Can my nose tip and nostrils be made smaller with revision rhinoplasty? (photos)

Question

I got a rhinoseptoplasty done 3 years ago, and I was left with breathing issues , I know it can be fixed but while I get that can I get the tip of my nose made smaller ? And the nostrils too? I feel like they’re too wide, specially when I smile ! I have added pictures, I look forward to reading your professional opinion, thank you!

Steven M. Denenberg, MD · Answer

From these photos you posted, it looks like the upper part of your nose, where it's made of bone, is still wide, and the tip is still somewhat strong in its width.I'd love to see profile views, where you are looking exactly off to the left and right side, to get a better idea of what's going on with the tip and the bridge. It looks like the tip could be brought back closer to your face, and narrowed, and possibly elevated a bit, too. In fact, when the goal is to make the nose smaller, it's nice to have lots of different ways of making the nose smaller. Be sure to read the section in the "Learn more" link on how to stay out of trouble while searching for a rhinoplasty surgeon, and how to tell whether your previous surgeon should be performing your revision. You should only have surgery if you are able to make yourself very confident in your surgeon's skills. 
A revision nose like yours is also a good example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. When you see his goals, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. But remember, you're not hiring him for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer.Finally, at the *very* bottom of the "Learn more" page is a link to instructions on taking and sending photos that are comprehensive and useful for an online consultation like this, in case you'd like a more complete evaluation.

Nima Shemirani, MD · Answer

Hello Ginamae, 
Revision rhinoplasty consists of either cosmetic or corrective surgery, which can alter the size/shape of your nose and/or correct its functionality (i.e. deviated septum, broken nose, snoring, difficulty breathing). To answer your question you can certainly make the tip/nostrils smaller with revision surgery. It is best for you to have an in person consultation with a revision rhinoplasty specialist so that they are able to do a thorough evaluation. 
Best, 
Dr. Nima

Thomas A. Mustoe, MD, FACS · Answer

I think it is likely that you could get some reduction in the size of your tip with revision rhinoplasty which would make your nostrils look smaller. The nostrils could probably be brought in modestly at time of revision, but bringing them in too much will impair your breathing further.  You need an in person examination by an experienced surgeon in revision rhinoplasty, and I would suggest to get more than one opinion.

William Portuese, MD · Answer

A revision rhinoplasty procedure can accomplish decreasing the overall projection of the nasal tip, narrowing the bridge line, and  narrowing the nostrils. Revision rhinoplasty is more difficult than a primary rhinoplasty  so it is important to have realistic expectations. There many issues that cause breathing difficulties on the inside of the nose, this must be sorted out at time of examination of the internal component of the nose.

Oleh Slupchynskyj, MD, FACS (retired) · Answer

Hi,
Based on your photos, you seem to have a bulbous tip and a short nose for you face. The bulbous tip will need to be defatted and reshaped, grafts may need to be used.  The nasal length would need to be extended too with cartilage grafts. The nasal airway obstruction may or may not be fixed, that would have to be determined with an exam. This procedure involves specialized techniques that take years of experience to perfect.  Choose your surgeon wisely. Feel free to email me your photos for computer imaging.

Best,
Dr. S

Can my nose tip and nostrils be made smaller with revision rhinoplasty? (photos)

Answers (5)

Answer: Can my nose tip and nostris be made smaller with the revision rhinoplasty?

Answer: Can my nose tip and nostris be made smaller with the revision rhinoplasty?

Answer: Bulbous Tip Rhinoplasty

Answer: Bulbous Tip Rhinoplasty

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Can my nose tip and nostrils be made smaller with revision rhinoplasty? (photos)

Answers (5)

Answer: Can my nose tip and nostris be made smaller with the revision rhinoplasty?

Answer: Can my nose tip and nostris be made smaller with the revision rhinoplasty?

Answer: Bulbous Tip Rhinoplasty

Answer: Bulbous Tip Rhinoplasty

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.