Rhinoplasty Before and After

I've been looking at before and after pictures of nose jobs, and everyone's nose seems so different, I don't know how to tell if I'm looking at something that would work for me. What should I look for in rhinoplasty pictures? Is only the side view important or should I see multiple angles? And are photos a good tool to pick the best rhinoplasty surgeon for me and my nose?

Doctor Answers 21

Do rhinoplasty before & after photos say anything about the rhinoplasty surgeon?

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Before & after rhinoplasty photos are good way to EXCLUDE a surgeon, but may not help in picking one.  Some things that should warn you off a surgeon:

1. Do the noses look natural or done?  Obviously if a surgeon is showing his results on his website for everyone to see, he must be proud of them.  Use this information to your advantage.  You will get a very good idea of what the surgeon feels looks good by looking at his photos.  If you don't think that his results look good, then he is probably not the one for you. His esthetic should match yours.

2. What about the surgeon that doesn't show any before-and-afters on his website, citing "confidentiality"?  Today, if I have a website, I need photos.  If I don't show them, then I probably haven't gotten permission to show them from my patients, or I haven't been in practice long enough to have any that are any good!  Beware in either case.

3. What views are best?  Everyone loves to see the profile views because they are the most dramatic.  However, they can also hide a lot of problems.  Any surgeon with a good result (and not just a good profile view) will show at LEAST an oblique view and, in really successful cases, a frontal view.  It is these views that are the most representative of a good result.  All-profile websites should not be trusted as "best in class".

Hope that helps.

Austin Facial Plastic Surgeon

Nasal surgery is very personal.

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Nasal surgery is very personal. It’s important to communicate your goals and desires clearly and effectively with your surgeon. While some surgeons use computer imaging to achieve this goal, and computer imaging is certainly helpful for communication, I believe that viewing a series of before and after photos gives you a more realistic understanding of what can be accomplished and how closely your goals can be met. I find it very valuable to talk around before and after photos of previous patients that I have operated on - to help with effective communication and to be certain that you will achieve the goals that you are hoping to achieve. I use pictures of many previous patients, with noses of different sizes and shapes in my consultations with patients to achieve this end.

Michael R. Macdonald, MD
Bay Area Facial Plastic Surgeon
4.6 out of 5 stars 18 reviews

Before and After Pictures of Rhinoplasty

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Hi Jen;

It is important to look at the before and after picture closely and carefully.  By doing so, you can determine if you like the aesthetic or cosmetic improvement that was achieved by that specific surgeon. You want to make sure that you feel very comfortable with their aesthetic taste.

Rhinoplasty is an art because the best result is one that looks "UN-operated" and "Natural appearing".

Before and after pictures are a good way to exclude a surgeon and a starting point.

Hope this was helpful.

Dr. Sajjadian

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 205 reviews

Evaluating Before and After Pictures

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Before and After photos provided by a plastic surgeon are a great way to evaluate that surgeon’s work and are the best indication of what to expect from your own nose job. You are correct in stating that it is important to judge the before and after photos from all angles, including the front and the profile. In terms of the variation in the “after” photos, this is normal and actually expected. A good rhinoplasty surgeon customizes each nose job to the patient’s particular facial features and wants. Thus, no two nose jobs heed the exact same results.

Sam Rizk, MD
New York Facial Plastic Surgeon
4.7 out of 5 stars 79 reviews

Rhinoplasty example pictures are not the best way to select your surgeon

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I jump on as your seventh physician answer, and would start by agreeing with your prior posts. Pictures are one way to diffeerentiate physicians, but in my opinion, one of the weakest. Docs will share only those best scenarios, or the ones with the biggest impact on overall balance. So it is not as likely that they are results that begin with the same original anatomy that you have.

Imaging, using morphing software, to me is better dialogue when discussing what is possible given your nose. That way you can at least start to get an idea of what the surgeon would like to do for you, what he/she feels is an appropriate endpoint for your concerns and anatomy.

That's only one step. From there, you need to be comfortable with the office, the physician, and the process.

