Rhinoplasty: I want to remove the roundness of my nose. Can surgery help? (Photo)

Question

Can skin removal help? Thanks. Also, can I get a computer image picture of what the results should look like?

Eric M. Joseph, MD · Answer

Your photo appears to show a round, bulbous nasal tip and wide nostrils. Nasal tip-plasty and alarplasty may be considered for providing a narrower and less distracting nasal appearance. Hope this helps! Dr Joseph

William Portuese, MD · Answer

The bulbous and rounded nasal tip is addressed with suture techniques and conservative cartilage removal applied to the lower lateral cartilages of the nasal tip. Thick skin and the tip of the nose will be a significant impediment to seeing refinement in that area. The thickness of the skin is usually determined at the time of the consultation and examination. It is important to have realistic expectations on what can be accomplished with the procedure.

Thomas Trevisani, MD · Answer

Generally speaking- the answer is -yes. However, keep in mind- that Rhinoplasty results are largely dependent upon- the skin, the bone and the cartilage changes. Surgically, the cartilage and bone can be altered to achieve your goals. However, your thick skin may prevent the most pleasing result in your mind. Computer imaging is an imperfect tool used to potentially see into the future-- which is impossible. I personally prefer a more realistic approach which includes a detailed physical exam, and interaction with the Surgeon, as well a thorough review of the before and after gallery.

Steven Wallach, MD · Answer

A tip rhinoplasty can help soften the roundness of the tip. You are best to be seen in person  to be properly evaluated.

Patrick J. Byrne, MD, FACS · Answer

Your skin is thick, and this limits how much improvement you can achieve in terms of refinement. That said, it is protective too: you are less likely to see unnatural results. So I encourage you to consider making an appointment to discuss. The imaging is helpful to make decisions as to the goals of surgery. However, it is not particularly helpful in terms of "showing you what you will look like" because it is simply a simulation. Best of luck.

Mehdi Sina, MD · Answer

Hi,
Thank you for including a photograph. There are many ways to change the look of the tip of your nose. You do appear to have thick skin and that will limit some of the finer details of the tip cartilages under that thick skin. The skin itself is not removed, but some of the tissue underneath the skin can be removed to thin out the covering. I recommend a consultation with a facial plastic surgeon specializing in rhinoplasties - your consultation should include taking high quality 2D and 3D photographs and morphed images of what you can expect after surgery. 
Good luck,
Mehdi Sina, MD

Robert H. Hunsaker, MD · Answer

From your photos (exam actually necessary) it appears you could have some mild/moderate improvement at best. Your skin appears very thick and still. This, along with any cartilage weakness, will limit the degree of change. As always, especially in nose surgery, knowing the patient's expectations is key.Computer imaging may help. There IS danger in using it since "over-imaging" is quite easily a result. The pixel-by-pixel control we have on the computer is a far cry from the degree of control we have over the surgery and healing response.

Daniel Greenwald, MD (in memoriam) · Answer

Your photo shows what is known as a bulbous tip.  This is round and lacks definition.  A rhinoplasty can improve the contours of the tip, but a good result can be hindered by excess fibrofatty nasal tissue.  For best results I recommend skin treatment for the nose for a few months before surgery.  This can significantly improve the quality of the skin and thus the final result.

Rhinoplasty: I want to remove the roundness of my nose. Can surgery help? (Photo)

Answers (8)

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