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. Cartilage grafts may also be used to help improve tip refinement.
You may also benefit from a conservative dorsal hump reduction. 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.
Harvard-trained plastic surgeon
Expert opinions on rhinoplasty ideas?
Hi, I have performed many Rhinoplasty Surgeries over the past 30 years. From the photos, there's a dorsal hump with a tip that is a bit wide. Rhinoplasty can reduce the dorsal hump, thin and refine the tip in about an hour using a closed Rhinoplasty. It's also worth mentioning that if the chin is weak (profile view would allow this to be evaluated), this creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin. Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face. I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick and highly effective.Hope this helps.
Reducing bump and whether to do any tip changes?
Hi CharlotFrom your photos it appears that modest tip refinement and possibly slight tip grafting would help the appearance. I find computer imaging often helps the patient visualize the goals of the procedure.
Dear charlotteamy, A rhinoplasty to narrow the bridge of the nose, slightly reduce the dorsal hump, and refine the tip of your nose would bring a nice balance to your profile and overall facial aesthetics. During consultation imaging can be performed to show you examples of the proposed results and how these changes will help feminize your face. Once this is done then you can review books of before and after photographs of patients who have similar looking noses to ensure your surgeon provides natural looking rhinoplasty results. See the video above of a similar nose and the link below of many examples of how rewarding this procedure can be. Best regards, Michael V. Elam, M.D.
Rhinoplasty for a more feminine and attractive nose.
This would include hump removal, tip refinement and narrowing of your bridge etc. See several very experienced rhinoplasty surgeons and choose one whose noses look natural and not overdone.
Rhinoplasty candidate for dorsal hump reduction
A thorough examination of the internal and external portion of the nose is required to make a judgment determination about exactly the maneuvers needed to refine and feminize the nose. Based on the limited photographs, a closed rhinoplasty approach can accomplish the needed changes with all the incisions placed on the inside of the nose. The dorsal hump is composed of both bone and cartilage which must be shaved down in order to remove it. Osteotomies will be required to be placed in the nasal bones to close the open roof and narrow the bridge line. Small spreader graphs may be required to support the upper lateral cartilages to prevent them from collapsing inward. A minimal amount of tip surgery may be required which would include a conservative removal of cartilage from the tip. Rhinoplasty is a difficult endeavor, so choose your surgeon very wisely based on extensive experience. For more information in many rhinoplasty before-and-afters, please see the video and the link below
Expert opinions on rhinoplasty ideas?
Every nose is
different and unique to that individual. If the appearance of your nose
concerns you enough to do something about it, it can be improved with a natural
artistically performed rhinoplasty. What would be the best option and exact
procedure would depend on an in person examination (not just an online
consultation) and discussion about desired outcome. Excellent results can
be achieved with either a closed or open technique.
Keep in mind that following advice from a surgeon on this or any other website
who proposes to tell you exactly what to do and how technically to do
it 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 interest. 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 with extensive rhinoplasty
experience certified by the American Board of 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. You should discuss your concerns with that surgeon in person.
Robert Singer, M.D., FACS
La Jolla, California
A rhinoplasty specialist will be able to comprehensively address the issues you have with your nose. While there are a variety of approaches and techniques employed by various surgeons, it is up to you to do your due diligence to find a rhinoplasty specialist in order to achieve the best results possible. Using autologous grafts (tissue and cartilage from your own body) will provide the safest and most permanent results. Looking at computer-morphed images with your surgeon during consultation will give you a good idea of what is possible, and also give you a great chance to convey to your surgeon what you envision.
Closed rhinoplasty candidate, some advices:
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.
Dr. Emmanuel Mallol Cotes.-