Can my nose be shortened so its not as projected? (photos)

Question

I have been advised that not a lot of improvement can be made due to thin skin and cartilage on the tip. The hump can be removed but the tip would stay the same and nostrils would be the same so I think that would make it look more projected (if that's possible). Any advice would be great. Thank you.

Steven M. Denenberg, MD · Answer

The thin skin and cartilage on the tip mean that you *can* get a lot of improvement. I made a computer morph of your image to show the changes that are possible in expert hands. See the Web reference link below to view the morph.Your nose is strong in its forward projection away from your face. The tip hangs low. There is a small bump. The tip cartilages are strong, making the tip look prominent and wide. All of these areas can be addressed in a rhinoplasty.You should know that especially the work on the tip requires very advanced techniques that most plastic surgeons cannot handle. You must be sure to see before and after photos showing good work narrowing and shaping the tip from any plastic surgeon you are considering.

Thomas A. Mustoe, MD, FACS · Answer

Thanks for your question. Reducing
nasal projection is a common goal in rhinoplasty. Your nasal tip is very
prominent, but its shape indicates that the primary problem is very large
cartilage, and in fact your nasal skin appears to be of normal thickness. I
would consider you a wonderful candidate for a procedure that would reduce your
overall nasal size. On my website are several patients who have had their
projection reduced. It does require reduction in both "legs" of the
tip cartilages, and not every surgeon routinely does this. It is true that
there are limits to skin retraction, but I would consider you a wonderful
candidate for rhinoplasty, which should reliably give you a major improvement
in your large nose. I recommend seeking out a surgeon with experience doing
similar rhinoplasty procedures. Best of luck!

Emmanuel Mallol Cotes, MD · Answer

Thank you very much for sharing your concerns with us.The harmony between facial parts makes us instinctively recognize the beauty... without knowing it, without defining it, just a perception that surprises and captivates us.In this regard, I suggest perform a Closed Rhinoplasty (without visible scars) to treat the tip, base and nasal bridge.With this procedure you get a delicate nose, better harmonize with your other facial features.Respectfully,Dr. Emmanuel Mallol Cotes.-

John L. Burns Jr., MD · Answer

An experienced rhinoplasty surgeon should be able to dramatically improve your nose.  It is a difficult case but can be done.

Jeffrey G. Lind II, MD · Answer

Thank you for your question.  It sounds like you have already been seen by someone who has given you some recommendations.  While it is hard for any of us to make a complete assessment of your nose anatomy and needs based on 1 picture, if I saw someone with this type of nose in my practice I would certainly inform them that there are several maneuvers that we can do during a rhinoplasty to de-project the nose, giving them a very nice result.  I recommend that you see several qualified plastic surgeons for treatment options.  Best of luck to you.

Ciro Adamo, PhD, MD · Answer

In my opinion, it all goes down to your expectations. Most surgeons, including me, would say that your nose could be dramatically improved with a rhinoplasty. The problem is that surgeons already know and accept the specific limitations in a case like yours, while patients have to be clearly told about them. For example, rhinoplasty can make the skeleton of your nose as small as you may want, but since there is no skin removal with the procedure, there are limits to the reduction in size of the nose before losing shape. These limits are stricter when the skin is thicker. Nostrils can also be reduced, but this adds scars outside the nose.My advice would be to discuss your specific goals with a surgeon that has significant experience of rhinoplasty. The more specific the description of your goals, the easier it will be for your surgeon to tell you if the expectations can be met or not.

Jawed Tahery, FRCS · Answer

Dear TiaEliavon,you ou will be a great candidate for a rhinoplasty addressing all aspect your nose including your nasal tip !!Best wishesMr J Tahery Consultant Otolaryngologist/Facial Plastic SurgeonChesterUK

Ivo Gwanmesia, FRCS(Plast) · Answer

Thank you for your question.Yes certainly the appearance of your nose can be much improved. It is a combination of the septal cartilage and the length of the lower lateral cartilages that give the appearance of both dorsal and caudal overprojection.By working on the above structures, it is possible to correct the dorsal and caudal overprojection.Please visit my website and have a look at the rhinoplasty photo gallery to see a few examples of over projected noses that I have corrected.Kind regards,Ivo Gwanmesia

William Portuese, MD · Answer

A rhinoplasty procedure can accomplish de-projection of the overly projecting nose. In addition to decreasing the projection,  the bulbous tip can be narrowed, the dorsal hump shaped down, and the bridge narrowed as well to make the overall nose smaller and less projecting.

Robert Singer, MD · Answer

The areas that concern you can be realistically improved with an artistically performed rhinoplasty.Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you what to do based on two dimensional photos without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of the operative procedure would not be in your best surgery. Natural appearing results need to be individualized and what is appropriate for one patient is not necessarily the best for someone else. I would suggest that you find a surgeon certified by the American Board of American Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. If you live outside of the United States, the surgeon should ideally be a member of the International Society of Aesthetic Plastic Surgery (ISAPS).  You should discuss your concerns with that surgeon in person.Robert Singer, M.D., FACSLa Jolla, California

Can my nose be shortened so its not as projected? (photos)

Answers (14)

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