How would you change my nose? (Photo)

The nose is in balance with your chin. In your case, your chin is rather weak. You would benefit rhinoplasty to take down the dorsal hump as well as a chin implant done at the same time.

Best Wishes,

Gary Horndeski, M.D.

Hello and thank you for your question. It sounds like your concerns are the dorsal hump, breathing issues, and the shape of your nose. Addressing the dorsal hump and the shape of the nose (particularly the nasal tip) are 2 of the most common reasons people seek out and undergo a rhinoplasty. Many people complain that their nasal tip is too "bulbous" or "boxy" or just poorly defined, and that they would like it to be smaller, cuter, more defined, or more feminine. An open septorhinoplasty can best address the entire nose, and is particularly effective for addressing all the issues you are concerned with.
In addition to addressing your aesthetic concerns, your septal cartilage would be harvested (removed) and turned into multiple cartilage grafts, which would then be secured into different areas of your nose for either structural support or to help open up your airways (as in your right internal nasal valve, which has likely collapsed during your prior trauma, resulting in your breathing difficulties on that side). The open approach is very effective in facilitating complex, precise maneuvers to refine the nasal shape and size to a particular aesthetic and look.
Rhinoplasty is arguably the most difficult procedure to perform in all of plastic surgery. That said, I would recommend only going to see a surgeon who feels very comfortable with both primary and revision rhinoplasty procedures, and who has significant training and experience in these types of surgeries. This is a surgery of millimeters, so if the surgeon you're going to only does 1-2 per month, you are not going to get the best result possible.
Regarding the anesthesia, my personal preference is similar to most- full general anesthesia to assure the most controlled environment and facilitate the best possible aesthetic results for such a complex procedure. Everything ultimately comes down to surgeon and patient preference, so always have the conversation with your surgeon so you both know exactly what to expect, and so you both feel comfortable with how the procedure will be performed prior to proceeding.
Of course it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from the photos provided. I recommend for you to come see me or another plastic surgeon comfortable with rhinoplasty procedures for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!
Best wishes,
Dr. Donald Groves
Plastic Surgeon

Hello! Thank you for your question.As far as I can see from your photo. For get rid of this image and also breathing problem I recommend you Rhinoplasty surgery.It would be more convenient to decide with face-to-face consultation. Best regards!

It's very important to do both the rhinoplasty and septoplasty together if you are considering them. Cartilage from the septoplasty is used to strengthen the nasal tip, and the bump can be taken down nicely. Only minimal refining of the tip is necessary. Be sure to see a rhinoplasty expert for consultation.

Thank you for your question. You are an excellent candidate for rhinoplasty. I agree with your assessment and think it is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. 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.

Based on your report and these photos, a procedure that combines both septoplasty (to correct septum and improve breathing) with rhinoplasty (to correct nose shape and size) would be my choice. In-person or telemedicine consultation with a board-certified plastic surgeon with a good reputation in nose surgery is recommended. Good luck.

Hi,both function and appearance can be addressed in one surgery.It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery process.

You have a lot of nice features to your nose. The tip is pointing up nicely, so the nose isn't long-ish. The bump can go. Maybe it wouldn't be bad for the tip and bridge and entire nose to come back closer to your face, but only a millimeter or two. Maybe a tiny bit of tip narrowing. But only if these areas bug you. I'd also suggest that the septoplasty be done at the same operation as the rhinoplasty. There's no reason to have two different operations for those procedures.
How *much* to lower the bump, or maybe deproject the tip, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs -- even "just" taking down a bump while preserving the other nice features -- require advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

You have a moderate size bump on the bridge of your nose that I would lower and perform osteotomies to narrow the bridge. I would do it as a closed rhinoplasty

What options do you have for your appearance? your nose in general looks quite good except for the small dorsal hump. The length, projection, nasal labial angle, tip, and overall size look quite good. Have you considered something for your chin? It appears that your chin is slightly weak. A simple noninvasive procedure for the chin would be the use of long lasting fillers. Improving the projection of the chin will make the nose look better even without nasal surgery.