particular aesthetic and look. Rhinoplasty is arguably the most difficult procedure to perform in all of plastic surgery. That said, I would recommend only going to see a surgeon who feels very comfortable with both primary and revision rhinoplasty procedures, and who has significant training and experience in these types of surgeries. This is a surgery of millimeters, so if the surgeon you're going to only does 1-2 per month, you are not going to get the best result possible. 
Regarding the anesthesia, my personal preference is similar to most- full general anesthesia to assure the most controlled environment and facilitate the best possible aesthetic results for such a complex procedure. Everything ultimately comes down to surgeon and patient preference, so always have the conversation with your surgeon so you both know exactly what to expect, and so you both feel comfortable with how the procedure will be performed prior to proceeding. 
Of course it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from any photos and description provided. I recommend for you to come see me or another plastic surgeon comfortable with rhinoplasty procedures for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps! 
Best wishes, 
Dr. Donald Groves 
Plastic Surgeon

William Numa, MD, FACS · Answer

Your question would be best addressed during an in-person consultation with a surgeon who specializes in rhinoplasty. An experienced surgeon will be able to address your questions after a physical examination of the nasal anatomy and a conversation of what your ultimate goals and expectations are.  They may be able to use a morphing software to help you getter a better vision of what your nose could look like after surgery.

Undergoing any surgical procedure requires careful attention to detail and consideration for different options. Consider obtaining several opinions before moving forward with any given procedure. Always trust your face to a board-certified facial plastic surgeon or a board-certified plastic surgeon with very extensive rhinoplasty (nose job surgery) experience.

Steven M. Denenberg, MD · Answer

I see the bump, and it can come down. From the frontal view, it seems as if that upper part of your nose, where the bump resides, is wide, too, with the nasal bones sitting far apart from each other. So we'd want to narrow the bridge of your nose there. Then, back to the profile view, when a bump is removed from the bridge of the nose, it can make the nose *look* longer, as if the tip had dropped some. So it can be important to elevate the tip a bit, even if that wasn't an original complaint. It's possible to see that effect in the morphs. The forward projection of the tip of your nose is fine, given your great chin.

How *much* to elevate the tip, or lower a 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. 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. And it also discusses how to take photos that are best for online evaluations.

Andrew Miller, MD · Answer

While the bump is not huge, a properly performed rhinoplasty can both take down the bump and bring in the bones at the same time so it looks less wide. At the same time, some minor tip work can be done to balance with your new thinner bridge. Be sure to see a rhinoplasty expert for consultation.

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have a wide bridge appearance and a small bump at the top of your bridge. Depending on your examination, rhinoplasty surgery may be considered for nasal narrowing and profile hump reduction for a less distracting and more feminine nasal appearance. I hope this helps! Sincerely, Dr Joseph

Steve Laverson, MD, FACS · Answer

The width and height of that prominent "bridge" of your nose can be reduced and refined by rhinoplasty.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. You are an excellent candidate for rhinoplasty. I agree with your assessment and think it is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Most plastic surgeons like to perform lip lift procedures at a separate time. Best wishes to you.

Ronald J. Edelson, MD · Answer

I would lower the bridge slightly and narrow the bones. Standard rhinoplasty techniques. The nose overall needs to be made smaller

Zoran Potparic, MD · Answer

It appears that well performed rhinoplasty would be good way to correct mild nose hump. In person consultation with a board certified plastic surgeon with good reputation in rhinoplasty, is recommended. Good luck.

I have always disliked the brige of my nose. What would you fix/how? (Photo)

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