My nose is large, crooked, and harsh, particularly with harsh nostrils, and has a cleft that makes it look like a butt. I don't want an upturned nose, in fact, I would like no change to how it hangs, closeness to my lips, etc. I would just like for it to not be so fat, my nostrils to not be so harsh (probably this will be helped when I get fat transfer, already sure I need that for my empty face), and to get rid of the cleft. It would be nice if I could fix how crooked it is, but if that makes the surgery much more complicated, it's not as important. Would also like to get rid of the bump on the bridge, but, again, this isn't super important.
Answer
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.
Dr. M. Zakir Sabry, MD
Board Certified Plastic Surgeon
Answer
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!
Dr. Donald Groves, MD
Board Eligible Plastic Surgeon
Answer
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
Dr. Caner Kacmaz, MD
Plastic Surgeon
Answer
I would recommend an open preservation rhinoplasty, this may be converted to open structural if needed intraoperatively.
Dr. Gianfranco Frojo, MD
Board Certified Plastic Surgeon
Answer
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.
Dr. Andrew Miller, MD
Board Certified Facial Plastic Surgeon
Answer
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
Dr. Eric M. Joseph, MD
Board Certified Facial Plastic Surgeon
Answer
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.
Dr. Zoran Potparic, MD
Board Certified Plastic Surgeon
Answer
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!
Dr. Philip S. Schoenfeld, MD, FACS
Board Certified Facial Plastic Surgeon
Answer
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.
Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
Answer
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.
Dr. Gary M. Horndeski, MD
Board Certified Plastic Surgeon
