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There may be room for improvement in both areas, but more photos will be necessary from different perspectives as well as understanding your specific goals that you have for each.Kenneth Hughes, MDLos Angeles, CA
The rhinoplasty procedure usually involves shaving down the dorsal hump which is composed of both bone and cartilage. Medial and lateral osteotomies of the nasal bones are required to close the open roof deformity and prevent a flat top nose. Some minor tip adjustments may also be necessary. It's also important to release the depressor septi ligament to prevent the tip from drooping upon smiling.
It is difficult to tell you without a series of photos and understand your particular frustrations about your face. You may not be finished growing. Think through it and you are welcome to post photos in different views and address your frustrations/
Yes, you could have a few minor adjustments to shape your face and make your more angular. Using Radiesse to the jawline can give you a more masculine look. Rhinoplasty is a surgical procedure that would refine your nose.
I would wait a minimum of 9 months before a revision. If the dent is still present and bothersome, a revision with an osteotomy would be appropriate. Good Luck
Open versus closed rhinoplasty is a question based on the training of your surgeon. I perform an open technique and feel that it is much easier to make detailed, fine changes to the tip when you can see everything you are working on. However, this is an opinion, and many skilled...
Crooked nose with minimally invasive solution is filler to the right nasal bone depression. Or you could fracture the left nasal bone inward. I need to see photos for more info.
Rhinoplasty for hump removal and nose reduction. The tip can be refined at the same time but I need to see better photographs. Face forward and profile photos are preferred.
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