Is my nose obstructive (in size)? Do I need a nose job? (Photos)

Based on your photo, you would be a candidate for rhinoplasty to make your nose smaller. While it does not look overly big in the photo, the main deciding factor in doing the procedure is do you not like the appearance. If you don't, then find an expert rhinoplasty surgeon to consult with.

The single profile photograph shows the external shape of your nose but cannot show whether the internal airway is narrow. A nose can look prominent and breathe normally, while a smaller-looking nose can be obstructed. Rhinoplasty is therefore not medically “needed” based on size or this photograph alone.

If you have persistent difficulty breathing through one or both sides, congestion that does not respond to appropriate medical treatment, mouth breathing, sleep disturbance, or collapse of a nostril during inspiration, an ENT or facial plastic surgeon should examine you. The assessment should include the septum, turbinates, and internal and external nasal valves; nasal endoscopy may be useful. Allergies or inflammation should also be treated when present.

If a structural problem is confirmed, treatment might include septoplasty, turbinate reduction, nasal-valve support, or functional septorhinoplasty, depending on the cause. Cosmetic changes to the bridge or tip would be optional and should reflect your own goals rather than a belief that the nose must be smaller to breathe better. Standardized front, base, oblique, and profile photographs plus an internal examination are needed before recommending any operation.

Hello and thank you for your question. Based on your photograph, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Your photograph is inadequate. I need a frontal view, both side views and a view looking up the nose from the floor to give you an accurate answer.

Best Wishes,

Gary Horndeski, M.D.

The best patients for rhinoplasty surgery are those who have strong dissatisfaction with the appearance and function of their noses, for a long duration of time. I hope this helps! Sincerely, Dr Joseph