Age 30, rhinoplasty & eyebrow lift or blepharoplasty?

Question

Hello, I am 30 years old and starting to seriously consider having Rhinoplasty and possibly other procedures. I love myself but the asymmetry of my nose and face in general has always bothered me. I feel my nose lacks shape and sways to one side. I also think that my right brow (nose piercing side) sits higher than the other and I am wondering if I would benefit from a brow lift or blepharoplasty? Open to your thoughts and suggestions.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question. As far as I can see from your photos you have extra skin above your eyes, your brow corners are downward and your nose is seems a little bit crooked to the one side. For get rid of this image and gain more upward, fresh and symmetrical looking I recommend you rhinoplasty, upper eyelid blepharoplasty and endoscopic brow lift. It would be more convenient to decide with face-to-face consultation. Best Regards!

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have a pleasing nasal appearance. Insofar as your brows and upper eyelids are concerned, your mild brow asymmetry is normal, and you do not appear to have excessive hooding of your upper eyelid skin. Hope this is helpful! Dr Joseph

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. While you don’t appear to be a candidate for blepharoplasty or a brow lift, you may benefit most from dermal filler injections to create a more symmetrical appearance. These hyaluronic acid formulas can restore lost volume to improve facial balance and provide a subtle lift where needed. They’re also used in non-surgical rhinoplasties, which can enhance the shape of your nose and make it appear straighter. 
I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or injector. They will be able to discuss your aesthetic concerns with you and help you decide on the best treatment option.

Lucian Ion, FRCS · Answer

Thank you for your question and sharing your photos

On the side where the eyebrow is slightly higher the eye socket is also slightly higher. If you examine carefully the photographs of any person, you will notice that the eyes are not set exactly at the same level.

If the problem that concerns you most is related to the eyebrows symmetry an eyebrow lift is likely to be more effective but it will not match the level of the eyebrows to perfection. You can also use botulinum toxin to the side which is lower to help bring it up and see if you like the effect before committing to surgery. Blepharoplasty does not change the symmetry of the eyebrows.

For the rhinoplasty intervention, the profile of them looks very good but as you mention in your question, the deviation generates some asymmetry from the front and probably from the oblique views. Rhinoplasty surgery should be able to address these concerns and since the nasal skin appears to be relatively thin, definition from the front view after surgery is likely to be achievable.

Steven M. Denenberg, MD · Answer

What I notice about the nose is that it could be made a touch less prominent by elevating the tip and lowering the bridge some and softening the prominent tip cartilages that cause those shadows you see in the lighting of the frontal view. You should decide whether those are the changes you'd like to see for yourself.
Your brow position does seem to be asymmetrical, but a brow elevation on someone with an average or higher-than-average hairline is a less predictable operation -- we can't place an eyebrow where we want it, like we can place the position of the bridge of the nose about where we want it.
The lower brows can indeed allow some excess skin to collect on the upper eyelids, which makes us wonder about an upper eyelid blepharoplasty. The problem with that is that it's uncommon for a 30-year old to be a great candidate for a blepharoplasty; sometimes the patient comes out looking different, but not necessarily better.

How *much* to elevate the tip, or lower the bridge, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

Suleyman Tas, MD, FEBOPRAS · Answer

Dear Mjleo1345,
Thankyou for providing pictures for a better recommendation. In my professional opinion, the facial nose asymmetry is one of the most difficult deformities to be addressed in rhinoplasty field, because of soft tissue limitations. Consequently, closed atraumatic rhinoplasty surgery can help to improve the nostrils however, 100% symmetry is not achievable, this procedure can help slim down your nose and tip and nostrils can also be reduced. As per your brows, you may look into Eyebrow lift or also known as foxy eyes to address the asymmetrical issues, however a blepharoplasty can only help to eliminate the excess sagging skin in the upper eyelid and not targeting the asymmetry of your eyebrow. I am attaching a link for before and after if you would like to look deeper into the procedure and what to expect. 
Regards, 
TAS TEAM

Gurkan Kayabasoglu, MD · Answer

Hello. You should know that %99 of the people on Earth are asymmetrical. This asymmetry is more pronounced in some people and less in others. With rhinoplasty surgery, you can have a more symmetrical nose than you have now, but you cannot be completely symmetrical. If there is a surgeon who says this, please do not believe it. 
You also have low eyebrows. This low eyebrow is more prominent on your left side. If you look carefully, your left eyelid is not visible at all. But do not worry, you can benefit from eyebrow lift surgery in combination with rhinoplasty surgery. You should find an experienced surgeon for this. Please check our Instagram account and RealSelf photos. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile. You can also book an online consultation and discuss your problems with me. Best regards.

Ryan Rebowe, MD · Answer

In general, your nasal proportions and shape are very good. Unless there was something that I could see on an in person physical exam that is not present in these pictures I would not recommend having a primary rhinoplasty procedure. Similarly, while one of your brows is very slightly higher than the other, I would not yet recommend a brow lift or blepharoplasty procedure to correct this until your brow fell much more or you gained a significant amount more upper lid skin.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. You are an excellent candidate for rhinoplasty. I think it is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. The incision in open rhinoplasty heals almost always invisibly. You may want to also consider an endoscopic browlift. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you

Zoran Potparic, MD · Answer

Based on these photos I would not say that you are a strong candidate for rhinoplasty. Only on the basis of in person consultation and discussion about your goals that decision should be made. Very likely that manipulation of eyebrows with a Botox would create desired symmetry (it has to be done by someone other than "injector"). Hope this helps.

Age 30, rhinoplasty & eyebrow lift or blepharoplasty?

Answers (11)

More Rhinoplasty Questions

WE SEND PRETTY
EMAILS

Answers (11)

More Rhinoplasty Questions

Shortening of nose tip? Is something similar to this possible? (Photos)

Concerned 6 months post surgery. Does this look like swelling? (Photo)

Unsure what is ruining my side profile - advice? (photos)

Do I have inverted v deformity or saddle nose deformity? (photos)

I'm planning to get an open rhinoplasty with dorsal augmentation and tip cartilage. Am I at risk for necrosis?

How soon after a c-section can you have rhinoplasty?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS