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.

Based on your photos, you are a good candidate for rhinoplasty. The tip appears a bit high and overprojected. Bringing it down some would put it in better balance with your nasal bridge. It can be narrowed a bit at the same time while keeping it looking natural. Be sure to see a rhinoplasty expert for consultation.

Hello and thank you for your question and the pictures. You actually have a difficult problem. To properly address your nose and improve your facial balance, you would need an open septorhinoplasty with lengthening of your nose to improve the overall harmony of your different facial features and help achieve a more masculine appearing nose. This would also allow for correction of your nasolabial angle and any potential refinements to the shape/definition of your nose.

This truly a surgery of millimeters- and whether you're looking for a minor adjustment or a major transformation, it requires exceptional surgical skill to achieve natural-looking results! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading rhinoplasty experts (who performs 1,000+ nosejobs annually).

I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

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

Without question, the most effective way to have your questions answered is to do an in person or virtual consultation to discuss the changes that you would like to see to the appearance of your nose. An experienced rhinoplasty surgeon will be able to help you with creating the changes to your nose that will make it the best nose to fit your face.

Hello and thank you for your question. Based on your photographs, you may benefit from tip derotation to lengthen your nasolabial angle, nasal tip deprojection, tip refinement, among other maneuvers. Tip derotation can be performed by placing extended spreader grafts. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

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

You would benefit from a tip rhinoplasty to correct the roundness of the nose. You will also need a graft to extend the length of the nose to change the columella angle. You may also want to consider a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increase the mucosa of the upper lip, increases the incisor show and pulls up the corners.

Best Wishes,

Gary Horndeski, M.D.

Your photos are not helpful in being able to provide suggestions for any nasal correction. You need to consult in-person with a Board Certified plastic surgeon. Good luck!