My nose is too long for my face and it sticks out too far. What Changes Can Be Made to my Nose to Make It Proportional? (photo)

Question

My nose is too long for my face and it sticks out too far. I don't have a problem of how I look from a front view but I hate the way I look from the side. I actually have a consultation for rhinoplasty next month in July. Some professional opinions of what changes could be made to my nose will give me an idea of what I should hear from my doctor when I have my consultation with him.

Michael A. Persky, MD · Answer

Hi Victoria,

	You are very pretty.  Your nose is a little large for your face and distracts focus away from your eyes..  The goal of rhinoplasty should be to get your nose out of the way of your other facial features, particularly your eyes.

	Your nasal tip should be refined and made smaller.  The middle third of your nose is narrow and should be made 1-2 millimeters with spreader grafts.  Your profile should be lowered as well. Given how narrow the upper 2/3 of your nose is, you may not require osteotomies (breaking the nasal bones).  Choose your rhinoplasty surgeon (board certified in Facial Plastic Surgery or Plastic Surgery specializing in rhinoplasty) most carefully.  Good luck and be well.

	Michael Persky, MD

	Encino, CA

Ronald J. Edelson, MD · Answer

I agree that you are a good candidate for a rhinoplasty. Go on a few consults. The most important decision you will make is the selection of the right surgeon for you. Ask to see photos of noses similar to yours. Your nose basically needs to be made smaller to be more proportional to your other facial features. Good luck!

Toby Mayer, MD · Answer

The most important issue in my 35 years of revision rhinoplasty is that your nose not be overdone-no scoops, pinching or pig noses. Conservative removal of your hump with possible tip refinement. Look at b /a photos and the surgeon's live patients he has done.

Kenneth Hughes, MD · Answer

The dorsum can be reduced to give a nicer profile. Whether or not the nose should be deprojected or shortened needs to be determined during the consultation after discussing goals. Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA

Vincent N. Zubowicz, MD · Answer

The photograph demonstrates an attractive face with modest aesthetic problems of the nose covered by thin skin. You should expect an excellent result from a rhinoplasty. Video imaging will give your surgeon a good idea of how you want to look postoperative.

Barry L. Eppley, MD, DMD · Answer

A rhinoplasty would be beneficial for your nose which is a little large for your face. Even though your nose is large, it does not need a drastic rhinoplasty to make a big difference and you have to be careful to not get an overdone rhinoplasty that will end up causing problems later. A mild hump and dorsal line reduction with tip deprojection should do just fine. Computer imaging will be very beneficial for you to see what realistic changes can be done for your nose.

Darryl J. Blinski, MD · Answer

We would all like to help but via the internet and especially with very under exposed posted photos very hard to advise. Seek a few IN PERSON consultations

Mohsen Tavoussi, MD, DO · Answer

A chin implant will complement tip refinement as well as dorsum reduction. Recommend looking at before and after photos of patients who have had a similar shape to yours. If you liked the result, then yours will likely be similar.

William Portuese, MD · Answer

Rhinoplasty for the overly projecting nose involves shaving down overly projected cartilage and bone along the dorsum. To prevent an open roof deformity osteotomies will also be required. Sometimes minor tip adjustments may be necessary. If the tip droops upon smiling, then the depressor septi ligament should be released. Virtual rhinoplasty software is available on our website to give yourself an idea of what you might look like after the rhinoplasty procedure. A closed rhinoplasty approach can accomplish your goals by making all incisions on the inside of the nose. See the link below for examples of overly-projected noses we have treated in our practice

Paul S. Howard, MD · Answer

You have a pretty face with delicate facial bones and you need a new nose that fits your attractive features. You have thin skin which can be blessing or a curse depending on the skill of the Board Certified Plastic Surgeon you choose. You need to be fully involved in the decision making process; show pictures of noses you find attractive, be involved in your digital computer imaging and most importantly talk with your surgeon. Open, honest communication and trust will make your rhinoplasty experience comfortable and rewarding.

My nose is too long for my face and it sticks out too far. What Changes Can Be Made to my Nose to Make It Proportional? (photo)

Answers (13)

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