Rhinoplasty - What Do I Need Done?

I read your concerns and reviewed your photos.

On front view, your nose is a bit on the wide side. You also appear to have thick nasal skin. On profile, your bridge is convex and a bit high. Your tip hangs low and appears to droop with smiling.

The purpose of Rhinoplasty Surgery is to allow your nose to blend in and not distract from your appearance. Based on your description, you may be a good candidate for Rhinoplasty Surgery. You should consult with several reputable rhinoplasty specialists to see what you might expect to see after Rhinoplasty Surgery. Computer-imaging is a routine part of a rhinoplasty consultation in most practices.

I hope this is helpful for you.

Dr. Joseph

See an experienced rhinoplasty surgeon who does natural noses t refine the tip and remove the bump, etc. Make sure you meet with his patients to see his work.
P.S. What a lovely smile!

In my opinion, from these photos, which are not close up, consider lowering bump on top of nose for smooth, feminine profile, refining tip to be slightly smaller, slightly elevated, and more angular.  Would narrow top of nose and base of nose to harmonize with lower nasal profile and smaller tip.  You're very pretty going in, should be captivating once healed!

A bulbous tip is best addressed by dome suturing techniques to narrow, refine and feminize the nasal tip.  A small amount of cartilage will also need to be removed from the tip as well.  This will create a more triangular tip without making the tip pointed.  The small hump can also be removed from the bridge and osteotomies are performed to narrow the sidewalls if needed.  

Hello Kate;

Because of the bump on your nose and a bulbous tip, you are an excellent candidate for rhinoplasty.  These are the usual points of dissatisfaction that are well managed by the traditional rhinoplasty technique. 

If, in fact, the tip drops while smiling and becomes more obvious, that can be corrected also.

In any event, you should consult with an experienced nasal surgeon, and I would suggest having computer imaging to show you what will very likely will be results of your procedure. 

Best wishes.

Robert Kotler, MD, FACS
Author, SECRETS OF A BEVERLY HILLS COSMETIC SURGEON
 

If you were to have rhinoplasty, which is by no means absolutely necessary in your case, then I would focus on a slight tip narrowing and a mild straightening of the bump from the side view. 

If you are clear in you requests with

Consider seeing a surgeon who can provide computerized simulation imaging-- it really helps make sure you and your doctor are thinking about the same type of result.  Best wishes. Dr. Suzman.

Kate,

Your rhinoplasy needs are relatively straight forward.  Your tip is slightly bulbous, maybe more boxy. It's difficult to tell from the pictures, and is really just a technical issue as far as the surgeon is concerned.  Your dorsum has a slight bump and the length may need to be increased with a small graft to the root of your nose (near the bridge).  Your results should be very favorable.  Good luck!

Please send better pictures. In one view you appear to have alar flaring but, in another view you do not /Even consrervative hump removal usually requires lareral osteotomies to close the open roof. This will narrow the bridge an require significant tip refinement

Your photos are not the best, one can not make a good plan from them. The best thing you can do is set up an appointment with a qualified rhinoplastic plastic surgeon and speak to them about what you want done.
 

I would recommend that you consider a subtle reduction of the dorsal hump on the bridge of your nose as well as nasal tip refinement.  This would include narrowing the width of the nose as well as the area just above the nostril crease  on the tip (supraalar region).  Lateral osteotomy would also be beneficial to decrease the overall width of the nose.  This would give you a more refined look and remove your nose as a focal point.  Hope that helps!