I Want a Nose Job but Don't Want It to Change my Total Appearance

Hi, I have hated my nose since high school and have now decided to get a nose job. My nose is too wide and big when i smile (even bigger than my dad's, who i inherited my nose from). But I just want to get rid of some of the wideness but not get it totally reconstructed, is that possible?

Doctor Answers 17

Rhinoplasty Without Changing Total Appearance

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First, the abnswer to your question is YES. A good rhinoplasty surgeon will change the undesireable characteristics of your nose and try to meet your goals as long as the end result is proportional and consistent with your surrounding facial features.

Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Natural looking rhinoplasty

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Patients who complain of having a large nose reduced, but still want to maintain their look, are great candidates for preoperative imaging.  This way the patient can see the proposed outcome prior to undergoing surgery.  The surgery to make a large nose smaller, keeping the overall shape intact is very possible. 

Benjamin Bassichis, MD, FACS
Dallas Facial Plastic Surgeon

It's possible to have rhinoplasty without changing your total appearance

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Yes, a properly trained and experienced rhinoplasty specialist should absolutely be able to come up with a surgical plan that both addresses your concerns and does not completely change your appearance. It's very important that you find a facial plastic surgeon who has experience in African-American rhinoplasty and who can show you before and after pictures of patients with similar ethnic backgrounds and the outcomes achieved. Our clinic has a VECTRA 3D imaging system, which simulates the expected results so you can preview what you will look like as the result of a rhinoplasty.

Cory Torgerson, MD, PhD, FRCSC
Toronto Facial Plastic Surgeon
4.7 out of 5 stars 170 reviews

The answer: Refinement

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Thanks for your question. What you are describing is an imbalance of your facial features due to the size of your nose. At times your goal is difficult to achieve due to the thickness if AA skin. For that reason I try to restore facial harmony by using cartilage grafts, tip refinement, cartilage suture techniques, selective tip fat removal and reduction of the nostril size as needed. Depending upon your goals, the surgeon should customize your surgery to maintain the features that you like and enhance those features that need refinement. Hope this helps. Good luck to you. 

Dr. B

I Want a Nose Job but Don't Want It to Change my Total Appearance

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Nose is in the middle of the face and therefore has a profound effect on the way facial appearance. Reducing teh width of the nose will affect the overall appearance of your face. The facail structures will be more harmonious. See before and after photos to get some idea. Computer imaging will also help you see the impact of this procedure on your face.

Mohsen Tavoussi, MD, DO
Orange County Facial Plastic Surgeon

Changing the African American nose

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There are certain ethnic considerations to be considered in the African Anmerican nose. The breadth of the nasal base is of particular concern. When surgically narrowing this, care must be taken to preserve a natural look and not over correct. All parts of the nose must be kept in proper proportion.

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

Rhinoplasty for improvement and not radical change

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Rhinoplasty can be tailored to your particular aesthetic goals, assuming these goals do not affect your breathing.  Computer simulations can help you get an idea of the goals of the surgery.  In general, decreasing the width of nostrils involves performing alar base narrowing incisions, which potentially can be visible.  It is important that you view many before and after photos of patients of your doctor's who have similar features as you.  That way, you can see if these final outcomes are something you could live with for yourself.  I would be happy to provide you a comprehensive evaluation!

Thomas T. Le, MD
Baltimore Facial Plastic Surgeon
4.9 out of 5 stars 62 reviews

"Less is More" when it comes to Rhinoplasty Surgery

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Rhinoplasty surgery of today is much more conservative than years ago.  Reducing the wider nose can be challenging, but a reduction of the wide nostrils, and narrowing of the bridge can make the difference that you are looking for without dramatically changing your look.  Most patients want to look like themselves after surgery, but want to see the improvement in the area that bothers them.  In Rhinoplasty surgery, we often say that "less is more", meaning that it is usually best to tell your surgeon exactly what bothers you, and lean towards a conservative appoach.  Disappointment is always possible, so consult with several surgeons, and choose the one with whom you feel the most comfortable.  Best wishes.

Michael Vincent, MD, FACS

Michael Vincent, MD
Rockville Plastic Surgeon

Rhinoplasty Results

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There are many different ways to perform a rhinoplasty, it is important to communicate with your surgeon prior to your procedure with your particular goals and expectations. The procedure can then be customized to your needs.

Michael Sullivan, MD
Columbus Facial Plastic Surgeon
4.9 out of 5 stars 112 reviews


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I agree with several of the other physicians that the use of an imaging computer is a great tool in showing you what the proposed results would be. I use an Imaging computer on all facial consultations and find that this facilitates the patients understanding of the proposed changes. I would suggest finding a physician in your area that uses digital imaging. It is important that the patient and physician have a clear understanding of the expected surgical results.

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 218 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.