Does my Nose Look Like a Complicated Rhinoplasty Case? (photo)

I am getting nervous about my surgery next month. I did not expect my doc to need to break my nose (why, I do not know lol), but he is going too. His plan for my nose is to break it, shave down the hump, and basically make my entire nose just a little bit smaller so it is inset more on my face. There will be no septum work and he is doing an open procedure. Does this sound about right and would you say my case is a complicated one?

Doctor Answers 16

Not a Complicated Rhinoplasty Case for an Experience Rhinoplasty Surgeon

Your case seems straightforward for those who do a lot of nasal surgery. For those who don't, any rhinoplasty is considered difficult. It is likely that the breaking of the bones (osteotomies) in your case in your case is to close the "open roof" and prevent and "open roof deformity" which is a flat spot on your bridge after your hump is taken down. Think of your current nose as a large pyramid. After the hump is taken down, it becomes a trapezoid. The bony cuts are then done from the side in order to make a pyramid shape again, but smaller than your current nose.

Good luck with your procedure.

Michael Kim, MD

Portland Facial Plastic Surgeon
4.9 out of 5 stars 39 reviews


The surgery is as complicated as the surgeons experience. A first time rhinoplasty like yours should not be a "complicated" surgery. The more experience the surgeon has the better your chances of getting your desired results.

Michel Siegel, MD
Houston Facial Plastic Surgeon
4.6 out of 5 stars 112 reviews

Complicated Rhinoplasty

I have to answer that no rhinoplasty is simple.  I always counsel the patients very carefully on all of the aspects and plans for their case.  It sounds as though you have a very detailed understanding as well.  Although we only have two views for your pictures, I agree with the plans that have been suggested.

I think you should be reassured that your nose is quite straight, symmetrical, and you appear to have a moderate thickness to your skin.  These are really critical components that increase the success rates for your surgery.

Great question!  Above all, communicate with your doctor.  If you need I am sure your doctor can reassure you of the plans and anticipated outcome.

Todd Hobgood, MD

Todd Christopher Hobgood, MD
Phoenix Facial Plastic Surgeon
4.9 out of 5 stars 53 reviews


It sounds like your surgeon has a good straightforward plan that suits your needs. You will definitely require your nasal bones to be fractured to get the best result. I personally prefer the closed rhinoplasty technique but if your surgeon recommends open in your case, that's fine also. It sounds like your surgeon as advised you well. The breaking of the bones is not that big a deal even though it sounds kind of scary. Good luck.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 27 reviews

Complicated Rhinoplasty? Yes and No

Rhinoplasty surgery is the most complicated of all the facial plastic surgery procedures. With this said, your particular anatomy does not appear overly complicated and your surgeon's plan sounds appropriate. It is critically important that you are comfortable with your decision going in to your surgery. If you need another consultation in order to get there, you should make another appointment to see your surgeon prior to your surgery.

Michael R. Menachof, MD
Greenwood Village Facial Plastic Surgeon
4.4 out of 5 stars 26 reviews

Does my Nose Look Like a Complicated Rhinoplasty Case?

All rhinoplasties are complex operations. In my opinion yours is standard rhinoplasty. But you absolutely need fractures. Best to meet with your chosen surgeon again to FULLY understand the operation. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Does my Nose Look Like a Complicated Rhinoplasty Case? (photo)

For me, EVERY rhinoplasty is a complicated case.  Your surgeon gets a couple of hours to adjust dimensions and configuration of multiple tissues in the middle of your face to improve your appearance for the rest of your life.  The outcome, to some degree, is not exactly predictable because of swelling and tissue changes induced by the surgical event.  There are, however, guidelines, but these must be adapted to your personal needs and to your anatomy.  Only millimeters and fractions of millimeters make the difference between more or less beauty, more or less harmony with your other features, more or less surgically altered appearance, better or worse breathing, etc... you get the idea.  I go in trying to achieve elusive perfection each time, and this is the essence of the challenge.  There can be no complacency in rhinoplasty, and never does the operation become routine, even for the masters.

Steve Laverson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 46 reviews

Standard rhinoplasty involves infracture of the bony nasal base

You would appear to be a good candidate for a rhinoplasty and in infracture of the bony nasal base is a standard portion of the procedure especially with there is a significant reduction in the height of the dorsum of the nose.   If you have questions get them answered before surgery so that you know what to expect.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Planned rhinoplasty

You are a good candidate and the plan you described is pretty standard for a nose like yours.  Good luck.  Donald R. Nunn MD  Atlanta Plastic Surgeon

Donald Nunn, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 47 reviews

Does my Nose Look Like a Complicated Rhinoplasty Case?

        This would certainly not be considered difficult, and the changes you want could be produced without opening the nose.  In this manner, you would have no visible scars and a shorter recovery period.  Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties and rhinoplasty revisions 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

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.