I have a clear ski slope nose. Can I get a rhinoplasty to make it "normal"? (Photo)

From your photos, your rhinoplasty will be more difficult than normal. Your bridge is low and your tip is over rotated. Correcting these things should be done by a surgeon highly experienced in rhinoplasty. Be sure to look at a lot of before and after photos to make sure the surgeon has extensive appearance. Then have computer imaging to give you an idea of what it can look like after surgery. The cost can be anywhere between $6000 and $12000 an higher, depending on the surgeon.

The best way to define you goals is with a photo simulation. Chances are that you would actually like the tip de-rotated (lengthened) rather than a build up bridge, but aesthetic goals are very personal. 
You can test the option of just building the bridge with injectable filler if the photo simulation is not helping you to decide.
Lengthening is more challenging and more complex and often requires rib cartilage grafts, similar to restoring and excessively shortened nose. Look for a surgeon in your area that does also revision rhinoplasty so they can offer you the benefit of their experience. Good luck

Based on your photos, you are a good candidate for a rhinoplasty.  I recommend you schedule a consultation with a board certified plastic surgeon who is very experienced with rhinoplasty surgeries.  Once you have been examined in person, your surgeon will be able to better determine the details of your surgery and will be able to give you a price quote.  Best of luck.

Hello,
Thank you for your question. Based on your pictures you appear to have an overrotated nose with a bulbous tip. A physical examination by an expert of this topic could reveal all issues with your nose. Cartilage grafting is needed to derotate the tip from the rib if there is no leftover cartilage inside your nose. A wing surgery might be needed to catch the harmony between the tip and the dorsum. 
You can utilise my own techniques for detailed information. The Dorsal Roof Technique protects the dorsal anatomy but fixes the deformity and moreover, supports your dorsum by using the excessive tissue instead of excision. The ST FLAP TECHNIQUE protects the anatomy, supports the weak parts and reshapes the tip.  

A beautiful and natural looking nose, that suits your face can be achieved by the help of the Closed and Atraumatic Rhinoplasty, which minimizes swelling and bruises, maximizes healing, prevents tissue damage and eliminates a scar on the columella. To find out more please visit our RealSelf before and after pictures. 

Best Regards 

You are incorrect. The type of rhinoplasty you need requires stiff and long cartilage grafts, most commonly from the rib. Most plastic surgeons don't do this type of rhinoplasty. Some surgeons use ear cartilage which is insufficient in structural stiffness to predictably lengthen the nose and de-rotate the tip. Go to an expert and you should have a great result!

It's a bit of a ski slope but most of all you have what we call an "over rotated nose".  It needs to be pushed down.  This will require a septal extension graft but is quite achievable.

The ski slope appearance refers to a scooped-out or shallow nasal bridge, most noticeable on profile. This is actually common in patients who have had previous rhinoplasty with over-resection of the bridge. Whether or not a patient has had previous surgery, building up (augmenting) the bridge is necessary. This requires cartilage grafting. The cartilage is usually taken from the nasal septum, but can be obtained from the ear or even rib. Based on your pictures, you could also consider lowering the angle of your nasal tip (de-rotating), which also utilizes cartilage grafting techniques. Narrowing your tip and nasal base can also be considered if these are areas of concern for you. Cost varies tremendously nationally. Find a doctor you trust. Good luck.

Thank you for the question. You need to be very specific about what it is that you don’t like about the nose. Eliminating the “ski slope” likely would require cartilage grafting. If you want your tip lowered it can be difficult to accomplish. Your nose would be more difficult than the typicalnose we see and likely more expensive. Personally it is not the type of case I would take on due to its complexity but I’m sure you can find a competent surgeon to perform it.

Thank you for your question. To address your questions:1. I've read this kind of surgery is usually cheaper/less invasive because it requires no bone breaking. Is this true? No. The cost depends on geographic location, complexity of surgery, surgeon, etc. "Breaking" a nose aka osteotomies is actually not difficult but often not indicated. It is best for you to see a rhinoplasty expert for a consultation. Oftentimes, these decision are made during surgery, 2. Should I trust a doctor near me or is this a difficult procedure? It depends on where you live. There may be an excellent rhinoplasty surgeon near your home or you may have to travel. Regarding difficulty: yes, a rhinoplasty in your case is not as straightforward as a simple hump reduction. You appear to have relatively thick skin, an overrotated nose that needs to be rotated down, and a low bridge that may or may not need to be built up. Those techniques require some expertise and experience. 3. Cost estimate and if it's worth it for my nose? See above. Whether or not it is "worth it" can and should only be judged by you. How unhappy are you with your nose aesthetically? How is your nasal breathing? What are your expectations and can your expectations be met by a given surgeon.Hope that helps. Best wishes,Thomas Walker, MD, FACS

Hello and thank you for your question and both views of your nose.  Although an exam in person is ideal, from your photographs alone it appears that you can benefit from a tip rhinoplasty where the nasal tip cartilage is modified to rotate your nose down and lengthen it slightly for a more refined, feminine look.  The modification of your nasal cartilage can be done with trimming, stitching or grafting.  The cartilage grafts in your case would likely be a septal extension graft, a columellar strut graft, alar contour grafts and possibly a tip graft.  You may not need your nasal bones "broken", but this is still an invasive, and involved surgery.  Moreover, if your septum is deviated and you have breathing difficulty, a septoplasty may benefit you as well.  Price will vary based on the complexity of your surgery, your geographic location and the experience of your plastic surgeon.  The next step for you is to find the right aesthetic plastic surgeon.In your rhinoplasty consultation, be sure your surgeon addresses all your aesthetic goals and concerns specifically, and discusses the surgery details including the position and size of the incisions used (with actual photographs and not just digital animations), the risks and benefits of the procedure, recovery time, and post-operative course.  Also, be sure to see plenty of before-and-after pictures in women who have a similar nose appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome.

After seeking out a board-certified plastic surgeon who specializes in aesthetic plastic surgery, I think the most important component of the consultation is to establish a good connection with your plastic surgeon.  It’s the connection that allows you to clearly define your desired nose outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you.

For more information on rhinoplasty, please refer to my link below.

Good luck.

Mark K Markarian, MD, MSPH, FACS
Harvard-trained Board Certified Aesthetic Plastic Surgeon