The sides of my nose are really high up which creates an unpleasant look. What procedure would bring the sides down? (Photo)

Question

I'm not sure if this is included in what's considered a rhinoplasty

Bora Ok, MD · Answer

Hi from Istanbul! To address the problem you're referring to, a combination of tip plasty, aimed at repositioning the nasal tip to its ideal location, along with support for the nasal rims, would be suitable. This approach requires a delicate balance but is certainly achievable for enhancing the overall look of your nose. Hope this helps.

Eric M. Joseph, MD · Answer

The front view of your nose is pleasing, however, since the side walls of your nose or two high, this results in a dorsal hump on profile view. We can also see excessive nostril show and a hanging columella. If you have severe dissatisfaction with the appearance of your nose, and are looking to achieve refinement in your nasal profile appearance, please consider meeting with several reputable rhinoplasty specialist so you can see what to expect after surgery. I hope this helps. Sincerely, Dr. Joseph

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. You are an excellent candidate for rhinoplasty. I 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. You should be able to have an excellent result. Best wishes to you.

Zeshaan Maan, MD · Answer

What you are referring to is increased show in the alar region of your nose. During the tip refinement phase of rhinoplasty, this can be adjusted through various maneuvers that an experienced rhinoplasty surgeon will be familiar with.

Oakley Smith, MD, FRCSC · Answer

Hi It is better for you to consult with a facial plastic surgeon who can examine you and discuss if needed the surgical procedure and the post op recovery 
process.

Ruslan Zhuravsky, DO · Answer

Hello, Great observation. This is something I come across a fair number of times when doing consultations for rhinoplasty, but patients often mistake this for "tip drop" and ask for tip rotation. They realize that it's more of nostril retraction issue once I point it out, but it is rare for them to notice it themselves. So great job. This is also the reason that understanding the nuances of nasal aesthetics is so important for great results. This is also something I see frequently when doing revision rhinoplasty, as improper techniques can lead to retraction. Yes, this is something that could be and should be addressed with a rhinoplasty. Most often this is a combination of changing the orientation of the lower lateral cartilages and using rim grafts, as well as alar reduction. Make sure to consult with surgeons that are truly experienced and dedicated to rhinoplasty. Good luck!

William Portuese, MD · Answer

A closed rhinoplasty approach can accomplish shaving down the dorsal hump, refinement of the nasal tip cartilages, and reducing your hanging columella with all of the incisions placed on the inside of the nose. No external incisions are required, no painful packing is required either. If you're interested in narrowing your nostrils, an alar-plasty can be performed simultaneously. Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so choose your surgeon wisely based on extensive experience

Kenneth R. Francis, MD, FACS · Answer

Dear oliverse,
It appears that you would be a good candidate for a standard rhinoplasty.  Seek consultation with an American Board of Plastic Surgery board certified plastic surgeon in your area for an examination and discussion of your options and goals.  Many surgeons offer free consultation.  Good luck!

The sides of my nose are really high up which creates an unpleasant look. What procedure would bring the sides down? (Photo)

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