Have had my nose broken twice and had a septoplasty, turbinoplasty before I was a teen. Suggestions? (photos)

From your photos, you appear to be a great candidate for rhinoplasty. The tip can be lifted and refined, and your nose shortened, while improving bridge irregularities at the same time. Be sure to see a rhinoplasty expert for consultation

Hello and thank you for your question and the pictures. Addressing a crooked or imbalanced nose (especially if you have a history of nasal trauma) is actually one of the most common reasons people seek out and undergo a rhinoplasty. An open rhinoplasty can best address both your aesthetic concerns and any functional issues with your nose. I would be able to maintain / improve your breathing, straighten your nose, and also adjust the size, shape, and definition of your nose (especially the tip)!

This truly a surgery of millimeters- and whether you're looking for a minor adjustment or a major transformation, it requires exceptional surgical skill to achieve functional and natural-looking results! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading rhinoplasty experts (who performs 1,000+ nosejobs annually).

I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Based on your photos, you appear to have a somewhat wide nasal appearance and a droopy nasal tip. Your previous septoplasty is an issue since we tend to utilize cartilage grafts to support a nasal tip, and this material may not be available from your nasal septum. In that regard, you may require ear cartilage or cartilage from a tissue bank to reconstruct your nose. Please consider meeting with several reputable rhinoplasty specialists so you can see what might be best for you moving forward. Thank you for your question. Sincerely, Dr Joseph

What I see is the wide tip, and the wide bridge, and that, as you mentioned, the tip droops and could be elevated. At the same time, attention would be paid to maximizing the airway. Would need to see inside the nose to know what's going on in there.


How *much* to elevate the tip, or narrow the tip or bridge, and what to do with the profile, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

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. 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.

Though the photos that you have provided are good ones, I think that to fully understand the areas of your nose that you are most concerned with and especially to evaluate the function of your nose, which you are equally concerned with, standardized photos for a virtual consult and perhaps and in person consultation may be a good alternative for you.

Hello and thank you for your question. Based on your photographs, you may benefit from a rhinoplasty and functional septoplasty. These can be safely performed at the same time. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

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

You will probably need another rhinoplasty. The tip is too bulbous and the nasal columella angle needs to be improved upon. You need to have a physical examination and that will determine if you need a septoplasty is needed as well.

Best Wishes,

Gary Horndeski, M.D.

Rhinoplasty is most challenging procedure in plastic surgery and require significant experience and expertise. There are surgeons who perform only rhinoplasty. You should look for an experienced board certified plastic or ent surgeon with good reputation in rhinoplasty. Hope this helps.

A closed rhinoplasty can accomplish improvement of your nose, such as refinement of the nasal tip, shaving down the dorsal hump, and straightening the nose. All the incisions are placed on the inside of the nose, and there's no painful packing required. Thick skin in the tip of the nose is going to prevent refinement in that area, so it's important to have realistic expectations. Digital computer imaging of your nose upon your facial features would also be helpful to understand what can and cannot be accomplished with the procedure. 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.

Based on your nicely posted photos, I would recommend a virtual consultation for more details but in my opinion, you need a full rhinoplasty with a hump and tip revision and also to maintain functionality of the breathing process. Fee from $10,000-$20,000 depending on location of surgery. Best of virtual consult with.