Is my nose too bulbous? What procedures can I do to correct this issue? (Photo)

You have a concave dorsum and would benefit from a rhinoplasty to correct the concavity and refine the tip.

Best Wishes,

Gary Horndeski, M.D.

The woman in the before and after photos that I posted with this answer had strong tip cartilages that gave her tip a wide appearance. The success of this operation depends on the strength of the tip cartilages (more strength better) and the thickness of the skin (very thick skin can put a limit on how much improvement is achieved).


How *much* to narrow the tip, or make other changes that seem to make sense? 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. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.