What improvements are most needed for the appearance of my nose? (Photo)

Thank you for your question and for sharing your photographs. Based on the images you submitted, it appears that you have a relatively high nasolabial angle and a moderately wide nasal tip and bridge on the front view.

You mentioned wanting to slightly lengthen your nose and reduce the nasolabial angle. In terms of potential changes and derotation of the nasal tip, it’s important to understand that the cartilage present inside your nose is unlikely to be sufficient for the type of changes you wish to achieve. To provide the necessary structural support, one can consider options such as donor cartilage or autologous rib cartilage. These materials can help increase the nasal length, reduce the nostril show, and help to create a narrower appearance of the bridge and tip.

To help you decide whether this overall appearance is what you are looking for, a consultation using computer imaging and simulation can be very beneficial. This will give you a better understanding of the magnitude of the changes required and help orient you towards achieving your desired outcome.

Thank you for your inquiry! Based on your photos, you would be a great candidate for a Rhinoplasty if there are characteristics about your nose that you do not like. We offer surgical Rhinoplasty or a Liquid Rhinoplasty options depending on your goals. We would love to help you reach those goals. Schedule a consultation with a Board-Certified Plastic Surgeon so we can create a plan for you!

Unfortunately, derotation of the nasal tip is it difficult proposition. In other words, it is difficult to move the tip of your nose down closer to your lip. Since you do not have a distracting nasal appearance, in my opinion, it may be best to leave your nose alone. I hope this is helpful. Sincerely, Dr Joseph