Recommended surgeries to fix my nose, smooth out my eyes and straighten brows? (Photos)

Hello and thank you for your question. Based on your photographs, you are a good candidate for a revision rhinoplasty to address your alar retraction.  The best way to improve this is with alar rim grafts.  If you do not have adequate septal cartilage for this, then MTF cartilage could be used for graft material.   You may also benefit from a revision otoplasty.  In regards to your lower eyelids, an in-person evaluation would be needed.   Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system.  You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. 

Best wishes and good luck.


Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon
 

 A revision rhinoplasty procedure can accomplish narrowing and straightening the bridge line in addition to reducing the hanging columella.  It better set of pictures  are required to make a determination about  eyelid surgery.