I like my nose from the side but hate the front - what type of surgery would I need? (Photos)

Question

Also I have bad acne. Here are several photos for reference: What type of surgery would I need? Is it difficult?

Andrew Miller, MD · Answer

Based on the photo, you are a good candidate for a rhinoplasty. The wideness of the nose can be brought in by refining the tip and bringing in the bones some. The skin has some thickness so it will never be really thin, but it would be a nice improvement. Be sure to see a rhinoplasty expert for consultation.

Peter Lee, MD, FACS · Answer

What bothers you most about your nose is the tip, which is rather bulbous and ill-defined.  We could give the tip of your nose greater definition and refinement by trimming the lower lateral cartilages, and suturing the medial crura together, but because your nasal skin is thick, we would also place some cartilage grafts harvested from the nasal septum inside the nose and from the conchal cartilage of one of your ears in order achieve greater projection and definition of the nasal tip beneath the skin.  However, once we have refined the nasal tip in this manner, the bridge of your nose will appear wider, so we would probably perform concomitant nasal osteotomies to narrow it, and create better proportions between the upper and lower portions of your nose.

Jeffrey Lisiecki, MD · Answer

What are your goals for the front view of your nose? A rhinoplasty can certainly reshape many aspects of your nose on front view, and can keep your profile and dorsum essentially untouched while refining the tip and alae to meet your goals.

John Michael Thomassen, MD · Answer

A rhinoplasty to narrow your bridge and tip would be ideal.  You do not need to change your bridge or tip projection.

Marc Polacco, MD · Answer

Thank you for your question. A rhinoplasty would likely be the best option to address your concerns. Rhinoplasty is considered among the most difficult of surgeries to perform due to the immense amount of attention to detail involved. When seeking consultation, make sure the surgeon is someone who performs rhinoplasty regularly, and take a look at their portfolio to get an idea of their style. I hope this is helpful, and all the best to you.
-Dr. P

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have a wide nasal bridge and tip appearance. Depending on your examination, rhinoplasty may be considered for achieving a narrower nasal appearance. Hope this helps. Dr Joseph

Donald B. Yoo, MD, FACS · Answer

Based on your photos, it does appear that a rhinoplasty would make a nice change to your overall appearance. While there are a variety of approaches and techniques employed by various surgeons, it is up to you to do your due diligence to find a rhinoplasty specialist in order to achieve the best results possible. If surgery is not an option for you, nonsurgical rhinoplasty can be used to reshape the nose by adding volume to the nose with dermal filler. Good luck! @drdonyoo

Ronald J. Edelson, MD · Answer

Your nose can be narrowed both on the tip and bridge. Also alar wedge excisions can be done to address the wide nostrils. Pretty standard stuff

Barry M. Weintraub, MD, FACS · Answer

As a board certified plastic surgeon who performs hundreds of rhinoplasties a year, I see patients on a daily basis who like their noses from certain angles, but not from others. In your case, your profile is lovely, but the width of your nose is disharmonious with the rest of your face. The type of surgery you would need is a rhinoplasty that addresses the width while preserving the elegance of your profile. While it sounds like magic, I assure you that it’s possible if performed by someone with years of experience with rhinoplasty surgery! Knowing which elements to preserve is crucial to producing a beautiful rhinoplasty result. I recommend consulting in person with a board certified plastic surgeon to discuss your concerns.

Robert Ciardullo, MD · Answer

Are you a candidate for Rhinoplasty?From the photos you present it appears that you have a wide bridge and wide bulbous nasal tip. Both of these issues are commonly addressed in a routine rhinoplasty. It would appear that you would be a good candidate for rhinoplasty.

I like my nose from the side but hate the front - what type of surgery would I need? (Photos)

Answers (12)

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