But finally you need to ask around your community. Your primary care doctor, friends, coworkers, or similar disciplines (cosmetic dentists for example) all should give you positive feedback on your potential surgeon.

Kevin Robertson, MD
Madison Facial Plastic Surgeon
4.7 out of 5 stars 14 reviews

Choosing a good rhinoplasty surgeon

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Although it is a nice way to get an initial feel for a particular surgeons work, looking at the before and after pictures is only one aspect of finding the right fit and expertise. The next step is to meet with the surgeon, make sure you feel comfortable with their approach and bedside manner. Have the doctor use imaging to discuss possible outcomes. Not all noses will look aesthetically pleasing on all faces. Also sometime it is not the nose that is out of proportion. Maybe a chin implant is in order. What is it about your nose that needs altering? Is it the bridge, the tip or do you need shaving down of a bump?

Once you have met with the doctor ask about referrals or testimonials. Every great surgeon will have patients that are willing to sing their praises. Last but not least, check out the doctors credentials. Are they licensed and do they have the appropriate training for the surgery that they are going to preform? I realize this sounds like a lot of work but when it comes to your face, these extra steps in finding the right surgeon matters.

Lee Robinson, MD - RETIRED
Portland Facial Plastic Surgeon

Rhinoplasty photos are only one factor in your decision

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Choosing the right surgeon for any procedure is always a difficult task. Fortunately, you are looking for changes to your nose and you can compare the work of one surgeon to another with objective data, their before and after rhinoplasty photos.
If there are few photos and certainly if there are bad photos, I might search for another surgeon. However, most surgeon will post good outcomes, so that only decreases your decision on who is the best surgeon for you by only a little.
I would suggest seeing a few of the rhinoplastic surgeons that you feel have good pre and post operative photos. Your consultation should involve taking photos of you and morphing those photos to determine what changes to your nose will best suit you. This process helps you gain insight into what the vision of the surgeon is and, if their other photos are good, you should feel confident that your rhinoplasty will give you the result that you have both decided upon.

Philip S. Schoenfeld, MD, FACS
Chevy Chase Facial Plastic Surgeon
4.8 out of 5 stars 33 reviews

Before and After Photos

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The reason that I advice patients to look at before and after photos is so that they see my aesthetic eye. Not only are plastic surgeons doctors, but we are also artists. By looking at our before and after photos you can see how we like to shape and fix noses. Your aesthetic eye must match the doctors aesthetic eye so you both agree on what is pretty and what you want. Another reason is so you can look at the "problem" areas that you see in your nose, and look how the doctor has fixed that problem in others to see if that is what you like. You should not choose a doctor solely based off of before and after pictures though. You must meet them and feel comfortable and confident by your interactions as well. 

All the best, 

Deepak Dugar, MD
Scarless Rhinoplasty Expert
Beverly Hills, CA 90210

Deepak Raj Dugar, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 19 reviews

Rhinoplasty before and after pictures

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What you should be looking for in rhinoplasty before and after pictures is not   noses that look like yours but differences in the pictures that you find attractive and pleasing.  You are looking for a surgeon that addresses each nose as an aesthetic body image change that is unique to that individual.


Tal Raine MD

Talmage J. Raine, MD, FACS
Chicago Plastic Surgeon
4.6 out of 5 stars 11 reviews

Rhinoplasty photos and choosing your surgeon

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I'm sure you have seen some "bad nose jobs" whether in person or on some minor celebrity.  On the other hand some beautiful noses on the patients you've met or seen on some other celebrities might not have been natural, they were created by a talented rhinoplasty surgeon.

Use the same judgment when reviewing a surgeons before and after photos.  Examine the "after" photo on it's own, see if it is a beautiful natural look, then take a look at the"before " photo and you can see what the surgeon was able to accomplish.  A reputable surgeon should have a wealth of photos of all his successful rhinoplasties.  A surgeon's reputation consists of his body of work, and before and after photos are an important part of that.

Boris M. Ackerman, MD
Newport Beach Plastic Surgeon
4.8 out of 5 stars 60 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.