Can my thick, bulbous nose look anything like this model's with rhinoplasty? (photos)

Question

My nose is bulbous and thick. I was wondering with rhinoplasty if I nose like the one in these photos are achievable. And if there is any surgeons that specialize in this type of rhinoplasty.

Randal Haworth, MD, FACS · Answer

Thanks for your question and photos. For refining the tip of the nose, either a closed or open (my preferred method to get maximum control of symmetry) tip rhinoplasty can be performed which refines the bulbous area with minimal scarring.   An open technique allows better visualization and control of the paired cartilages which act in conjunction to define your tip shape and symmetry.  The ability to see both cartilages simultaneously and work on them together allows the surgeon ultimate control over both the shape and symmetry and, of course, beauty of the nose. Make sure you see a board certified plastic surgeon and look very carefully at their before and after photos of other patients. Computer imaging can be a useful tool as well but don't solely rely on that when making your decision.

Deepak Raj Dugar, MD · Answer

Hello,
A consultation with a specific Board Certified Plastic Surgeon would be needed to determine if the picture can be achieved. A nose defines the face, and a surgeon would want to make sure that the nose works well with your features. A closed scarless rhinoplasty would be best to refine your nasal tip and permanently contour your nose by slimming down the nasal bones. Through a scarless approach you can accomplish your goals with no scarring, less healing time, less
Best of luck!
Deepak Dugar, MD Scarless Rhinoplasty Expert Beverly Hills, CA 90210

Farhad Rafizadeh, MD · Answer

This is an interesting way to ask your question. Let's see what are the difference in the two pictures. Your nose has thicker skin than the model. The internal catilages are probably similar in shape and size, but the thicker skin hides the structure and the architecture of you nose. There are other difference that you might find beautiful in the models face. For example her upper lip is shorter and her lips are fuller. Both these changes are possible for you by doing a lip lift and possibly some lip augmentation. Your nose can be improved by a tip rhinoplasty, but you have to be aware of the limitations du to thick skin. It is important that you consult with a plastic surgeon who has a keen aesthetic sense and looks at the entire face to see what could improve your looks.

Anthony Corrado, DO · Answer

Nasal skin thickness will definitely limit the degree of tip refinement a patient can achieve with rhinoplasty.  That being the case, cephalic reduction combined with tip sutures and possible tip grafts will help to refine your tip.  I suggest consultation with a surgeon specializing in rhinoplasty for a thorough exam and consultation.  Good Luck!

Emmanuel Mallol Cotes, MD · Answer

Thanks for the question. Through rhinoplasty we make small  changes that provide significant difference. I think that you will feel more comfortable after the procedure and will have great results. Kind regards

Eric M. Joseph, MD · Answer

A portion of the bulbosity of your tip may be due to the thickness of your nasal skin, which appears thicker than the example photos. Depending on your examination, rhinoplasty may lead to a narrower and more refined nasal tip appearance. Hope this helps! Dr Joseph

Michael Dobryansky, MD, FACS · Answer

Thank you for your question. You do appear to be a good candidate for tip rhinoplasty. The thickness of your soft tissue will be a factor in determining the final appearance of your nose. In fact, the thickness of the soft tissue can sometimes be reduced to enhance th result. Other things that would need to be done are top sutures and possibly a tip cartilage  graft. These and many other options are best discussed during an in person consultation with a plastic surgeon. Good luck!

Edward Buckingham, MD · Answer

Thank you for your question. I would advice a consultation with a rhinoplasty specialist for a thorough nasal exam. This is the only way to determine what might be reasonably achieved through surgery. Patients with thicker nasal skin can be good candidates for rhinoplasty as long as they have reasonable expectations. The challenge is that the thicker soft tissue envelope (including the skin) can partially conceal any refinements to the underlying cartilage and bone of the nose thereby not getting the degree of improvement one might get in individuals with thinner skin. However, there are many maneuvers that can be done to significantly improve the appearance of the nose (including thinning the soft tissue envelope) without compromising the function of it (which can sometimes happen in inexperienced hands). Do not be discouraged, you will probably learn a lot more after your consultation and find that the improvement you get is very satisfactory!

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose.   Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. Rhinoplasty is available to improve your nose because it can adjust the tip and create an appearance that fits your face much better. It is very important that your nose fit with your overall look. I suggest that you move forward and consult with a board certified facial plastic surgeon to determine your candidacy.
Best wishes,

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