What surgeries will I need to achieve my "ideal" nose if possible? (photo)

Your bridge can be shaved down a bit and your nostrils reduced using what we call alar wedge resections.  Usually, in a case like yours you would need the bones broken to narrow the nose as well.  Concentrate on finding an experienced rhinoplasty surgeon. I think your expectation is quite achievable.

Marimeeks,The nose you desire is a very realistic and natural looking nose. A rhinoplasty in which the nasal bridge is refined and the tip is made smaller to fit your face would most likely provide you with what you are seeking. However, these suggestions are only based on the image you provided. A more accurate outline of surgical procedures could be given to you during an in person consultation. Best of luck,Dr. Ali Sajjadian

The hump can be reduced and the tip can be deprojected without making your nose wider from the front.  Find a rhinoplasty surgeon who creates natural noses and who has excellent reviews.Kenneth Hughes, MDLos Angeles, CA

Rhinoplasty for slight nasal hump, refinement of tip and possible radix graft.I would need to see other nasal views to give a proper answer. See an experienced rhinoplasty surgeon who does natural noses like yours.

Thank you for your
question.

From the photograph you uploaded, it seems you would be looking into a rhinoplasty to lower your nasal dorsum and possibly refine the nasal tip/ala. It is very unlikely that you would require any implant to achieve your goal. In terms of grafts, it is possible that you would require one or more, which are usually made from cartilage from your own nose and not foreign material. In terms of modifications on the ala, I cannot give you a good idea based only on the uploaded picture.

It is important to
realize that any opinion given here does not replace the value of a
consultation - especially when it comes to rhinoplasty. It is really important to physically feel the
tissue, skin thickness and assess your desired outcome.

I would recommend you
find a facial plastic surgeon in your area that you
trust and feel comfortable with. You should discuss your concerns with that
surgeon in person.



Good luck!

Marcelo Antunes MD

It appears you want a very conservative rhinoplasty
and a “natural looking” result. I think that is exactly the way to go. As far
as your profile, reduction of the nasal hump (bony and cartilaginous) should give
the look you want. The surgeon will need to do osteotomies (break the nasal
bones) to prevent your nose from looking flat. Without a “birds eye view” it's
a bit difficult to comment on the alae or nostrils, but they certainly can be
reduced if indicated. I see no reason why you would require an implant or graft.
You do not need them…Best of luck

From your photos and brief history, your concerns about the anatomy of your
nose can be cosmetically improved with a rhinoplasty through either a closed or open approach.

Keep in mind, that following the advice from a surgeon on this or any other
website who proposes to tell you what to do based on seeing limited 2 dimensional
photos and without examining you, physically feeling the tissue, assessing your
desired outcome, taking a full medical history, and discussing the pros
and cons of the proposed operative procedure may not be in your best
interest. I would suggest you find a plastic surgeon certified by the American
Board of Plastic Surgery and 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, MD FACS

La Jolla, California

I think you have put your finger right at the problem. Rasping the small dorsal hump and reducing the cartilaginous part of the dorsum with more support to the alar cartilages should be enough to give you the results you have desired on photoshop. If your bones were very thin then rasping them might cause an open roof and this can be solved by doing lateral ostiotomies to close the roof.Best,Shady Hayek, M.D.Beirut, Lebanon

Over the internet does NOT replace IN PERSON opinions, which you need to seek... In fact Dr Toby Mayer is in LA, go see him....

The dorsal hump is composed of both bone and cartilage and must be shaved down in order to remove it. Osteotomies of the nasal bones will also be required to prevent a flat top deformity. When patients have a low glabella, a cartilage graft harvested from inside the patient's nasal septum can be fashioned and placed in the glabellar area to build up that area of the nose, if needed. The alar plasty procedure is performed by taking a small wedge of skin from the base of the nostrils. For many examples, please see the link below