Crooked, droopy & uneven - am I a good candidate for rhinoplasty?

I would recommend starting with a consultation with a board-certified facial plastic surgeon that specializes in rhinoplasty surgery to discuss if rhinoplasty can address your concerns.
I would recommend writing down the following questions before scheduling your consultation:
1. Are you unhappy with the tip of your nose?
2. Do you feel that your nose is too wide?
3. Do you want to make your nostrils smaller in appearance?
4. Are you looking to decrease the general size of your nose?
I hope some of these questions will help you pinpoint what it is that you don't like about your nose. Cost will vary due to various factors like anesthesia fees, facilities fees, etc. I wish you the best as you research your options when scheduling a rhinoplasty consultation.
Sincerely,
Philip J. Miller, MD, FACS Double Board-Certified Facial Plastic Surgeon

Hi!
Your statement of wanting a nose that "fits your face better and is more symmetrical but doesn't drastically alter your appearance" is, in my opinion, evidence that you might be a good candidate for the nose correction surgery you have been contemplating. It is challenging when a patient wishes to obtain someone else's nose, or wants such a drastic change that it would alter their entire appearance. This situation often leads to disappointment for both patient and surgeon, as both the changes themselves and the associated expectations are often not realistic. When a patient prefers a more "natural" outcome and wishes to preserve their identity rather than change it, I find that they are frequently in the right mindset to take on this important decision.
The fact that you have breathing issues is also important, because you would want to make sure that both issues (aesthetic and breathing) are addressed by the surgical plan you come up with with your rhinoplasty surgeon. I think too often these issues are separated into distinct problems when in fact they are actually the same thing - you only have one nose after all. In this regard, I think of these cases as "complex", as the functional issues and aesthetic issues need to be addressed simultaneously. One thing the photos you showed can't demonstrate is the degree of septal deviation or other internal nasal issues that may be present. These will only show up on a detailed physical examination with your consulting doctor, but will certainly affect the surgical plan. You will definitely want to consult a board-certified surgeon and make sure they are as attuned to your breathing issues as your aesthetic issues.

You are a great candidate for a rhinoplasty. An intranasal examination would be necessary to determine your candidacy for septoplasty. I would suggest setting up a live or virtual consultation where your surgeon can use computer imaging in order to help demonstrate the changes that you would like to see to the appearance of your nose. You can have a nose that is improved in appearance but won't drastically alter your appearance.

Thank you for your question. You are an excellent candidate for rhinoplasty. I would also recommend a small chin implant. I think rhinoplasty is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you.

You are certainly a good candidate for rhinoplasty. The result will depend on the surgeon you choose so I recommend going on more than one consult.

Dear Wantedsm,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from rhinoplasty. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thanks For You Question. I think you are a very good candidate for the surgery. remember that the best outcome will be achieve when you have an aesthetic and functional surgery. in order to know which will be the best image for your face it will be a very good idea to go to a consultation with the surgeon. He will take some measurements and pictures. after that you will have to decide with the help of your surgeon which will be the best results for your face. every nose surgery is a very complex surgery.

Hello there,
You seem to have a deviated nasal septum whicj is giving you breathing issues. On a cosmetic point of view you have long nose for your face. Large, offshape and mildly drooping tip.
You are a candidate for septorhinoplasty where both issues can be dealt together. Make sure you consult a board certified plastic surgeon for detailed examination and appropriate surgical plan for you. Hope this helps. Thanks for your query here.

Thanks for reaching out. It is very common for people to notice changes in their nose and particularly with breathing even after the rest of the body has stopped growing. the cartilage portion of the nose can continue to grow after the bones have all stopped. This can result in s severely deviated septum which can crowd the nasal passageways and block breathing. Based on your photos only, it would seem that you would be an ideal candidate for both functional (septoplasty) and aesthetic (rhinoplasty) surgery. It the hands of an experienced functional and cosmetic rhinoplasty surgeon, your procedure should be fairly straightforward and not too complex. The rest of your facial features are striking, and a septo/rhinoplasty would compliment your face well. Hope this helps.

Anyone who thinks that nasal surgery is not complex has not done enough rhinoplasties to be experienced! I consider every case complicated since every patient presents with issues that are unique. I’ve operated on various sets of identical twins, and even they have different anatomy. Based solely on your photos, it appears that you would be a good candidate for a rhinoplasty, though a history and physical exam are necessary to be sure. If you are having difficulty breathing through one nostril, you very likely have a deviated septum which could be addressed at the same time as the rhinoplasty via a septoplasty. A septoplasty is also useful because it provides material for me to manipulate to improve your tip projection. As a board certified plastic surgeon, I consult with potential rhinoplasty patients on a daily basis, and rhinoplasty surgery is one of my favorite operations to perform. Male rhinoplasty differs from female rhinoplasty since the bones are more formidable, and the outcome should favor a result that is handsome and masculine. Your nose is quite unique in that the tip is very blunted, which is likely one of the elements that have made you self-conscious as you’ve described. This is due to a very short columella that “hooks” your nose down and produces a convexity on the dorsum that is asymmetric. The bony elements of your nose can be filed down, and the cartilage trimmed and reshaped to address the dorsal hump and droopy, crooked tip. Projection is an important key in your case, and I agree with you that a rhinoplasty should look very natural, as the nose should complement your features. Surgery should never be taken lightly, and I recommend you consult in person with a board certified plastic surgeon who has decades of experience with rhinoplasty surgery.