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If you really want a change, a closed rhinoplasty can be used to refine the tip and bridge. This will create subtle improvement without visible scars and less swelling.Find a board certified plastic surgeon 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
Thanks for your question andphotos. Although your nose does not have a bad shape, I agree that it is toolarge for your face. The challenge is to keep the many positive features ofyour nose while setting it back closer to your face, and depending on yourwishes, also keeping a fairly straight profile or a subtle slope. The wrong thingto do (and the easiest) is to simply lower the upper part of the nose where youhave a slight hump, narrow the tip, and leave the tip projection unchanged,which would still make your nose look large and give you a pronounced slope thatcould look "operated on." I would suggest then loweringthe entire profile including the tip, which means resecting a portion of tipcartilages allowing a setback of the nose. I have done this hundreds of times,and it is quite predictable. In my hands, this method has given high patientsatisfaction with a more proportional nose — but surprisingly subtle results.Talk to a qualified and experienced nose surgeon about this option.
The rhinoplasty procedure would involve shaving down the dorsal hump, and osteotomies to the nasal bones. Minor tip adjustments may also be required at the same time.
I wouldn't be to hard on your nose. Based on your photos, removal of your hump/bump and some refinement of your tip will create a nose that will fit your face and enhance your face in a natural way.
First of all, your nose is not ugly, but some refinement would be nice. This would include making the tip a bit smaller and narrower, while also removing some of the excess on the roof or the nose. Take care that your surgeon does not do too much, however, especially in terms of turning it up excessively.