Rhinoplasty - what would you do to improve my nose? (Photos)

It is hard to plan a rhinoplasty appearance based on only the two photos you sent. In general, the bridge looks ok, and maybe the tip is a little wide. The tip can be narrowed a little bit to decrease the roundness of the tip, and that should look good. Be sure to see a rhinoplasty specialist to make sure all of your issues are addressed.

You appear to have medium skin thickness, which is typically what we consider ideal for Rhinoplasty. Regarding cosmetic possibilities, this nose could be improved with refinement of the bridge, refinement of the tip (without aggressive narrowing), and lifting of the somewhat hanging infratip and columella. With only 2 frontal views it would be hard to say much more as other views would be required.

Your nose already has a delicate and natural appearance, so I would be careful not to over-treat it. From these photos, the main points I would assess in consultation are the width of the nasal bones, the definition of the tip, and how the nose balances with the rest of the face.
If you wanted refinement, a conservative rhinoplasty could possibly make the bridge slightly narrower and the tip a little more defined, but the goal should not be to create a very small or artificial-looking nose. In faces with soft, natural features, excessive narrowing or over-rotation can easily look operated.
The most important part is a proper in-person examination, because photos from the front alone are not enough. We would also need side-view and three-quarter photos, and we need to assess breathing, skin thickness, cartilage strength, and facial proportions. Sometimes the best advice is minimal change rather than a dramatic operation.
In your case, I would recommend a very conservative approach: preserve the natural character of the nose, improve only the areas that genuinely disturb you, and avoid making the nose too small for your face.

Obviously the answer to this question should be what bothers you about your nose. However, without that information and also without a good profile picture, it does appear that in the photograph the nose is somewhat out of proportion in larger relative to the face. Do remember when taking photographs with a cell phone, it does tend to enlarge the center part of the photo relative to the outer parts of the photo. This can make a nose look a bit larger. I'm not sure if these photos are from a cell phone or a portrait camera. But assuming it is a good representation, the nose does appear somewhat wide especially at the tip region. I cannot comment on the upper part of the nose without a profile photo. But the tip does appear full and could benefit from more definition. This could mean utilizing stitches in the cartilage that form the tip of the nose to narrow it a bit along with very judicious trimming of cartilage. This could create a more defined tip and could also elevate somewhat the lower part of the tip. The upper half of the nose does appear relatively slender although this would need to be confirmed with a physical exam. But I think reducing and defining the tip would bring this nose into better proportion.

I can tell you the four buckets I sort patients into when they ask "what would you do." Dorsum (bump, scoop, width). Tip (bulbous, droopy, asymmetric, undefined). Base (nostril width, sill flare, columellar show). Profile and projection. Most patients need work in two of those four, not all four.

#StayBeautiful,

@RealDrWorldWide

Based on your photos, your nose is already well balanced with your face, so any improvement would be subtle and refinement-focused, not dramatic.
If you’re looking to enhance it, the most common considerations would be:
Gentle bridge narrowing to refine the front view
Tip refinement to create a slightly more defined, delicate tip
Minor nostril/alar base adjustment only if width from the front truly bothers you
The goal would be to keep your natural shape and character, just create a smaller, more refined version that still looks like you.
The exact approach depends on your cartilage structure, skin thickness, and how much change you actually want, which can only be determined during an in-person exam. I’d recommend consulting with a qualified, board-certified plastic surgeon experienced in rhinoplasty to review your goals and confirm what’s realistic and appropriate.
Good luck!

When I see patients in consultation for a rhinoplasty, I always want to hear from them first, what bothers them about their nose, having them itemize their concerns. I will then examine them and talk about options. Since I haven't heard from you what bothers you, I can only share my observations based on the two pictures you submitted. A profile view would be helpful. Given what you have provided, your nose looks pretty good but perhaps the nasal tip could be made a bit more refined with a rhinoplasty.

You might not think about this, but the face is a collection of harmony of the sum of its parts. Your nasal appearance is actually influenced by the skin folds of your medial eye, called epicanthal folds, and can be treated with and medial epicanthoplasty.

Based on these photos you seem to be a candidate for rhinoplasty. It would be difficult to give you a more detailed advice without in person consultation. Good luck.

Tip looks a bit bulbous. It can be achieved by using cartilage tensioning techniques and some tip grafts like shield graft. It makes more defined and feminen.Bests