Am I a candidate for Rhinoplasty? What options are available?

Hi and thanks for your question.IMHO you are a very good candidate for a rhinoplasty. I perform all of my primary rhinoplasties with the closed method. I would also suggest you think about a chin implant to bring more harmony to your profile.As far as to who should performed your surgery......it depends more than anything on the experience of the surgeon. That's why it's so important that you be able to see allot of photos before and after. You want to be able to urge the whole of the work. I make a comparison to baseball. Think about this. Would you rather have a player on your team that hits a home run once in awhile or one that has a consistent average? There are some excellent facial plastic surgeons as there are plastic surgeons who do beautiful nasal work. When it comes to your nose, it's is imperative that you research as much as you possibly can before making your decision. This is your face and there no covering it up.I wish you the best on your journey. I hope that the info provided has been helpful. Should you require any further clarification, do not hesitate to contact us. I personally conduct all the consultations and formulate an individual operative plan based on physical findings. We are one of only a few in South Florida that employ a web based program called TouchMD. Through this program potential patients from as far away as California can upload their photos. I then review each and everyone and draw my recommendations on your actual picture. This info is made available to you with the use of a private password that only you will have. TouchMD is private and follows all applicable privacy laws (HIPPA). I answer all questions personally, not through patient coordinators or other marketing individuals.good luck, Dr PG

The complaints you have over your nose are very common issues rhinoplasty patient have over their nose.  You need to not have a history of trauma to the nose to have it appear crooked.  Addressing the crooked nose is a challenging issue to address in rhinoplasty.  It is one which requires a good grasp of techniques available to help give the nose a straighter appearance.  It is best to seek consultation with a surgeon who specializes in rhinoplasty.

A person's decision to change and hopefully improve anatomic aspect of their body is a personal choice. No one can really tell you what you need - you can only articulate your desires and a qualified Plastic Surgeon can render an opinion as to how that can be achieved. Your nose can be improved and straightened. I personally use a closed technique and would do so in your case. I would like to see the tip more refined, the middle third reduced and the profile although not exceptionally displeasing can be brought closer to your face giving you a more delicate and refined look. Seek an experienced Board Certified PS with expertise in Rhinoplasty.

If you are healthy, unhappy with your nose and have realistic expectations then you are likely a good candidate for rhinoplasty.  Given your photos and comments, it looks like you would certainly benefit from a surgery to improve your symmetry, straighten your nose, take down the bump and likely improve  your breathing in the process.  My advice is to seek a surgeon who is a rhinoplasty expert with additional training in aesthetic surgery or ear , nose and throat surgery.  Experience matters most in rhinoplasty results. 

A crooked nose and bump on the nose are common reasons patients seek consultation for rhinoplasty.  When the bump is small this can be surgically smoothed with a more limited procedure.  With a larger bump or to straighten the bones of the nose, the nasal bones and cartilage need to be straightened which leads to slightly more swelling recovery.  It depends on the degree of deviation of the nasal septum and if there are associated breathing problems to determine which procedure is best for you.  I recommend you see a surgeon with extensive experience in rhinoplasty who can address both the appearance and any potential breathing concerns. 

Rhinoplasty is rhinoplasty. Some do it open others do it closed. Both these approaches are applicable to you. All your mentioned issues can be fixed with rhinoplasty.  You need to see a plastic surgeon in person for futher guidance.

It might be possible to achieve your goals.  The photos do not show everything real well. I suggest that you go to a plastic surgeon for a proper evaluation.  Good luck.

Hi - You are a good candidate for a repositioning rhinoplasty.   Your nasal septum is overgrown causing the deviation, curvature and pulls a little on the lip.  The best way to deal with this is from inside the nose to reduce the size of the septum and bridge and reposition the septum and nose to the midline.  Grafts and external incisions are unnecessary. 

 The rhinoplasty procedure can address straightening of the crooked nose. To straighten crooked nasal bones requires osteotomies placed in them. When the midportion of the nose is concave, a cartilaginous spreader graft harvested from inside the nose is then placed underneath the concave upper lateral cartilage to straighten it. A tip rhinoplasty is performed when the tip cartilages are asymmetric and crooked. The  dorsal hump is composed of both bone and cartilage which must be shaved down in order to remove it.  Repairing a crooked nose is a very difficult endeavor, so choose your rhinoplasty surgeon very wisely based on experience. For many examples of more information, please see the link and the video below

If
the appearance of your nose concerns you enough, it can be straightened and
cosmetically improved with an artistically performed rhinoplasty and possible septoplasty. Whether it
is worth doing is a decision that is personal and only you can make. Excellent cosmetic results
can be achieved with both closed and open techniques.

Keep
in mind that following advice from a surgeon on this or any other website who
proposes to tell you what to do based on two dimensional photos without
examining you, physically feeling your 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 surgery. Natural appearing results need to
be individualized and what is appropriate for one patient is not necessarily
the best for someone else. I would suggest that you find a surgeon with extensive
rhinoplasty experience certified by the American Board of Plastic Surgery and
one who is ideally a member of The American Society for Aesthetic Plastic
Surgery (ASAPS) or a facial plastic surgeon (otolaryngologist) that you trust
and are comfortable with. You should discuss your concerns with that surgeon in
person. The extent and length of the procedure, cost, and the specific
operative steps to achieve an ideal cosmetic result vary from patient to
patient and would depend on the findings at your consultation examination.

Robert
Singer, M.D., FACS

La Jolla,
California