Hello and thank you for your question. Based on yourphotograph, you may benefit from a nasal tip deprojection to shorten the overall length of your nose. You may also benefit from a cephalic rotationof your tip to turn up your tip slightly and a conservative dorsal humpreduction. Make sure you specifically look atbefore and after pictures of real patients who have had this surgery performedby your surgeon and not just a computer animation system.The most important aspect is to find a surgeon you are comfortable with. Irecommend that you seek consultation with a qualified board-certified plasticsurgeon who can evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D. FACSHarvard-trained plastic surgeon
No one ever "needs" a rhinoplasty. It is an elective procedure and only you can determine if your nasal features concern you enough to do something about improving the cosmetic appearance of your nose and whether it would be worthwhile. Following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on limited 2 dimensional photos without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of the operative procedure would not be in your best interest. I would suggest you find a plastic surgeon with extensive nasal surgery experience who is certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or a facial plastic surgeon (ENT) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Additional information about the procedure will help you decide if it is a procedure that you want to pursue. Robert Singer, MD FACS La Jolla, California