Is my Rhinoplasty wish pic obtainable / realistic? (photos)

My nose lacks shape and definition. I'd like to know if the two images (top left and bottom right) or something similar is realistic and obtainable through open rhinoplasty. Thank you in advance!

Doctor Answers 15

Is my Rhinoplasty wish pic obtainable / realistic?

From the images you have shown, it appears that you want your tip narrowed and the dorsum of the nose made less convex. Both of these things can be done. It will require cartilage grafts and cartilage sutures to change the shape.  If you have thicker skin, the tip shape is harder to create but a big improvement can be expected. See a board certified plastic surgeon for a consultation. Good luck. 

Charlotte Plastic Surgeon
4.5 out of 5 stars 26 reviews


A cosmetic rhinoplasty can remove and reposition tissue in the nose for better aesthetics. Based on your photos I feel you would benefit from lowering the dorsum and refinement of the tip to narrow the tip defining points and produce a slight supratip break. 

These are big movements that are often intended to create subtle, millimeter changes to the shape of the nose once it heals. The thickness of your nose skin can affect the overall result. Based on the photos, however, I feel that you can obtain a result that is close to the "wish pick."     

See the link below for more info.

A detailed examination will help delineate the best treatment. Consultation with a plastic surgeon certified by the American Board of Plastic Surgery would be the next best step.

Is my Rhinoplasty wish pic obtainable / realistic? (photos)

Based on your submitted photos, your skin appears much thicker than the "wish pictures."  Therefore, your tip will not be able to achieve that level of definition.  That said, you could certainly get a nice improvement.  It's best to seek out a consultation with a board-certified facial plastic surgeon or plastic surgeon who specializes in rhinoplasty to see what is realistically possible.  Best wishes.

A. Joshua Zimm, MD
New York Facial Plastic Surgeon
5.0 out of 5 stars 27 reviews


Simplynewme2017, yes and no and by that I mean you can obtain a pretty nose but not the exact nose as seen on someone else's photos. First of all your skin appears to be thicker making tip definition more of an issue. See an experienced surgeon that does "only faces" and has done so for decades. See the video and good luck!

M. Sean Freeman, MD
Charlotte Facial Plastic Surgeon
4.8 out of 5 stars 44 reviews

Rhinoplasty may be considered for achieving a narrower and less distracting nasal appearance.

Your up-close photos may reveal that you have thick nasal skin, so the amount of tip refinement you may receive would need to be determined after an examination. Consider consulting several reputable rhinoplasty specialists so you could see what might be best for you. Thank you. Dr Joseph

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 386 reviews


Thank you for your question and photographs.

It is near impossible to replicate somebody else’s nose because we all have different anatomy’s but you would definitely benefit from nasal refinement. It appears your tip is enlarged and bulbous. You would benefit from a tip rhinoplasty which includes trimming the lower lateral cartilages and placing precision sutures to refine the tip and make it look more pleasing and smaller in size. Best of luck in your endeavors.

James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science

James Fernau, MD, FACS
Pittsburgh Plastic Surgeon
4.9 out of 5 stars 64 reviews

Is your Goal Attainable in Rhinoplasty

Answering the question can be difficult, in that many subtle issues will determine the ultimate result. First, thick skin will prevent definition, unless the skin can be thinned either with surgical debulking (which only works to some degree) or post operative Steroid or 5-Fluorouracil shots. Most skin can be thinned somewhat, but the amount will vary from patient to patient. The other key concern is cartilage stiffness and cartilage availability. The only way to get the result you are looking for is by using cartilage grafts to increase the strength of the nasal tip, which will provide definition to the result. Some patients have very soft cartilage and very small septums, requiring the use of ear cartilage (elastic cartilage), which, by definition, is softer than septal cartilage (fibrocartilage). The interplay of these 2 concerns will determine what you can achieve with surgery.

Richard W. Westreich, MD
Manhattan Facial Plastic Surgeon
5.0 out of 5 stars 44 reviews

Rhinoplasty Results.


The best way to realize realistic results is through computer imaging. This can show you potential results to close degree of certainty. Feel free to send your pics for imaging.



Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 264 reviews

Rhinoplasty can give a nice result...

From your photos, it appears that you are a good candidate for rhinoplasty. While we can work towards the goal you laid out in the photos, it may not be possible to get you nose as small as the side profile you showed. But you can certainly improve the dorsal line of the nose, and refine the tip and lift it some so it is not as wide and droopy. Be sure to see a rhinoplasty specialist for consultation.

Andrew Miller, MD
Edison Facial Plastic Surgeon
4.8 out of 5 stars 182 reviews

Are the results shown in the pictures that provided obtainable.

I am assuming that the picture on the lower left is you and you would like to be similar to the picture on the lower right. Through an open rhinoplasty, the cartilages of your tip could be modified by various suture techniques.  Cartilage grafts taken from you own nasal septum could be used to give your tip more architecture and definition. The ultimate result would depend on the thickness of the skin on the tip of your nose. An in person consultation is mandatory to give you the final answer as far as what you could expect. 

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.