Can my cartilage be softened and nose nostrils less visible?

Thank you for posting your question. A rhinoplasty procedure can soften contours and make nostrils less visible. The procedure is personalized to each patient’s unique needs to find a natural shape and facial cohesion. The hanging columella, bulbous tip, and dorsal hump can all be corrected in surgery while making a natural nose that matches your other features. A rhinoplasty is a complicated procedure that requires expertise and precision for natural and balanced results. Working with an experienced board-certified facial plastic surgeon who creates a custom plan and can provide you with detailed information about your options for open and closed procedures is critical.

Based on your photos, you would be a great candidate for rhinoplasty. Your bump can be taken down and your tip cartilage modified to look smoother. Your columella is a bit droopy which gives you the extra nostril show. This can be lifted up at the same time without further rotating the nose. The key is to find a rhinoplasty expert that is comfortable with all of these things.

Thank you for your question and (quality) photos. You are a good candidate for Rhinoplasty. You will have a very nice result with standard techniques. Grafts are likely not needed in your case. Make sure that you consult with at least two board certified Plastic Surgeons with experience in Rhinoplasty.

While it's important to keep in mind that no morphed photo is a guarantee, and your result will never be exactly what you see in a morph, I don't think that's an unreasonable result to expect. It shows a small dorsal hump reduction, tip refinement, and decreased columellar show. In my hands, this case isn't likely one that would require any fascia or cartilage from elsewhere (assuming your septum is intact!). You may even be a candidate for dorsal preservation. You hit the nail on the head that this is a finesse rhinoplasty, so find a surgeon with good training/experience and an aesthetic you like!

Thank you for your question. I think rhinoplasty 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, you would not need fascia, ear or rib cartilage. I would perform a caudal septal excision to remove the hanging columella and alar rim grafts to make the nostrils less prominent. Your morphed pictures are excellent and you should be able to achieve that result. 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.

Your rhinoplasty should be quite straightforward with no need for cartilage or fascia grafts. But there’s nothing wrong with grafting. Just makes it more complicated. Be sure you choose your surgeon carefully. Make sure the surgeon has plenty of experience and excellent results

Hi JessiKo! Finesse rhinoplasty is definitely possible and your morphed images are not unreasonable. Doing an open rhinoplasty allows for precision of grafts, suture, and camouflage. I prefer it in cases like yours compared with a closed approach. The swelling post procedure can take longer to resolve, but the results are more predictable. Using fascia, such as temporalis, is very powerful to help reduce the definition and smooth the tip. If any cartilage is needed, the septum is preferred, first. Lowering the nostril margin is possible in a number of ways - composite grafts from the ear, repositioning of lower lateral cartilages, and reducing the hanging columella. Whatever you decide, ensure that you seek a facial plastic surgeon with expertise in rhinoplasty. Hope this helps!

Hello. First of all, your nose is not very problematic. If facial graft is used for thin skin, you will not have visibility problems. Ear cartilage has many limitations in itself, it can cause unwanted curvatures, it is short and weak, so it may be necessary to prefer rib graft more. I’m the only triple board-certified facial plastic surgeon all around Europe. I’m just focused on this issue. I am a doctor who goes to almost every country in the world and explains my techniques to important doctors with the seminar invitations I receive, so I am definitely the only doctor who can perform your operation very comfortably and successfully. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile (+90 539 204 40 90). You can also book an online consultation and discuss your problems with me. With all respect.

A closed rhinoplasty approach can accomplish reduction of the hanging columella, and shaving down the dorsal hump. Very little needs be done to the tip of your nose to keep it natural looking. All of the incisions are placed on the inside of the nose. No external incisions are required, no painful packing is required either. No rib or ear cartilage needed, however you will need 2 spreader grafts placed under your upper lateral cartilages to prevent them from collapsing after the hump removal. The 2 spreader grafts will composed of nasal cartilage. Choose your surgeon wisely based upon lots of experience with closed rhinoplasty.