My Nose Appears to Droop on One Side and I Also Think It is Too Big. What Can Be Done? (photo)

Hello,I recommend a tip plasty for your nose. I think the general size is great and fits your face really nicely. To fix the droopy tip we would rotate the nose upwards and prevent the excess pulldown when smiling. We utilize multiple maneuvers to carefully rotate the tip of the nose to lift it to an elegant height and design without any telltale signs of surgery. We would also carve and sculpt your nasal tip to make it slightly less bulbous. A closed scarless rhinoplasty is the best surgery to fix this. By doing this via a scarless (closed) approach, there are no external cuts ever on your nose.  This prevents the dreaded complication of external scarring at the base of the nose, which even if rare, if it occurs, is devastating.  Through a scarless approach you can accomplish almost everything needed to be done to the nose with no scarring, less healing time, less bruising, and less swelling. All the best,Deepak Dugar, MDScarless Rhinoplasty ExpertBeverly Hills, CA 90210

     The tip can refined and the alar base can be reduced in a manner to make the nose smaller and appear more symmetric.  Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties and rhinoplasty revisions each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.
Kenneth Hughes, MD Los Angeles, CA

Rhinoplasty for the large nose with  the bulbous tip, etc. can be repaired by refining the nasal tip and making the nostril asymmetry less as well as narrowing the base. Choose a very experienced rhinoplasty surgeon for the best results

It looks like the insertion point of the outside piece of tissue of your nostril (called the ala) is lower on your left than your right.  This can be improved or disguised but is difficult to achieve complete symmetry.  It would be helpful to see more pictures or perform an exam to determine how much widening of your nose and/or asymmetry of your nostrils is from your facial muscle movement.  It certainly would be possible to address the width of your nose and the crooked appearance at the same time as well.

First of all, it's important to know that everyone's face has numerous asymmetries if you look hard enough and analyze enough.  One nostril attachment will look higher than the other in anyone who smiles asymmetrically -- and most people can and do smile asymmetrically, at least some of the time.  So the point is that others don't notice that nostril asymmetry nearly as much as you do and if they do notice it, they don't think about it or their mind interprets it as being due to a normal asymmetric smile.  So don't fret about that too much.  It's a very difficult thing to fix without producing significant scarring at the base of the nostril.

As for the size of your nose, the problem is primarily in the lower half of the nose, and plenty can be done about this.  Both the tip of the nose and the total width of the nostrils are proportionately too wide, and can be narrowed using common rhinoplasty techniques. However, the difficult part is to narrow the nose while keeping the profile looking ideal and all other angles looking natural and normal.  That's why it's so important to find a surgeon who can demonstrate, through multiple before and after photos, that they do consistently excellent work.  Without that proof, you are taking your chances.