Would I be able to fix my wide, droopy nose as well as improve breathing with a rhinoplasty?

Hi and thanks for your question and photos.  Yes, the bulbous and asymmetric tip and dorsal hump can be taken care of with a rhinoplasty. Often there are septal deviation issues that exist in rhinoplasty patients and I do take care of them at the same time as the rhinoplasty.  I would have to see you in person to do a nasal examination to see what your breathing issues are.  As my office is in the Philadelphia suburbs in Wayne, PA, I would be happy to see you for a consultation with computer imaging.  

In person exam is essential. Based on the limited photos- it appears that you would benefit from a Rhinoplasty -preferably through a closed technique (without a scar across columella). I suggest that you seek an experienced Board Certified PS for in person exam

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. You may also benefit from a cephalic rotation of your tip to turn
up your tip slightly and a conservative dorsal hump reduction.  Your breathing can be improved at the same time.  Make
sure you specifically look at before and after pictures of real patients
who have had this surgery performed by your surgeon and not just a computer
animation system. The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

A rhinoplasty procedure can accomplish shaving down the dorsal hump, narrowing the wide nose, and decreasing the overall projection of it for cosmetic purposes.  Expect the patient for that component yourself.  There are many issues on the inside of the nose that can cause breathing difficulties such as allergies, chronic sinusitis, a deviated septum, and turbinate hypertrophy.  Each one of these issues are treated differently with medications and/or surgery.  If you have tried and failed medical therapy, then consider a septoplasty if there is significant deviated septum present internally blocking airflow.   A thorough internal examination of the nose by an double board-certified ENT/facial plastic surgeon can make that determination. Functional nasal surgery can be billed in the patient's medical insurance once medical necessity has been documented and preauthorization has occurred with your medical insurance company.  Both cosmetic nasal surgery and functional nasal surgery can be performed together under one anesthesia with one recovery period.

Dear Krosemc, You can address both the function and the aesthetic of the nose at the same time. I address breathing issues during every rhinoplasty to ensure that once the shape and size of the patients nose is changed that they will have not only an aesthetically pleasing nose but also a functional nose. Seek some consultations with experts and have imaging performed to show you the possibilities that rhinoplasty will provide for you. Review the surgeons before and after photographs to ensure expertise and natural looking results. Best regards, Michael V. Elam, M.D.