Rhinoplasty, Septoplasty and Turbinate reduction (Photo)

Question

Hi, I have moderate breathing issues due to my deviated septum and I get chronic bloody noses due when I clean my nostrils due to the buildup of debris in my nose. Also, my nose is a bit oversized for my face and is moderately asymmetrical as well. My face and hairline are also asymmetrical so I understand that I may need to lower my expectations for a symmetrical correction but I'd like to see what I can get. So, I'm looking for a good doctor who can fix my septum and make my nose smaller.

Steven M. Denenberg, MD · Answer

You don't have a prominently droopy tip. You don't have a prominently over-projecting nose, so those two corrections, commonly done to make a nose look smaller, would have to be modest in extent: a *small* elevation of the tip and a *small* deprojection, maybe. You have a dorsal bump that I see, but lowering your bridge too much would give your nose a feminine appearance, especially with your tall face, so that part of the operation has to be conservative as well. There could possibly be some narrowing from the front, but there, too, only a small amount. Your expectations for a rhinoplasty must be a small change, not because a large change isn't possible, but because it's probably not advisable.
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.

Lane Smith, MD · Answer

Every single person on this planet is a little asymmetric so don’t beat yourself up over it. You definitely appear to be a great rhinoplasty candidate, one would have to examine your nose to advise you about septoplasty but it sounds like you would definitely benefit from one. If you would like to be seen here at Smith Plastic Surgery, feel free to call our office at 702-838-7055. We can meticulously go over your goals and provide an image of what is physically possible to achieve to help you better make a decision.

Eric M. Joseph, MD · Answer

If you have chronic nasal obstruction from a deviated nasal septum, and if you're displeased with the appearance of your nose, please consider visiting several reputable rhinoplasty specialists who offer computer Imaging so you could see what to expect after surgery. I hope this is helpful! Sincerely, Dr Joseph

Gary M. Horndeski, MD · Answer

In your photographs, your nose appears large. However, you have a beard and it would be nice to see what you chin looks like. It is possible that chin augmentation with implant would balance your face more. Remember, if we reduce your nose and size, you will reduce the nostrils as well. If you are having problems breathing, this will make the situation worse. Certainly, a septoplasty, cosmetic rhinoplasty and turbinates can be dealt with in one surgery by most surgeons.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Oakley Smith, MD, FRCSC · Answer

Hi , in many cases rhinoplasty will be done along correction of the nasal septum and reduction of the inferior turbinate. It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery process.

Ronald J. Edelson, MD · Answer

You appear to be an excellent candidate fir rhinoplasty. Finding a good and experienced rhinoplasty surgeon is the most important factor in getting a good result. Good luck!

Pasha Mostofi, MD, DMD · Answer

Hello Steve, 
The truth of the matter is everyone's face is somewhat asymmetrical. I like to say the right amount of "imperfection" gives you perfection. Addressing a deviated septum shouldn't be an issue, and your nose can be reduced in size. Specifically, I see you have a moderate dorsal hump and a wide nasal bridge, which can both be reduced. And for the record, you're actually quite symmetrical! Having realistic expectations of what can and cannot be done when it comes to any cosmetic procedure is important so you can assess if your personal aesthetic goals with surgery align with what can be done. Please let me know if you have any questions!

Andrew Kornstein, MD, FACS · Answer

There are two separate issues: aesthetics and function.
Aesthetically you have a strong masculine nose, slightly large, however against a background of weak(sunken) cheeks, temple and forehead. These issues will all progress with age. 
Furthermore, what if your nose loses the strong definition it now has? 
Another alternative is to do fat grafts to the cheeks, temple and forehead in the operating room that will last 10-15 years based on 25+ years experience while enhancing skeletal blood supply and slowing bone aging. This can be done in combination with a functional rhinoplasty. There is a medical publication on this very topic.
Hope this helps

Robert Ciardullo, MD · Answer

Your nose and septum: you appear to have a large nose which is somewhat long and over projecting for your face. If you also have a deviated septum, it is common to address this along with the rhinoplasty. The combined procedure is referred to as a septoRhinoplasty and is a large percentage of most nasal specialists surgical practice.

Hakan Demir, MD · Answer

according to your pictures and breathing problems ,firstly your septum deviation should be corrected and turbinates reduction should be done.That time your breathing problems and crusting in nose will be reduced or disappeared (ıf crusting due  to perforated septum or any other reasons ,this treatment will not result). Also your nose could be reduced and hump could be corrected. Dr.Hakan Demir in Antalya in Turkey