Nose is large, crooked, and harsh nostrils. What type of rhinoplasty can help? (Photos)

Thank you for your question. Your concerns can be addressed with a rhinoplasty procedure that refines the width of the nose, softens the shape of the nostrils, corrects a cleft in the nasal tip, and straightens the nasal bridge if desired. Since you prefer to keep your current nasal projection and tip position, the surgical approach would focus on subtle reshaping rather than significant structural changes. The procedure can be done alone or combined with fat transfer to the face for better overall facial harmony. The exact plan and complexity will depend on an in-person examination with your surgeon who will assess your nasal structure and skin thickness.

Hello and thank you for your question and the pictures. Addressing the shape of your nose (especially the bridge and the nasal tip) is actually one of the most common reasons people seek out and undergo a rhinoplasty. An open septorhinoplasty can best address 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 tip)! I'd be able to give you a nose that perfectly balances and naturally fits your face- and doesn't look as harsh!

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 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

I recommend open technique called Piezo for you. *Piezo* is the most advanced technology available for minimally traumatic bone reshaping and hump removal as it uses ultrasonic waves

I would recommend an open preservation rhinoplasty, this may be converted to open structural if needed intraoperatively.

Based on your photos, you are a great candidate for rhinoplasty. The large curved cartilages that make up the wide tip can be made straight, which will narrow the tip and get rid of the cleft at the same time. The nose does not need to be lifted to do this. Be sure to see a rhinoplasty expert for consultation.

Based on your photos, you appear to have very thin nasal skin which is why we can see your right and left tip cartilages completely through the skin, and also the natural cleft that lies in between your two tip cartilages. Rhinoplasty surgery may be considered for achieving a narrower and more symmetrical nasal tip appearance, along with dorsal bump removal and nasal straightening. Please consider meeting with several reputable rhinoplasty specialists who understand how to treat patients with thin nasal skin which is unforgiving after rhinoplasty surgery insofar as revealing irregularities. Thank you for your question, and I hope this is helpful! Sincerely, Dr Joseph

It is not possible to give you a meaningful advice regarding nose surgery based on these photos. In person or, at least, teleconference with a board certified plastic surgeon with experience in rhinoplasty is recommended. Good luck.

I would suggest seeing an experienced rhinoplasty surgeon. During your consultation you will be able to convey any issues that you have with the appearance of your nose and the two of you can discuss how best to address these issues. Make certain they have computer imaging. As a side note, I have had 4 rhinoplasty patients come see me from Fayetteville, NC. They are on my Instagram page as they are happy they did!

Hello and thank you for your question. Based on your photographs, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. 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

You would benefit from an open rhinoplasty with possible septoplasty. The crooked nasal bones need to be straightened and the septum is probably deviated as well. You also have a cleft between the crura and it needs to be pulled together. This would take 2 hours to perform under general anesthesia and costs $8,000.

Best Wishes,

Gary Horndeski, M.D.