Help! My nose has changed shape?

Question

The tip of my nose has always moved up and down when I speak/smile and there's always been a very slight (hardly noticeable) bump at the bridge. Recently I've noticed (and others have too) that this bump has become much more pronounced and there appears to be a small dip between the bump and the tip.What would cause this and will it get back to its normal shape on its own?I live in a rural area where there are no cosmetic surgeons.I plan to see my GP but not quite sure what he'd be able to do.

Toby Mayer, MD · Answer

You will need to see a rhinoplasty surgeon for an assessment of your problem. It is unlikely that your nose will change back to the previous shape.

Kenneth Hughes, MD · Answer

I would recommend consulting with a rhinoplasty surgeon.Find a plastic surgeon with ELITE credentials who performs hundreds  
of rhinoplasties and rhinoplasty revisions each year.  Then look at the 
 plastic surgeon's website before and after photo galleries to get a   
sense of who can deliver the results. 	Kenneth Hughes, MD Los Angeles, CA

Steven Wallach, MD · Answer

You need to see a plastic surgeon to be properly evaluated for your  nose.  A GP does not do tsurgery and can't offer you much help.

William Portuese, MD · Answer

It's important to have clear expectations with your ENT/ facial plastic surgeon when discussing your nose. To prevent the tip from drooping upon smiling and animation, releasing the depressor septi ligament is necessary. The bump on the bridge can be shaved down, however osteotomies may be required if it's a large and noticeable bump. It is best to go see a  surgeon who specializes in rhinoplasty for best results

Robert Singer, MD · Answer

Following the advice from a surgeon on
this or any other website who proposes to tell you what to do without examining
you, physically feeling the tissue, assessing your desired outcome, taking a
full medical history, and discussing the pros and cons of the operative
procedure would not be in your best interest. I would suggest you find a
plastic surgeon with extensive nasal surgery experience who is certified by the
American Board of Plastic Surgery and ideally a member of the American Society
for Aesthetic Plastic Surgery (ASAPS) or a facial plastic surgeon that you
trust and are comfortable with. You should discuss your concerns with that
surgeon in person.Robert Singer, MD FACSLa Jolla, California

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