Would an ultrasonic rhinoplasty help me achieve a more narrow nose with smaller nostrils? (photos)

Hello! Thank you for your question.As far as I can see from your photo. You have droopy tip of nose.For get rid of this image and gain more I recommend you Rhinoplasty surgery.It would be more convenient to decide with face-to-face consultation. Best regards!

Hi @qwert678. Thank you for sharing your photos. You are an excellent candidate for a rhinoplasty. There are several options for you that can be determined after examination. In my practice, I utilize piezosurgery. Piezosurgery is a more gentle technique that allows for greater precision. Less bruising and swelling is common with Piezosurgery. In a typical rhinoplasty, a hammer and chisel technique is performed leading to more inadvertent fractures.

Best of Luck,

Dr. Nima

Hello and thank you for your question. Although an exam in person is ideal, from your photographs alone it appears that you can benefit from a rhinoplasty -- ultrasonic or otherwise. Traditional osteotomies can narrow your nose and would not require an ultrasonic device. While your dorsum does not appear to have a significant hump, I would suggest a tip rhinoplasty where the nasal tip cartilage is modified for a more refined, feminine look as stated in your question. Specifically, I would suggest nasal tip deprojection and slight rotation. The modification of your nasal cartilage can be done with trimming, stitching or grafting. If your septum is deviated and you have breathing difficulty, a septoplasty may benefit you as well. The next step for you is to find the right aesthetic plastic surgeon. In your rhinoplasty consultation, be sure your surgeon addresses all your aesthetic goals and concerns specifically, and discusses the surgery details including the position and size of the incisions used (with actual photographs and not just digital animations), the risks and benefits of the procedure, recovery time, and post-operative course. Also, be sure to see plenty of before-and-after pictures in women who have a similar nose appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome.

After seeking out a board-certified plastic surgeon who specializes in aesthetic plastic surgery, I think the most important component of the consultation is to establish a good connection with your plastic surgeon. It’s the connection that allows you to clearly define your desired nose outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you.

For more information on rhinoplasty, please refer to my link below.

Good luck.

Mark K Markarian, MD, MSPH, FACS
Harvard-trained Board Certified Aesthetic Plastic Surgeon

You seem to be a candidate for rhinoplasty. There is no specific technique that would give you superior result (preservation rhinoplasty may be something you had in mind?), but an experienced, board certified plastic surgeon, expert in rhinoplasty has to decided what and how. In person evaluation and discussion about your goals is recommended.

Ultrasound rhinoplasty works for bone and not soft tissue. Alarplasty (Nostril narrowing) is done through actual surgical cutting of the nostril sides and cannot be done with Ultrasound.
Alarplasty:
Alarplasty is a very fine and quick procedure that can narrow the nostrils and reduce the flare to soften the appearance. It has other names as well like ‘Weir Excisions’ or ‘Nostril Reduction’. However, it is important to note that asymmetry of nostrils is common and cannot be corrected with alarplasty. Visit the alarplasty website to learn all about it.
Click on the video link below to see the details.
Regards
Dr. J

You appear to have a wide appearance of the lower 1/3 of your nose with a droopy tip and flaring nostrils. Conditions like yours may be improved with rhinoplasty surgery, and we do not use ultrasonic devices during anyone's rhinoplasty. Thanks for this great question! Dr Joseph

Ultrasonic is just a tool and a gimmick at that. Concentrate on finding the right surgeon ultrasonic or not. You don’t want to use a surgeon who uses ultrasonic but is a lousy surgeon

The ultrasonic approach does not narrow the nasal bones anymore than the traditional approach. And alar-plasty is performed to narrow wide nostrils. It's very important to have realistic expectations because there is NO perfect nose, and your nostrils will still be asymmetric after an alar plasty procedure. More important to choose your surgeon wisely based on extensive experience creating Natural results. Study your perspective surgeon's rhinoplasty photo Gallery to make sure that it is extensive with the results that you like.

Achieving a smaller nose and smaller nostrils: your nose could be made smaller, and your nostrils reduced by any type of rhinoplasty, open or closed. There are modifications on the technique and the instruments used such as those using ultrasound. But which approach would yield the best result depends on the skill of the surgeon and how good a candidate you are. It does not depend on the type of procedure or the type of instrumentation used. To this date the worst result I have ever seen in someone coming for a revision who was done elsewhere was done with ultrasound.

Having performed several thousand successful rhinoplasties, based on your photo you appear anatomically to be a good candidate for an artistically performed rhinoplasty through either a closed or open technique. You can achieve the same result with or without an ultrasonic technique.

Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you whether you are an appropriate candidate for surgery and exactly what to do 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 interest. 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 certified by the American Board of American Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) or the Canadian Society for Aesthetic Plastic Surgery (CSAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, M.D., FACS

La Jolla, California