Looking for a small Barbie trend nose. Would revision be worth it? (photo)

Question

I got my nose done over a year ago and ultimately I wanted like a very small Barbie trendy nose and this is what I got. I’m not saying it’s bad but one side profile looks different than the other and I also feel like my tip is really big and my nose almost looks bigger than it did before:/ I’m just curious what your thoughts are and if I should get a revision or if I should leave it and why it looks the way it looks or if this makes sense based on my before photos

Eric M. Joseph, MD · Answer

You should only undergo revision rhinoplasty if you have severe dissatisfaction with how things look right now. Based on what I see, your tip sticks out a bit too far, and this is a bit distracting. Depending on your examination, revision rhinoplasty surgery may be considered for moving your tip closer to your face for a less projected and less distracting nasal tip appearance. I hope this helps! Sincerely, Dr Joseph

Gianfranco Frojo, MD · Answer

The nose looks pretty good on your face. I would heavily consider not doing anything as revision rhinoplasty is one of the most challenging surgeries to recovery from.  I would go see an American Board of Plastic Surgery certified surgeon with experience in rhinoplasty/revision rhinoplasty if you want to have an in-person discussion. You can look up if your surgeon is American Board of Plastic Surgery certified by Googling "is my plastic surgeon certified?".

Steven M. Denenberg, MD · Answer

To my eye, the tip of your nose is much too projecting -- meaning it projects forward away from your face. The third posted photo indicates that the tip is too wide, too: we see that by how the tip seems to jump out and away from the line of your bridge.
The strong projection is why the nose seems to be long from the frontal view. The changes in a revision, by my tastes, would be to start by bringing the tip back closer to your face. That change would make the nose *look* longer, so we would then elevate the tip. And then lower the bridge to match the new position of the tip. Maybe with a teeny tiny concavity, something that looks natural, but something to fit the new smaller size of the nose.

How *much* to elevate the tip, or deproject the nose, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a revision rhinoplasty. Maneuvers for your surgery would include 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

Best wishes and good luck.

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

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