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.