Can I reshape and make my nose longer by moving my nostril sides down? (photos)

1st pic depicts the real me & what I'd like to achieve, is this possible? I just photoshopped in a nose I found on the internet, what would i need to have done to achieve a nose like this? I understand that i can't just go and 'choose a nose'. I kept the nostril dividing middle bit in the same place (sorry for lack of terminology knowledge) Main changes are to the tip shape/structure, bridge straightening/narrowing, less bridge projection, nostril side height lowered, maybe make nostrils smaller

Doctor Answers 7

You have great potential

The concerns for your nose seem mostly to be due to the shape of the tip.  If you were to narrow the tip, you would want to narrow the bridge as well to maintain the balance of the nose and face.  At the same time you could have your nostril size adjusted if needed.  You will need a formal consultation with a rhinoplasty surgeon to come up with a plan that suits your individual concerns.

New Orleans Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

Good candidate for a conservative approach

Thank you for your inquiry!

It seems that you are a good candidate for a conservative rhinoplasty reducing the nasal tip and making fine adjustments to complement your facial feature and provide you with the results you fancy. Swelling will be anticipated and it will be masking the true results of your surgery but as time passes, more definition will be appreciated!
However, without a physical examination it is not possible to provide you with specific details. I highly recommend that you schedule a consultation with a well-experienced surgeon.

It is important to mention that the finest cosmetic results in any particular case are based on a variety of factors, including: the unique anatomy of the patient, realistic expectations, a well-informed and detailed discussion with your plastic surgeon concerning the best options for you especially covering a deep understanding of the pros and cons of any given choice you will adopt.

Please keep in mind that following the advice from a surgeon online who offers to tell you what to do without a physical examination covering the nature and the status of the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative solution would not be in your best interest. With that in mind, it is the safest and for your best interest to find a plastic surgeon with solid experience and certified by the American Board of Plastic Surgery who is ideally a member of the American Society of Plastic Surgeons that you will trust and be comfortable with. You should discuss your concerns with that surgeon in person.

Good luck!!!

Ali Sajjadian, MD FACS

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 196 reviews

Realistic Nose changes.

While you are in the right direction and your goals are realistic, I think that both the tip and the nostrils could be slightly narrower. You could choose an experienced rhinoplasty surgeon who could morph your pictures and share the intended changes with you to make sure that you are on the same page.

Bahman Guyuron, MD
Cleveland Plastic Surgeon
4.7 out of 5 stars 21 reviews

Is My Rhinoplasty Goals Possible?

While the exact changes you have depicted can probably not be precisely achieved, most of them are fairly close. The skin over the nasal tip is always a limiting factor in how much tip refinement and change can be achieved. But generally you are not showing unrealistic rhinoplasty improvements

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.7 out of 5 stars 72 reviews

rhinoplasty candidate to narrow the bulbous nasal tip

 There are many changes that can be accomplished with the rhinoplasty procedure, and it is always best to do that with an  in person consultation and examination with an experienced rhinoplasty surgeon. Computer imaging in the rhinoplasty surgeon's office would also be of significant benefit for you as well. To narrow the nasal tip, a tip rhinoplasty is performed which involves suture techniques applied to the lower lateral cartilages and sometimes a conservative cartilage removal. De-projection of the overall nose can be accomplished by shaving down the dorsal septum as well as and a hump removal. Columellar show can be reduced if needed. For many examples, please see the  link below to our rhinoplasty photo gallery

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 reviews

Possible changes with rhinoplasty

I think you could probably achieve better tip definition with rhinoplasty.  Skin thickness would be a potential limitation, however, when considering the photoshop image.  The orientation of your nostrils probably cannot be changed to what you have depicted.  However, I think you would be a good candidate overall.  Good luck!

Matthew Bridges, MD
Richmond Facial Plastic Surgeon
5.0 out of 5 stars 24 reviews

Can I reshape and make my nose longer by moving my nostril sides down?

  I think that the tip, bridge, and alar base can be refined to improve the appearance of the nose.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.