My nose is overprotected on the bridge and tip and I would like it to be reduced. Will my nose look flat at the front? (Photos)

Question

I am undergoing rhinoplasty in January 2019 to have the bridge and tip of my nose reduced and also have my columella straightened and slighted lifted. However my nose is considered to be wide and my skin at the tip of my nose is thin. I have seen multiple consultants and one told me that if I went ahead with this, I would be left with a “flat looking nose” at the front. This really concerns me because I’m quite happy with my front view I just want to fix my profile and oblique view.

Thuy-Van Tina Ho, MD · Answer

Dear girlblogger18,
Thank you for your question. It is difficult to make an accurate assessment and recommendations based on photographs alone. I recommend you seek re-evaluation with your surgeon to make sure you and your surgeon are on the same page for goals and expectations of surgery. Reducing the dorsum height may make the dorsum appear more flat on frontal view. An experienced rhinoplasty surgeon will be able to find the right balance of taking down the dorsum enough while preserving the refined appearance of the dorsum or figure out with the patient which goal is a higher priority. If your nose is fairly wide on frontal view, there are some techniques such as bringing in the nasal bones that can help reduce the width as well.

Zoran Potparic, MD · Answer

Even with this many photos it is very hard to tell you what can be done without in person evaluation. Some changes in tip and dorsum could be considered but without good analysis and discussion about your expectation I could not suggest more accurate plan of treatment. Good luck.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you have an overly projecting nasal tip.  The type of rhinoplasty you need is a nasal tip projection with a tip refining rhinoplasty and a cephalic rotation of your tip to turn up your tip slightly.  If good technique is used, nasal tip deprojection can be performed without making your nose appear flat.  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.  You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon.  If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. 
 
 Best wishes and good luck.

Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon

Thomas Trevisani, MD · Answer

These are the questions best addressed by your chosen Surgeon. You don't have an excessively large nose now, but to achieve your most elegant look certain steps must be taken. The profile can be softened, the tip can be refined-all through the closed technique. This technique gives the best opportunity - in my opinion- for the best result. Frontal width can be adjusted as needed. In the right hands you should not have a "flat looking nose".

Steven Wallach, MD · Answer

The nose is overprotected and would need to be reduced with several maneuvers. Changes to the areas of concern will alter your front view a bit. It should not look flat when finished..

My nose is overprotected on the bridge and tip and I would like it to be reduced. Will my nose look flat at the front? (Photos)

Answers (5)

Answer: My nose is overprotected on the bridge and tip and I would like it to be reduced. Will my nose look flat at the front?

Answer: My nose is overprotected on the bridge and tip and I would like it to be reduced. Will my nose look flat at the front?

Answer: Nasal issue

Answer: Nasal issue

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Everything you need to know about Rhinoplasty

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My nose is overprotected on the bridge and tip and I would like it to be reduced. Will my nose look flat at the front? (Photos)

Answers (5)

Answer: My nose is overprotected on the bridge and tip and I would like it to be reduced. Will my nose look flat at the front?

Answer: My nose is overprotected on the bridge and tip and I would like it to be reduced. Will my nose look flat at the front?

Answer: Nasal issue

Answer: Nasal issue

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.