How can I improve my nose? (Photos)

Question

Foew questions: 1. is my nose too long and need to be shortened? 2. to reduce alar base do I need just muscle tightening to when I am smiling the nose wouldntbget that wide or alar base reduction needed or both? 3.Should I keep a tip of my nose and just had it slightly lifted up and use rib cartilage for columella? 4.shoudl the hump be slightly shaved down or my bridge is too high and need more then ujst shaving? USSUE. I think is keep the tip and get it lifted the nose tip will get sharper looking and nostrils iwll get longer. I am open to suggestions. Thank you

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. In your case, I would slightly shave the dorsum, use a septum provide tip support as a columellar strut graft and improve the arching of the rims with an alar contour graft.  All of the cartilage can come from your septum.  There is no need for rib. 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. Best wishes to you.

Gary M. Horndeski, MD · Answer

You have a small dorsal hump and also have a retracted alar. Your nasal columella angle is less than 90 degrees and it should be at 110 degrees. You would benefit from an open rhinoplasty to rotate the angle of the tip and correct the alar retraction. The dorsal hump can also be filed down at the same time.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Eric M. Joseph, MD · Answer

Based on what we see, you appear to have a relatively wide nasal appearance, with flaring nostrils, a dorsal hump, and an overprojected nasal tip appearance. If you have severe dissatisfaction with your nasal appearance, rhinoplasty surgery may be considered for achieving a narrower, less projected, more feminine, and less distracting nasal appearance. I hope this helps. Sincerely, Dr Joseph

Mats Hagstrom, MD (license on probation) · Answer

To me a dorsal reduction is all you really need for a fairly good looking nose.
Of course you can go further but I just don’t see that much of a need.
I suggest having several in person consultations with plastic surgeons to focus exclusively on rhinoplasty surgery and have at least 20 years of experience.
Best,
Mats Hagstrom MD

How can I improve my nose? (Photos)

Answers (4)

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