Refine nasal tip, fix breathing, mini osteotomy. Will these changes look drastic? (photo)

You seem to have well developed plan; discussion with your surgeon should cover all concerns. Chin augmentation should be considered as an option. Good luck.

Thank you for your question and for sharing your photographs.

The treatment plan proposed by your surgeon appears very sensible. If the procedure focuses on conservative refinements, it is unlikely that you would perceive the outcome as over-corrected. The computer simulations also support this approach, indicating a natural and balanced result.

With subtle changes of this nature, most people find that their peers and colleagues do not notice a significant difference, even when comparing before-and-after photographs.

I agree that you are a good candidate for some minor changes in your nose. The same as you describe. Selection of the right surgeon is always the most important factor in achieving the result you want. It appears you are comfortable with your choice. Best wishes!

Hello and thank you for your question. Based on your photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. With good surgical technique, you could have an outstanding result.

I highly recommend that my patients focus much more on real longterm before and after photographs rather than 3D imaging.   I encounter so many patients in my practice who see me for revision rhinoplasty who previously had surgery elsewhere who feel like they were mislead into surgery by surgeons who relied heavily on 3D imaging without adequate real before and after pictures to back it up. Photoshop is easy but real surgery is very different.

I always recommend that you carefully evaluate your surgeon’s online before and after gallery on their website for both quality and quantity of results. Make sure that there are hundreds of real before and after pictures which demonstrate long-term follow up results. If your surgeon is posting mostly on table results without real long-term follow up results, that is usually a major red flag. If a surgeon is posting mostly just splint removal day videos without longterm follow-up pictures, that can also be a red flag. Long-term results are much more meaningful than on table results or 1 week post-op results. Selfie’s can also be fun to look at, but these can often have a filter and do not represent true longterm results because of this and are not as valuable as real longterm in-office before and after photographs on your surgeon’s website.

I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

It is very important that you and your surgeon are on the same page, before having surgery. Based on the single frontal photo that you posted, you appear to have a relatively pleasing nasal appearance, therefore, it is difficult to advise what might look good. Please consider re-asking your question with multiple photos, and with the morphed images that you spoke about in your narrative. Thanks a lot. Sincerely, Dr Joseph

A closed rhinoplasty approach can accomplish shaving down the dorsal hump, reduction of your hanging columella, refinement to the nasal tip cartilages, and osteotomy placed in the nasal bones to narrow the bridge line and close the open roof that's created from the hump removal itself. All of the incisions are placed on the inside of the nose, and there's no external incisions needed, and no painful packing required either. An Alar plasty is performed to narrow wide nostrils, not lower them. Functional surgery, such as a Septoplasty and turbinate surgery can also be performed simultaneously on the inside of the nose for improvement of airflow dynamics. Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so choose your surgeon wisely based on extensive experience producing natural results.

Hello I am Dr Diana MárquezDo you have photos from your side view ?It seems to me you have a very nice nose.I hope you can solve your breathing problems