Rhinoplasty to Improve Front View of Nose?

Your nose also has a slight septal deviation with mild indentation on the right. Acheiving the nose you desire should be a somewhat reasonable goal. It likely will require a graft to the tip as well as alar base reductions and a cinching suture to minimize lateral displacement with smiling and animation.

A “done” look is not necessary, even when rather extensive work is done on the nose, when performed by a skilled and aesthetic-eyed surgeon. So many maneuvers in rhinoplasty are connected: strengthening of the columella (that midline portion on the bottom of the nose that divides the 2 nostrils) complements the refining of the tip, which also prevents dropping of the tip on smiling. This dropping can be further reduced by cutting what is called the “depressor septi” muscle which serves no other purpose than to pull down the tip, especially one that is weak, upon smiling. All this is further complemented by nostril narrowing.