Can I achieve a shaved bridge and refined lifted tip with a rhinoplasty? (photos)

Question

I'm hoping to shave down the bridge and refine and lift up the tip without de-projecting too much (I think having my nose very close to my face would look strange with my features).

Thomas Trevisani, MD · Answer

Based on limited photos- it appears that you would benefit from a Rhinoplasty performed through a closed technique. In the right hands - you can expect a more feminine and refined nose. I suggest that you seek an experienced Board Certified PS and discuss your options during in person consultation.

Joshua D. Rosenberg, MD · Answer

Short answer, Yes. 
Your goals are reasonable and achievable. I would consider a preservation approach to your nasal bridge. 
Go for it, you will look great!

Mehdi Sina, MD · Answer

Hi,

There are many techniques to help support the nose and maintain adequate projection. A skilled rhinoplasty surgeon will be able to reduce the bridge, lift and refine the tip, as well as maintain adequate nasal projection.

Best, 
MS

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.As far as I can see from your photos you nose can be reshaped as you wanted it to be. Your surgeon may done a simulation for you and you can check the harmony with your nose. Best Regards!

Oakley Smith, MD, FRCSC · Answer

Hello,
Yes that results can be achieved with surgical rhinoplasty. The bumps on the bridge of your nose can be eliminated to give you a straight or slightly curved nose. Also the tip can be refined and raised slightly.

Suleyman Tas, MD, FEBOPRAS · Answer

Dear Thoughtful853504, 
Thanks for your question. You may get your nose slimmer and your bulbous tip more defined than it is now with Closed Atraumatic Rhinoplasty without cutting the tip of your nose. As long as you set realistic expectations your goals seem achievable with a Closed Technique without opening your nose in a relatively short downtime. Your nose can be slimmed from the front, hump and droopy tip eliminated, bulbous tip refined. Possible breathing issues can be addressed at the same session. Make sure to choose an expert in a nose job, since it is a complex surgery which requires an extended experience. To find out more information about prices and criteria in searching a doctor please click the link below.

Regards,
TAS TEAM

Lucian Ion, FRCS · Answer

Thank you for your question and sharing your photographs.

Your computer simulations are realistic and in general terms rhinoplasty can bring results close to what you have designed. Ultrasonic rhinoplasty has proven in my hands to be more precise but worldwide surgeons achieve good results with many techniques.

You need to discuss your aspirations with one or several surgeons that you feel comfortable with and then decide regarding the best way forward.

Steven M. Denenberg, MD · Answer

I agree that shaving the bump would be nice. And I agree that you don't have a particularly projecting nose, so protecting the projection would be good. I would elevate your tip more than you did in the morphs. When you lower a bump on the bridge, it tends to make the nose *look* longer, as if the tip had drooped more, so it's important to get the tip up well enough, so you don't look at the nose after surgery and wonder why it still looks long.
How *much* to elevate the tip, or lower the bridge, 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.)

I'd love for you to see some excellent morphs of what could possibly be done with your nose. It might make you feel better about the possibilities and help you plan your ideal goal.
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. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

Ronald J. Edelson, MD · Answer

I would not only lower the bridge but would also elevate your tip so it doesn’t droop when you smile. Lowering the bridge would also probably require breaking the bones, at least in my hands. I would do this with closed rhinoplasty but open works fine also.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. You are an excellent candidate for rhinoplasty. I think it 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.

Can I achieve a shaved bridge and refined lifted tip with a rhinoplasty? (photos)

Answers (17)