How Can I Get Natural-looking Rhinoplasty Results?

I personally believe the single most important factor contributing to a natural appearance following rhinoplasty is maintaining naso-facial harmony. Simply put… at the end of the procedure, does the nose look like it belongs on a particular face? If the answer is yes, then more often than not, the results will be very natural-looking.
Another important point to keep in mind is that every patient who electively chooses to undergo rhinoplasty (nose job) is doing it with hopes of looking better. Typically, in these cases, the nose has some specific feature that is distracting from the overall attractiveness of the face.
For example a nose can appear to be too long, too short, too wide or too thin, but only relative to THAT individuals facial features. The same nose could potentially look perfect on another person’s face. This is where rhinoplasty surgery gets interesting and really demanding. Suddenly it’s no longer about the nose. It’s about the face and the artistic and technical acumen of the surgeon to bring it all together.
The best example of this is with ethnic rhinoplasty. Often, attempts are made to create an ideal nose on a Middle-Eastern, Asian, or African-American patient. But if the “ideal” that is being followed is based on the Caucasian nose, the end result is an unnatural appearance that screams “rhinoplasty.” When this occurs, the disharmony between the nose and the rest of the facial features distracts and detracts from the individual’s overall attractiveness.
Furthermore, I find that the majority of patients are not far from their “individual” ideal, and subtle refinement is all it takes to tone down a harsh hump or gently reduce the width of a nose, etc. Really listening to the patient’s desires and working with the intrinsic anatomy as opposed to trying to totally re-design it are important factors in achieving excellent natural-looking rhinoplasty results.
As a consumer, the first step is to look for a well-trained rhinoplasty specialist. Next, evaluate the before and after photos carefully. Even ask to have the opportunity to visit with previous patients. Then, ask yourself the following questions:

Do the results look natural?
Do the faces look more attractive as a result of the change? Although, it seems like it should every time, the reality is, even if the nose looks better, it doesn’t mean the overall look has been enhanced.
Finally, do the results appear similar to one another? Some surgeons have a signature style or more bluntly.. a cookie-cutter nose that is produced for essentially every case. Often, these noses are not the most natural-appearing… since there is no such thing as a “one size fits all” nose.

Hello and thank you for your question. The key to finding a surgeon who can give you natural looking results is to make sure that you carefully evaluate their before and after gallery on their website to make sure that they have a large body of work demonstrating the ability to give natural looking results. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

You can get natural-looking rhinoplasty results by choosing the right surgeon and communicating your goals with your surgeon. Reviewing the surgeon’s before and after photos can give you an idea of whether she can produce natural-looking results. During the consultation, communicating your goals will let the surgeon know what you’re looking for and whether they can achieve it. I personally make morphs or simulated photos of the patient during the consultation. This is a valuable communication tool that allows me and the patient to see if I understand their goals and can achieve what they’re looking for.

A consultation is the most important part to achieve a natural-looking rhinoplasty result. This is your chance to explain everything in detail and let your doctor know about your expectations ad concerns. Bringing pictures of your ideal nose so your doctor can see what your expectation is a good idea as well. You can always ask your surgeon to show you before and after photos of his patients so you have an idea of what he can achieve. Please do a lot of research and ask lots of questions before choosing your surgeon. Every rhinoplasty surgery must be customized to the patient's anatomy to ensure natural and satisfying results. Best wishes.

RealSelf is a terrific platform to inspect a prospective rhinoplasty surgeon's reviews, credentials, and photos. Large rhinoplasty photo galleries with natural looking, and pleasing rhinoplasty outcomes is one indication of a talented nasal surgeon. Rhinoplasty is considered by many to be one of the most challenging facial plastic surgical procedures, so your choice of specialists is important. High volumes of rhinoplasties, over 50 per year, and experience are also important factors to consider. Thank you. Dr Joseph

Many doctors, including myself, equip their offices with computer imaging software that is available for use during the initial consultation with the patient. With this technology, the doctor and patient can custom-design the look of the new nose together. The shape and look of the new nose can be tweaked in accordance with the patient’s gender, race, and particular facial structure so that the procedure leaves little indication of any treatment done. Though it is not a guarantee, the surgeon can base their work off the computer generated image and can model the nose job to replicate the on-screen image, thus ensuring that your new nose conforms to your specific features and looks as natural as possible.

                  Dorsal
humps can be easily removed from the nose with preservation of a natural
appearance. This can ultimately result in significant improvement in facial
aesthetics. This can be accomplished with standard rhinoplasty techniques.

                  Before
proceeding with this type of procedure a careful analysis of facial aesthetics
should be undertaken. It’s important to consider the nose in the context of
other facial structures. Harmony, balance, and proportion are obviously
critical to facial aesthetics. Each patient must be considered individually.
It’s important to be evaluated by a board certified plastic surgeon who has
experience with rhinoplasty. When appropriate evaluation and surgery are
performed, satisfaction rates are high with rhinoplasty. 

Simple:  Look at before and after pictures when choosing your surgeon, and evaluate how natural the results seem to you.  If your aesthetic sense and the surgeon's sense match, you are safe.

When considering rhinoplasty for a hump deformity, one must make a decision whether they would like the hump reduced or the hump and native bridge taken down in terms of height. The goal, as in every rhinoplasty procedure, is to achieve a nose that is in harmony with the surrounding facial features.

If this can be achieved by only removing the hump (and leaving the rest of the bridge height alone), that will produce the most natural appearing rhinoplasty result. If, however, the entire nose is too big for the face, it is likely you will need to have the hump removed plus further reduction of the entire bridge height.

The best way to ensure that your rhinoplasty result will be natural when removing a nasal bump is to not over reduce the bridge so that it does not look like a ski slope. Using digital morphing during consultation can set the goal for surgery so that your plastic surgeon does not over do it. Ideally in a man the bridge should be straight and in a woman a slight concave bridge looks feminine and not "done."

Rhinoplasty is often considered the most diffcult procedure in cosmetic surgery. For the nose to appear natural it must be in balance and harmony with your other facial features.

Here are several tips for increasing the chances that you will get a natural-looking result with your rhinoplasty.


Choosing a qualified surgeon is the most important decision you can make when deciding to under go nasal surgery.


First and foremost, choose an surgeon who specializes in nasal surgery. Your surgeon should also experienced at correcting both functional problems (such as a deviated septum) and cosmetic problems.


Your surgeon be Board Certified in either Otolaryngology (ENT) or Plastic & Reconstructive Surgery


Not all ENTs or Plastic Surgeons routinely perform rhinoplasty. It is important to find one who does. Rhinoplasty takes considerable experience to get predictable results.


View the Surgeons Rhinoplasty Before & After Results.


Most rhinoplasty surgeons maintain a portfolio of examples of their results that compare before and after photos, and many qualified rhinoplasty surgeons have a "Results Gallery" on their websites. You can tell a lot about your potential results by looking at their previous work.


Ask to See Simulated Results.


Your rhinoplasty surgeon should analyze your pre-operative photographs with you and be able to show you graphically their intended results.