Hi and thnaks for your question. First, let me just say that I feel it's inappropriate for a surgeon to state that ypu have a very unfeminine face. What constitutes feminity? He or she could have said that your facial features could be more refined. From your photos I would disagree with the feminine evaluation. Howver, I do agree that a rhinoplasty could make you have a more refined look. Undersatnd that symmmetry in the human being does not exists. All of us have facial asymmetry, some more, some less.Your skin is a bit thick and appears to have a fair amount of sebaceous/oily glands. This type of skin always make a higher degree of nasal refinememnt mor challenging. I like to give the following analogy; Suppose we have a beautiful sculpture and subsequently cover it with a piece of silk. Even though it's covered you can still make out the sillouhette underneath the silk. Now we cover it with wool blanket. Although you may still be able to appreciate the contours of the sculpture, the definiton lacks when comoared to the silk cover.I would also caution you to pick out noses from celebrities. It's impossible to reproduce all of the features. You need to have realistic goals for your face.You need to seek the advise of a board certified surgeon with plenty of experience. Remember this is your face....can't cover it up! Furthermore request to see before and after photos of previous patients by that doctor....not a clinic or surgery center. Do your homework......research and verify the doctor's credentials. Have they had problems with the Board of Medicine, disciplinary or otherwise. Any law suits?How about the center, clinic or facility? Are they accredited by a national organization or do they just have State approval. Understand that at the current time, there are three nationally recognized organizations responsible for the highest levels of patient safety, AAAASF, AAACH and JCHO. You owe it to yourself to position yourself for the best possible results but under the most stringent safety regulations, If you have kids, even more so.How about anesthesia? Will you have a medical doctor certified by the American Board of Anesthesiology or a certified nurse anesthetist (CRNA)? Understand that there is no substitute for research. Cosmetic surgery, no matter how simple it may be to the patients, are invasive procedures and as such carry certain risks and complications.In our office we use TouchMD which is a web based program in which patients have the ability to load their picture unto the program. We accomodate patinets from as far away as California. I then evaluate them and can actually draw on the picture to show a potential patient where the incisions would be located and how the procedure is to be realized. It's all done to comply with HIPPA which is the federal law that protects the patient's medical information. Look them up.Give yourself the highest percentage of a sucssesful operation. Good luck
