Would rhinoplasty be a suitable option for me?

Question

I am 20 years old and unsure as to what would be the best course of action to improve the appearance of my nose. Would rhinoplasty be most beneficial? Or would a less invasive treatment, like tip plasty, be better? Thank you in advance for any advice!

Kenneth Hughes, MD · Answer

You can have a more refined nose that is
 natural in appearance.  I perform these surgeries with closed technique
 to preserve the structure of the nose and minimize visible scarring.Kenneth Hughes, MDLos Angeles, CA

Ali Adibfar, MD, DDS · Answer

HelloYou have attractive eyes as well as other pleasing facial features and therefore a formal rhinoplasty would help make your nose more harmonious with the rest of your face.The nose is comprised of many interlinked parts. The re shaping of one part may lead to the need of re shaping of other parts in order to achieve the desired long term harmony. Hence I recommend a comprehensive rhinoplasty in order to give you the beautiful result that you desire.The term tip plasty is commonly mis used and misleading.Thank you

Matthew Bridges, MD, FACS · Answer

I think a subtle refinement of your tip could be performed to achieve you goals.  I would caution you that a "tip rhinoplasty" is still a rhinoplasty.  It's not necessarily less invasive at all.  In fact, compared to a minor hump reduction, I would consider it more invasive.  I really think the term "tip-plasty" should not be used.  It's all rhinoplasty and should not really be considered some different kind of surgery.  I see people using that term on Realself all the time and I think it's misleading.That said, you should definitely find a surgeon who has lots of experience and has a keen eye for "finesse" rhinoplasty.  You need subtle, natural changes.  Remember that, especially in your case, your nose could easily look worse after surgery if done incorrectly.

William Portuese, MD · Answer

The decision to perform a rhinoplasty is a personal one, and only  you can make that decision. Computer imaging of your new nose might be helpful in the education process.  In the far majority of cases, a full rhinoplasty is required, not a tip plasty. To narrow the wide bulbous tip, suture techniques are applied to the lower lateral cartilages. Sometimes a conservative cartilage removal is also performed when  the tip cartilages are excessively wide. Osteotomies of the nasal bones are required to narrow the wide bridge line. For many examples of narrowing a wide nose, please see the link below

Richard Rival, MD, FRCSC · Answer

It is difficult to tell for sure from the photos you've provided and it depends ofcoarse on what bothers you about your nose. It would be helpful to see a profile view and a photo from below. Overall you may benefit from some narrowing and perhaps shortening of the nose to make it less prominent on your face. This will bring more focus on your eyes. A formal rhinoplasty would be the best way to achieve this. It's important to get a consultation with a surgeon who focuses on rhinoplasty.

Richard Zeph, MD · Answer

Looking at the photos you provided, I think a rhinoplasty would improve the appearance of your nose.  A non-smiling frontal view and a profile view would be helpful to evaluate your nose further.  Your present nose is not an unattractive nose, and you have a very pretty face, but refining your nose would enhance your appearance further.i would lean toward doing a complete rhinoplasty over a tip-plasty so all the nasal components can be properly aligned

R. Stephen Mulholland, MD (retired) · Answer

Dear tmacdo06,

A rhinoplasty involves an
alteration in the shape, change, projection and appearance of the nose in
relationship to the soft tissue of the face.

In the picture you sent, the nose
appears slightly long and very wide, particularly in the middle and lower
third.  This “bulbous tip look” disturbs
patients’ sense of aesthetic balance, judgment and appeal and makes them look
less feminine.  There is also some width
to your upper nose bones and, in general, reducing these and insetting these in
addition to soft tissue reduction procedures or tip plasty of the nose would be
most important.

I have been a certified plastic
surgeon with training in both ENT, otolaryngology, head-neck surgery and
plastic surgery, practicing cosmetic rhinoplasty for 20 years.  It is difficult to make the final analysis of
your nose and the best procedures suited to you without seeing the side view
and profile as well.  I recommend seeking
a plastic surgeon, such as myself, who uses detailed computer imaging to show
you very accurately the type of nose you can expect to achieve following
reduction rhinoplasty.

I trust this information has been
of some help and best of luck.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto

Richard W. Fleming, MD (retired) · Answer

Every rhinoplasty is individualized. Certainly the work can be limited to the tip as long as it remains proportional to the rest of the nasal structures. I need to see pictures without you smiling, including all views as described on my website.

Would rhinoplasty be a suitable option for me?

Answers (8)

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