Rhinoplasty - Narrowing - What would you recommend? (photos)

RHINOPLASTY Best technique for me: for narrowing + prevent further shortening conservative cartilage removal/ suture techniques / osteotomies /.... ? What would you recommend?

Doctor Answers 9


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Dear simplehello, During consultation an examination will be performed and then the surgeon can discuss the exact techniques that will be used to help refine your nasal tip, narrow the bridge and straighten your nose. During consultation digital imaging can be performed to show you how these techniques will shape your nose. Once imaging is performed you can then review the surgeons before and after photographs to ensure that he/she performs natural looking rhinoplasty results. Once you have gone through these steps you should be well informed regarding rhinoplasty and will be able to make an informed decision. Best regards, Michael V. Elam, M.D.

Orange County Facial Plastic Surgeon
5.0 out of 5 stars 212 reviews

Rhinoplasty - Narrowing - What would you recommend?

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Although, I believe you would benefit from a rhinoplasty which would include narrowing of the nasal bridge and tip, the specific techniques which would be recommended in your case would require a physical exam.  One needs to take into consideration not only two dimensional photos of your nose, but also evaluation of the relationship between your nose and other facial features, as well as evaluating the qualities of the tissues themselves.  Seek out a board certified surgeon who routinely performs rhinoplasty procedures.  Best wishes, Dr. Lepore.

Rhinoplasty - Narrowing - What would you recommend

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The appearance of your nose can be improved with an artistically performed rhinoplasty-septoplasty. What would be the best option and exact procedure would depend on an examination and discussion about desired outcome. 

Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you exactly what to do and how to technically do it 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 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 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. Additional information about the procedure will help you decide if it is a procedure that you want to pursue.

Robert Singer, MD FACS
La Jolla, California

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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. Cartilage grafts may also be used to help improve tip refinement. You may also benefit from spreader grafts to help straighten your nose. 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.
Harvard-trained plastic surgeon

Rhinoplasty - Narrowing - What would you recommend?

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Dear Simple HelloYou can have an excellent result with a closed rhinoplasty to narrow and reshape your dorsum and tip and keep your nose natural and masculine, however, you appear to have a displaced fracture with a shift of your bony pyramid. Although this can be corrected via a closed rhinoplasty, you septum needs to be assessed and addressed at same time. Look for an experienced and properly trained plastic surgeon. See more than one consultation and make a well informed decision.


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Thank you for the question and at a complimentary consultation aided by digital photography and your input, you will be able to see what is possible.  So see some experts that use this technique 
Dr Corbin

Rhinoplasty to narrow a wide nose

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A closed rhinoplasty procedure can accomplish narrowing a wide nose, with all the incisions placed on the inside of the nose.  The cartilage and bony dorsal hump can be shaved down, the nose straightened and narrowed with osteotomies, and the tip reduced with the conservative cartilage removal. The thick skin in the tip of the nose will be a significant restriction to narrowing and refining the nasal tip. For more information and many examples, please see the link and the video below  to our rhinoplasty photo Gallery

Rhinoplasty for the bulbous nose etc.

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A conservative rhinoplasty with narrowing of the tip, hump removal,straightening the nose and correction of your septal deviation etc. is what you need. Choose a very experienced rhinoplasty surgeon whose work is natural and not overdone.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Rhinoplasty and narrowing the nose

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Narrowing the nose is a common request in rhinoplasty. 
There are a number of techniques available depending on the features of the nose.
Wide bones are addressed with osteotomies.Wide base of noses may require alar reduction.Wide nasal tips depend on skin thickness. Thinner skinned patients may require removal or repositioning of cartilage. Thicker skinned patients may require more cartilage structure to stretch the skin. 
For patients who want to narrow their nose, it's important to be aware of two things. 1. Breathing function can not be compromised.2. Rhinoplasty requires a healing process. Your nose may be swollen for most of year before it refines down. 
I recommend having a full consultation including a medical history, physical exam, and photoanalysis with a rhinoplasty specialist so she/he may present treatment options that are appropriate for a safe and happy outcomes. Safety comes first. 

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.