Bifid nose with extra cartilage & a cleft, is my nose ugly? (Photos)

Question

Hi, last year i posted some photos on this profile, didn't really know what i wanted or what i could improve about my nose. I had a lovely doctor reach out but since i didn't know how to explain things, the morphs came out with a too small of a nose in my opinion. This year I've realized i have a bifid nose with extra cartilage and a cleft in between. But is it ugly? I am thinking about improving it because people have said i look like a horse. If anyone can reach out and do morphs i’d appreciate.

Eric M. Joseph, MD · Answer

The reason you are seeing a cleft is because you have thin nasal skin. When we perform rhinoplasty surgery, nasal tip clefts always go away. If you have severe dissatisfaction with your nasal appearance for many years, please consider meeting with several reputable rhinoplasty specialists for an examination and an opinion is to what would be best for you moving forward. Thank you for your question. Sincerely, Dr Joseph

Oakley Smith, MD, FRCSC · Answer

Hi, It is better for you to consult with a facial plastic surgeon who can examine you and give you opinion based on your needs and expectations.

Andrew Miller, MD · Answer

Based on your photos, you are a good candidate for rhinoplasty. Your tip is a bit bulbous, which can be corrected by rhinoplasty. But the question is how do YOU feel about it. Other people don't really matter here. If you would like it to be smaller, find a rhinoplasty expert to consult with.

John Michael Thomassen, MD · Answer

You have large domal and lower lateral cartilages that cause your nose to project more and also cause excess supra tip fullness. A reduction of these cartilages as well as suturing them together would result in a pleasing shape.

Gary M. Horndeski, MD · Answer

Unfortunately, you have not provided a complete lateral view. It appears your nasal columella angle is low and needs to be turned up and the tip needs to be refined. You would be an excellent candidate for a rhinoplasty.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers.

I highly recommend that my patients focus much more on real longterm before and after photographs rather than 3D imaging.   I encounter so many patients in my practice who see me for revision rhinoplasty who previously had surgery elsewhere who feel like they were mislead into surgery by surgeons who relied heavily on 3D imaging without adequate real before and after pictures to back it up.  Photoshop is easy but real surgery is very different.

I always recommend that you carefully evaluate your surgeon’s online before and after gallery on their website for both quality and quantity of results. Make sure that there are hundreds of real before and after pictures which demonstrate long-term follow up results. If your surgeon is posting mostly on table results without real long-term follow up results, that is usually a major red flag.  If a surgeon is posting mostly just splint removal day videos without longterm follow-up pictures, that can also be a red flag.   Long-term results are much more meaningful than on table results or 1 week post-op results.  With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Onur Ergun, MD · Answer

Hello, You have a slightly bifid, bulbous(extra cartilage) and under rotated tip. It is difficult to say but you seem to have a wide nasal base as well. You will need a cephalic excision of the lower lateral cartilage, tip sutures to increase definition, lateral crural steal technique to increase rotation and medial crural overlap to control the increased projection the stealing technique creates. Good news is the upper 1/3 (bony vault) of you nose seems beautiful and wont need any osteotomy which would prevent any bruise and most of the swelling

William Portuese, MD · Answer

The bulbous nasal tip can be corrected with a closed rhinoplasty approach which involves suture techniques and a conservative cartilage removal to make the tip more refined and feminized. All the incisions are placed on the inside of the nose. No external incisions are required.

Mats Hagstrom, MD (license on probation) · Answer

Your nurse looks pretty normal and I don’t think you look like a horse at all.
Do you have an attractive face.
If your nose bothers you enough that you want to have surgery that I suggest you rely exclusively on in person consultations with plastic surgeons in your community who specialize in rhinoplasty surgery.
Morphing pictures have little to do with what surgery can accomplish.
It may be somewhat useful in communicating, but just because someone can morph the correct picture does not mean they can create that outcome during surgery.
It’s probably much better to have in person consultations at which time you can review lots and lots of before and after pictures who also had to tip rhinoplasty surgery.
 Sufficiently experienced surgeon should be able to show you pictures of previous patients who also had tip rhinoplasty surgery.
I don’t see a really strong indication for surgical intervention, but you can certainly have a rhinoplasty if you like.
I recommend you start the process by having multiple in person consultations with plastic surgeons in your community.
I recommend you avoid virtual consultations whenever possible.
I can’t emphasize enough, the importance of the meeting providers in person in their office and reviewing lots of before, and after pictures during the consultation.
Best,
Mats Hagstrom MD

Bifid nose with extra cartilage & a cleft, is my nose ugly? (Photos)

Answers (9)

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