I have a very long face which seems longer now that some of my cheek volume has started to sag. I like the way I look in the mirror but I hate the way I look in photos. There is something "off" which may be related to facial symmetry or the fact that I have close-set eyes. My nose is very skinny with a bulbous tip (also slightly crooked r/t a fall when I was 11) would a nose job to even it out and widen parts help with my proportions or will a smaller nose make my face look even longer?
Answer: Lip lift with rhinoplasty A rhinoplasty could improve the appearance of your nose. Your tip is widened and deviated slightly to the right. However, I would recommend a lip lift. From your photographs, it appears the distance between your nose and upper lip is quite long and you have a thin upper lip. A lip lift would improve both those features. It is less invasive than a rhinoplasty and less costly. Best Wishes,Gary Horndeski, M.D.
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CONTACT NOW Answer: Lip lift with rhinoplasty A rhinoplasty could improve the appearance of your nose. Your tip is widened and deviated slightly to the right. However, I would recommend a lip lift. From your photographs, it appears the distance between your nose and upper lip is quite long and you have a thin upper lip. A lip lift would improve both those features. It is less invasive than a rhinoplasty and less costly. Best Wishes,Gary Horndeski, M.D.
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CONTACT NOW Answer: Rhinoplasty and cheek fillers I think that you would be quite happy with a rhinoplasty and cheek fillers. Adding some volume to your cheeks would lead to definite improvement and I think you'd be thrilled with the results!
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CONTACT NOW Answer: Rhinoplasty and cheek fillers I think that you would be quite happy with a rhinoplasty and cheek fillers. Adding some volume to your cheeks would lead to definite improvement and I think you'd be thrilled with the results!
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January 25, 2018
Answer: Rhinoplasty Hello and thank you for your question. Based on your photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. 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
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CONTACT NOW January 25, 2018
Answer: Rhinoplasty Hello and thank you for your question. Based on your photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. 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
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TREATMENT FOR YOU
January 25, 2018
Answer: I don't think you look bad! You're just being very observant about small-ish things, imo. See the morph I made from your photos. I'd only consider working on the nose. The other items you mention: close-set eyes, small facial asymmetries -- we can't change those anyway.Click on the "Learn more" link, just below my response, or go here: FacialSurgery.com/RealSelf/RealSelf_littlelizzard07.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. I narrowed the tip. Your face is a little tall, but really, not so unusually tall. Your nasal profile is mostly fine: there's the tiniest bump that could be filed down, it doesn't protrude too far from your face given your strong chin. Some people might want the tip to be elevated some, but with your tall face, it's not necessary, although some elevation could be accomplished without making it look too short. So the task would mostly be narrowing those strong tip cartilages that make the tip look round. 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. 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.
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CONTACT NOW January 25, 2018
Answer: I don't think you look bad! You're just being very observant about small-ish things, imo. See the morph I made from your photos. I'd only consider working on the nose. The other items you mention: close-set eyes, small facial asymmetries -- we can't change those anyway.Click on the "Learn more" link, just below my response, or go here: FacialSurgery.com/RealSelf/RealSelf_littlelizzard07.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. I narrowed the tip. Your face is a little tall, but really, not so unusually tall. Your nasal profile is mostly fine: there's the tiniest bump that could be filed down, it doesn't protrude too far from your face given your strong chin. Some people might want the tip to be elevated some, but with your tall face, it's not necessary, although some elevation could be accomplished without making it look too short. So the task would mostly be narrowing those strong tip cartilages that make the tip look round. 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. 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.
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January 24, 2018
Answer: Several factors come into play involving facial proportions Based on what you've written, it appears that you're more concerned about facial proportions than the actual appearance of your nose. So instead of rhinoplasty, why not consider cheek augmentation through dermal fillers injection instead? Take note that hyaluronic acid based fillers are particularly ideal for first-time patients because a special enzyme can reverse their effects in the event that you're not happy with the results. Fat grafting or fat injection is another option, and provides near permanent results. Remember that rhinoplasty is only advised if you are particularly concerned about the appearance of your nose, as opposed to the overall facial proportions. Nonetheless, should you proceed with the surgery make sure that you consult 2 or more board-certified plastic surgeons who perform it on a regular basis. Good luck and best wishes.
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CONTACT NOW January 24, 2018
Answer: Several factors come into play involving facial proportions Based on what you've written, it appears that you're more concerned about facial proportions than the actual appearance of your nose. So instead of rhinoplasty, why not consider cheek augmentation through dermal fillers injection instead? Take note that hyaluronic acid based fillers are particularly ideal for first-time patients because a special enzyme can reverse their effects in the event that you're not happy with the results. Fat grafting or fat injection is another option, and provides near permanent results. Remember that rhinoplasty is only advised if you are particularly concerned about the appearance of your nose, as opposed to the overall facial proportions. Nonetheless, should you proceed with the surgery make sure that you consult 2 or more board-certified plastic surgeons who perform it on a regular basis. Good luck and best wishes.
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