Are my rhinoplasty goals for a slim, natural nose realistic?

Question

I have a long nose it's over projected, bulbous, fat, and thick skinned. Is my goals achievable I haven't found anyone with a similar nose as mine doing rhinoplasty. I would like to have the frontal view slimmed and match my other features and my profile to bring the tip in because it's like so far away from my face! I don't like the fairy slope noses they look so fake and ugly to me I would like a nice, slim natural nose like my wish pics. Please let me know what I can do.

Jonathan Kulbersh, MD · Answer

It does appear you would be a good candidate for rhinoplasty, based on your photos. Your thicker skin may limit how much tip refinement you can achieve, but I believe you should be able to get a very good result as long as you keep your expectations realistic. Keep in mind that rhinoplasty is the most complex of all plastic surgery procedures. Make sure you work with a board-certified facial plastic surgeon with extensive experience and expertise in rhinoplasty techniques to ensure an optimal outcome.

Gurkan Kayabasoglu, MD · Answer

Hello,
Based on photo you provided, you may benefit from tip refining.
Your goals are achievable in the right hands. Piezo technology, which is the latest, can provide maximal healing and protect your soft tissues.
You need to seek a board certified facial plastic surgeon to achieve the best result.Best regards.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. You may also benefit from a cephalic rotation of your tip to turn up your tip slightly.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system.  You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon.  If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. 
 
Best wishes and good luck.

Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon

Daniel Barrett, MD · Answer

Dear Soccervollyb,
it is hard to tell for sure without an examination. Based on your photos, it looks like your results are achiavable. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Victor Manuel Agudelo, MD · Answer

Hello,With a rhinoplasty, your tip can be narrowed and refined. Based on your pictures your skin seems thick, which partially limits a narrowing result. Your first two ideal nose pictures may be unrealistic, but the third one seems achievable.  Try to book a virtual consultation where you can share additional pictures, have some computer surgical simulations, and get a better advice from your doctor.

Michelle Copeland, MD, DMD · Answer

Thank you for sharing your photos! Although it is difficult to say
without an in-person examination, you should be a good candidate for a
rhinoplasty. The nose is an extension of the face, the first thing one sees –
but not the first thing one should notice. That honor goes to the eyes. If a
nose is out of proportion with the midface, we can correct this and return
attention to the eyes. Cosmetic nose problems we most commonly correct are an
unsightly or crooked hump (dorsum), a nose sagging from old age, and a bulbous
or shape-less tip that needs refining.
A nose should fit your facial features, skin tone, ethnicity, and even height, and a good surgeon will work with you to arrive at the optimally harmonious look. But many surgeons have a favorite style: the ski jump, the pug, the narrow bridge, etc. When interviewing doctors, be sure to ask to see their work. Have them show youphotographs or computer images, or point out any nurses or other staff who havehad a nose job done by them. If you see that each nose is an exact replica ofthe next, be wary: you want a nose that pleases you, not just your surgeon. Isuggest making an appointment with a board-certified plastic surgeon forconsultation to discuss your options.

Kailash Narasimhan, MD · Answer

The goals of rhinoplasty should always be to have a very natural looking shaped nose. I think a procedure that could slim and refine your nose would be best. This is done and all elements of your nose, including the bridge and the tip of the nose. Please consult a plastic surgeon who specializes in rhinoplastyKailash Narasimhan, MDTampa Bay plastic surgeon