I hate my side profile, can someone help my identify what’s bothering me? How can I improve it? (Photos)

Based on your photos, you appear to have a well-balanced and pleasing facial profile appearance. There are no procedures or other remedies that I would recommend based on what you posted. Thank you for your question. Sincerely, Dr Joseph

You have too much columella show. Your columella angle is at 90 degrees and should be at 110 degrees. Your tip needs to be redefined. You will need a tip rhinoplasty and possible augmentation of the dorsum because it is hollow as well.

Best Wishes,

Gary Horndeski, M.D.

Your facial features are great. What's going on is that the bottom third of your nose looks big-ish and heavy for the rest of your profile. The tip of your nose sits too low, and it's too forward-projecting away from your face. If the tip were elevated, making the nose shorter, and the tip brought back closer to your face (de-projecting the tip) I'll bet that would take care of what you're noticing.

The good news is that, in expert hands, those two tip movements are two of the most predictable changes to make in a rhinoplasty, even a revision.

How *much* to elevate the tip, or deproject the nose, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that 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. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery. My web site teaches some advice on how to determine whether a surgeon is good enough for you.

And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision.

The only visible feature on your profile may be a bulky tip? If there are any other issues they are so subtle that it can be observed only on the basis of in person or teleconference evaluation with a board certified plastic surgeon expert in rhinoplasty (tip refinement?).

Your nose isn’t bad but it couid be shortened a bit and possibly the tip thinned out. Also consider seeing a dentist or orthodontist. Your upper jaw is too far back

In your case the nasal profile has almost a scooped or ski slope appearance. A small dorsal nasal implant or a cartilaginous graft will improve it significantly.
IMHO you don't need anything done to your tip.
Regards
Dr. J

Hello and thank you for your question. Based on your photographs, you are a great candidate for a revision rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Your lower lateral cartilages which start at the tip and extend just above the tip are oriented slightly cephalic causing you to have excess supra tip fullness and not a clear supra tip break. Reorienting these cartilages would result in a more pleasing shape.

The results of your rhinoplasty is overall good. There are few minor problems like a mild deficiency in middle third (caudal part of cartilage septum), downward facing tip cartilages, slightly hanging columella. In my opinion there are not as pronounced to require a revision. If you come to harmony with the rest of the face, there's a mild descent of soft tissues over the cheekbones and as you suggested, cheeks are quite volumized. These can be addressed by midface lift (endoscopic or conventional) and/or buccal fat removal, which in my opinion will lead to an overall more harmonious results.

I think your nose is slightly bulbous and your midface slightly hypoplasic. Your cheekbone might be prominent but they are still in negative vector (setback compared to your eye). A rhinoplasty to sharpen the tip, and fat grafting or jaw surgery to augments and change the relationship between the midface and lower face will be beneficial.