What do I need to get done to achieve the nose in the after photo? (Photos)

Based on your photos, you are a great candidate for rhinoplasty. The bridge can be taken down a bit and the droopy tip lifted and strengthened. That will make a much better profile view, and will also make it thinner from the front as well. During the surgery, more support will be given to the tip so it will resist drooping afterwards. Be sure to see a rhinoplasty specialist for consultation.

Hi @kdell. You are an excellent candidate for a rhinoplasty. I recommend seeing an expert rhinoplasty specialist for an in person examination. There are several options for you that can be determined after examination.

Best of luck,

Dr. Nima

You don't need to "ask" for anything! Describe your concerns and goals to your surgeon, and they can help guide you with a surgical plan. Based on your pictures and description, I would do an open rhinoplasty with a septal extension graft to put your tip in the ideal place, release and reconstruct your Pitanguy ligament to help alleviate the tension on your tip, refine your tip, and probably reshape your alae with alar base surgery (depending on your goals!). Find a surgeon you like with good training and experience with rhinoplasty, and work with them!
PS--Skin care before and after surgery is also very important with thick and oily skin, so that should be a part of the conversation as well.

Hello, and thank you for your question. All the issues you mentioned –a bulbous tip and a wide nose –are issues commonly addressed by rhinoplasty. Based on your images, you may be an ideal candidate for ethnic rhinoplasty. To determine the best surgical approach to achieving your desired results, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon, particularly one with extensive experience with ethnic rhinoplasty. Such experts will have unique insights and techniques for achieving culturally specific results, tailor their approach to each patient, and carefully consider ethnic background when creating their surgical plan. During your consultation, your surgeon will evaluate your nose, identify your unique goals to create a nose that fits your face, recommend the best surgical technique, and ensure the best, most natural-looking results.

You are correct in requesting a rhinoplasty that will preserve your ethnicity. I believe you could get the desired result with a standard rhinoplasty. I don't believe you would need any cartilage or tissue grafting. Of course this would depend on a face to face physical exam and I would recommend you see a board certified plastic surgeon experienced in rhinoplasty. But I am optimistic you can get the result you want. Best of luck!

There is no doubt that full rhinoplasty would be a good choice. Your nose needs three-dimensional shaping and fine tip shaping with cartilage grafts taken from nose septum. Consultation with a board certified plastic surgeon, expert in rhinoplasty, is recommended. Good luck.

Thank you for your question. You are an excellent candidate for ethnic rhinoplasty. I think rhinoplasty is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you.

Good Afternoon! Thanks for the questions. You absolutely can get a refinement rhinoplasty to help with the profile and front view. Having an idea of what you want is helpful. The next steps would be to consult with a facial plastic surgeon who has experience in ethnic rhinoplasty to determine what is feasible. There are different ways to approach rhinoplasty - open vs closed. I prefer the first to be exact with the changes I want to create. The thickness of the skin often encountered in Hispanic rhinoplasty needs finessing. Improvements can certainly be made. Hope that helps!

A closed at rhinoplasty approach can accomplish shaving down the dorsal hump, refinement of the nasal tip, and narrowing the bridge line with all the incisions placed on the inside of the nose. Also important to release the depressor septi ligament which dynamically pulls the tip downwards when smiling.

Thanks for posting photos. You need a full ethnic rhinoplasty to attempt to achieve a photo shopped result. But understand no surgeon can ever guarantee results. Fees in the $8,000-$15,000 ranges. Best to virtual consult with....