What are realistic expectations for my very large, wide, bulbous, thick-skinned nose? (photos)

I've hated my nose for as long as it has been this size, and it seems larger than any other nose I've seen. It is extremely wide, bulbous and is very out of place compared with the rest of my features. I'm hoping with rhinoplasty I will see a drastic change, but I'd like a realistic opinion.

Doctor Answers 8

Rhinoplasty candidate

The Goals the you have and mind are quite reasonable according to the 2 photographs shown. To narrow a wide nose, osteotomies of the nasal bones will be required, an alar platy  will narrow wide nostrils, and tip suturing techniques of the lower lateral cartilages will narrow the tip. Thick skin will be a bit of an impediment to seeing your full result,  so make sure you have realistic expectations

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

What are realistic expectations for my very large, wide, bulbous, thick-skinned nose

Yes, you will see a change with a rhinoplasty.   This will thin the bulbous tip and refine the rest of the nose.  Your side view appears to show a slightly recessed chin.  This adds to the fact that you feel your nose is large.  Having a slightly more projected chin, along with the rhinoplasty, will balance your face even more.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Rhinoplasty for large, bulbous nose

Rhinoplasty should be able to improve the issues you mentioned with your nose. There are limitations depending on your skin thickness, but it should be possible to improve your tip bulbosity.

You should also be able to reduce the overall size and width of your nose. The exact amount of change that your could realistically make needs to be based on an actual exam of your nose. Your surgeon would need to better assess your skin quality along with seeing your nasal anatomy.

You can read more about bulbous nose rhinoplasty along with other aspects of rhinoplasty at my web reference link below.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 21 reviews

Large, Wide Nose with Bulbous Tip

Although your skin does appear to be thick I feel you can achieve significant improvement with rhinoplasty surgery so it is proportional with your surrounding facial features.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Rhinoplasty for wide, bulbous, thick-skinned nose?

The areas that you described and would like improved can be addressed with a rhinoplasty.

Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you what to do based on a limited two dimensional photo without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or facial plastic surgeon (otolaryngologist) with extensive experience in performing nasal surgery that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD  FACS

La Jolla, California

Robert Singer, MD
La Jolla Plastic Surgeon
4.6 out of 5 stars 19 reviews

Rhinoplasty for large thick skinned nose.

Rhinoplasty for large thick skinned nose can give you a more attractive smaller and natural looking nose. See a very experienced rhinoplasty surgeon. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews


Based on the photos provided I believe you are an excellent candidate  for a rhinoplasty procedure.  

You can accomplish the same goals either with open or closed rhinoplasty and your search should be for an experienced rhinoplasty surgeon who does rhinoplasty on a regular basis. I prefer the closed rhinoplasty but many surgeons are more comfortable with the open technique

Rick Rosen, MD
Norwalk Plastic Surgeon
5.0 out of 5 stars 22 reviews

What are realistic expectations for my very large, wide, bulbous, thick-skinned nose?

The tip can be refined, and the bridge can be narrowed to create better balance. This can be done as a closed rhinoplasty to produce a natural, significant result.

Find a board certified plastic surgeon who performs hundreds of rhinoplasties and rhinoplasty revisions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

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.