My nose is too wide and flat. Is my nose capable of achieving circular/heart shape nose? (photos)

Question

I am 18 years old but plan on getting my surgery done at 19. I have always hated my nose, it is too wide especially when i smile it is also so flat it takes up my face and I hate the way it looks in pictures. I was wondering if my nose is capable of doing my nose as any of the pictures so that it is smaller.I chose women with circular/heart shaped heads as mine.

Sam Gershenbaum, DO · Answer

Rhinoplasty absolutely would make a wonderful improvement. From your photos you are an excellent candidate for rhinoplasty, often called ethnic rhinoplasty, that i perform on a routine basis. The procedure would entail reshaping the cartilage of the tip, as well as adding additional cartilage for refinement, projection and definition. The lower one third of your nose looks larger in relation to the overly low nasal dorsum, or bridge.  The dorsum would need to be augmented, or added to to create the appropriate balance as in the photos you sent. This will create a nice natural looking straight dorsum, or bridge to your nose. There are several options for dorsal grafts including synthetic material or use of your own natural tissues, which is generally preferred. Lasty, reducing the flare of the nostrils will further narrow the appearance of your nose. Your pictures and goals are very realistic. At times, it helps our patients conceptualize the described procedure with computer imaging.

Kenneth Hughes, MD · Answer

You can have a more refined nose that is
 natural in appearance.  I perform these surgeries with closed technique
 to preserve the structure of the nose and minimize visible scarring.Kenneth Hughes, MDLos Angeles, CA

Toby Mayer, MD · Answer

Rhinoplasty for the wide flat nose can be done to give u a more attractive nose IF u see an experienced rhinoplasty surgeon who does natural noses.

William Portuese, MD · Answer

Yes, you are a good candidate for a rhinoplasty procedure. To accomplish your goals of narrowing a wide nose, a tip rhinoplasty can be performed to narrow the wide tip. An alar plasty involves removal of small wedges of skin at the base of the nostrils to narrow wide nostrils. Osteotomies of the nasal bones are required to narrow the bridge line. To help with the flat bridge, is also important to raise the bridge with  patient's own cartilage grafts harvested from inside the nose and placed on top of the bridge line. For many examples, please see the link below

Peyman Solieman, MD · Answer

Dear VWebb,A good rhinoplasty surgeon who has experience with patients who have thicker skin and wider nostrils can meet with you and detail out exactly how they would go about achieving the results you are looking for and they can then do computer imaging with you to make sure that you are both in agreement with regards to the goals you have set. In this way, you can make sure that what you are saying is being understood by the surgeon and that you are both in agreement with respect to how much smaller you want your nose.Oftentimes, patients who see surgeons without enough expertise in tip work end up talking about building up the bridge and changing the profile which is not what you are seeking to accomplish.All the best,Peyman Solieman, MD

Robert Singer, MD · Answer

You are an excellent candidate for cosmetic improvement of the nose and the areas that concern you can be realistically improved.

Keep in mind that following advice from a
surgeon on this or any other website who proposes to tell you what to do 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 surgery. 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 ethnic 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)
or a facial plastic surgeon (otolaryngologist) 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

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the photos and aspirations which appear very realistic and should be accomplished with a well planned and executed rhinoplastyDr Corbin

Richard W. Fleming, MD (retired) · Answer

You can achieve an excellent result with rhinoplasty surgery. Most of the examples you provide do show reasonable expectations for you; a couple people have skin that is thinner than yours which gives them a thinner tip. By narrowing the tip and the base of the nose as well as improving your profile will provide the desired results as long as you're patient waiting for resolution of the post-operative swelling.

My nose is too wide and flat. Is my nose capable of achieving circular/heart shape nose? (photos)

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