What procedures would give me the desired nose shape? (Photos)

Hello and thank you for your question and the pictures. Addressing the shape of your nose (especially the nasal tip) is actually one of the most common reasons people seek out and undergo a rhinoplasty. An open septorhinoplasty can best address both your aesthetic concerns and any functional issues with your nose. I would be able to adjust the size, shape, and definition of your nose (especially tip)!

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 functional and 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

Hello and thank you for your question. It sounds like your biggest concern is your nasal dorsum and nasal tip, particularly the shape and the asymmetry of this and your nostrils, as you mentioned. Addressing the shape of the nose (particularly to the dorsum and the nasal tip) is one of the most common reasons people seek out and undergo a rhinoplasty procedure. An open septorhinoplasty can best address the entire nose, and is particularly effective for reducing the nasal dorsum, and giving you this nice supratip break you're seeking.

In addition to addressing your aesthetic concerns, your septal cartilage (or an off-the-shelf alternative) would be harvested (removed) and turned into multiple cartilage grafts, which would then be secured into different areas of your nose for structural support, including in the columella (middle bottom portion of your nose between your nostrils) to really reinforce the tip and prevent recurrence of the asymmetry.

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. I would only recommend 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.

Of course it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from the photos and description provided.

Dr. Donald Groves, our expert facial plastic surgeon, has extensive training and experience with complex rhinoplasty surgeries, so I’d recommend for you to come see him (or another plastic surgeon who is extremely comfortable with rhinoplasties) 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!

Dr. Emer

I believe the photo on the right is a computer simulation of your nose with a lower nasal bridge appearance. If this is something that you would wish to achieve, rhinoplasty surgery may be considered. In that regard, please consider meeting with several reputable rhinoplasty specialist who offer computer imaging so you could see what to expect moving forward. Thank you for your question. Sincerely, Dr. Joseph

To achieve the image you are showing, the bridge can be taken down some and the tip projected better. I'm not sure if the bridge can be taken down that much, but upon exam, we can determine if will look natural or not. It is important to find a rhinoplasty expert for consultation.

The best way to determine what specific changes will look good on your face, and what changes are surgically possible, is to do your research to find the top rhinoplasty specialists and consult with several of them in person. During your consultation, your photos can be computer-morphed to show how the changes to your nose will affect your appearance. A rhinoplasty specialist will have the experience to determine whether the morphed images are surgically attainable. Good luck! @drdonyoo