Can a fantasy nose be done in my face type? (Photo)

Question

I have always been so insecure about my face because of my nose. I was looking for a "doll nose" or "semi fantasy" in Iran and found really good surgeons but I'm really afraid to go without having a real "person consultation" Or i do need several opinions since the doctor told me is totally possible, but im scared to ruin my nose. I will attached my nose and my desire nose type

Steven M. Denenberg, MD · Answer

Click on the "Learn more" link, just below my response, or go here:
FacialSurgery.com/RealSelf/RealSelf_jasminebarrazac.html
I made a computer morph of your nose, and an animation of the morph, to show the changes that are possible for your nose in truly expert hands.
Well, the photo wasn't super-high resolution, but I tried to simulate narrowing the tip and elevating the tip and lowering the bridge, and basically make a nose that won't look alien or strange, but a small nose for your face. I'd love to see the profile views, because maybe those could be changed significantly as well. It's also possible that the angle you submitted can be made smaller, and still be a reasonable nose, but I'd need to see more resolution and focus, so I know more details about the structure of your tip.
You should understand that the changes I demonstrated in the morph require advanced techniques, techniques that most plastic surgeons cannot handle.  Be sure to read the section in the "Learn more" link on how to stay out of trouble while searching for a rhinoplasty surgeon. 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. Read that page very carefully. Most plastic surgeons are quite poor at this operation, and I believe my advice will go a long way toward keeping you safe.
I'd love to hear what you think of the morph. Did it seem to address your main concerns? I could modify the morph to your taste if you wish.
Your nose is also a good example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. When you see his goals, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. But remember, you're not hiring him for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer.
In your case in particular, you need to find a surgeon who understands all of the issues I mentioned, and how they fit together, and who can actually accomplish them in surgery. 
Finally, at the *very* bottom of the "Learn more" page is a link to instructions on taking and sending photos that are comprehensive and useful for an online consultation like this, in case you'd like a more complete evaluation.

John Michael Thomassen, MD · Answer

You would require a tip refinement and dorsal reduction, both very common treatments in rhinoplasty.  You should obtain a very nice result.

Thomas Trevisani, MD · Answer

From your photos- you appear to be a good candidate for Rhinoplasty- preferably through a closed technique. In the right hands- I predict you can expect a very pleasing outcome. We have great Board Certified PS here in the country, as well as reliable and safe surgical environment. I would be careful traveling outside of US for any Cosmetic Surgery needs.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty.  You may also benefit from a cephalic rotation
of your tip to turn up your tip slightly.  Make sure you specifically look at
before and after pictures of real patients who have had this surgery performed
by your surgeon and not just a computer animation system.
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. FACS
Harvard-trained plastic surgeon

Jonathan Kulbersh, MD · Answer

Yes, your nose could be improved with rhinoplasty, which would give permanent improvements in symmetry and shape and will improve the tip. You can bring the photos of noses that you think would be flattering to your face and these can be discussed. When you meet with a facial plastic surgeon, he or she will consider your nose in balance with your other features and can over the cost of the procedure. I hope this helps.

Philip J. Miller, MD, FACS · Answer

I would recommend starting with a consultation with a board certified facial plastic surgeon that specializes in rhinoplasty surgery to discuss if rhinoplasty can address your concerns. 
I would recommend writing down the following questions before scheduling your consultation:
1. Are you unhappy with the tip of your nose? 
2. Do you feel that your nose is too wide? 
3. Do you want to make your nostrils smaller in appearance? 
4. Are you looking to decrease the general size of your nose?
I hope some of these questions will help you pinpoint what it is that you don't like about your nose.  I wish you the best as you research your options when scheduling a rhinoplasty consultation.
Sincerely,
Philip J. Miller, MD, FACS Double Board Certified Facial Plastic Surgeon

William Portuese, MD · Answer

A full set of facial photographs are usually required to make a determination about how to proceed. An in-person examination is also required to look at the thickness of the skin, the shape of the nasal tip cartilages, and the shape of the remainder of the nose in all three dimensions. Rhinoplasty is performed in all three dimensions, and is one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery.  Performing a rhinoplasty in another country is not a good idea since there will be no follow-ups with your operative surgeon. Follow-ups are just as important as the surgery itself. For many examples, please see the link and the video below

Can a fantasy nose be done in my face type? (Photo)

Answers (7)

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