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

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.