What would you recommend for a rhinoplasty on my wide/flat Asian nose? (photos)

Question

Female, born 6/19/98, 93 pounds, 4’11”, dry skin with acne I am interested in having a rhinoplasty. I am 50% Korean, 25% Chinese, and 25% white. My nose hooks down when I smile, the front view is wide, and curves from the side view (with and without smiling). The nose hooking down bothers me but I don’t want it pushed too high like a “pig” nose.

Jonathan Kulbersh, MD · Answer

Thank you for the photos and question. These images show you may be a good candidate for rhinoplasty. The surgery can help refine the nasal bridge, fix a wide tip and nostrils, and augment nasal projection while preserving your Asian features.

A proper evaluation is still best. I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon with expertise in Asian rhinoplasty. They will be able to assess your nose and determine the best plan to achieve your desired results.

Bora Ok, MD · Answer

Hello from Istanbul, Turkey! Based on your description, you seem to be an ideal candidate for Asian rhinoplasty. The two most notable features of your nose are the lack of definition in the bridge area and the bulbous tip, paired with wide nostrils that curve downward. Using a rib cartilage graft, the necessary support can be provided to sculpt a more defined nasal bridge. Tip plasty and alarplasty can refine the tip, narrow the nostril base, and enhance its shape to better suit your features.
I fully understand your concern about the potential "pig nose" outcome. However, it's entirely possible to craft a nose that looks natural, neither overdone nor overly pushed up. Thick-skinned rhinoplasty patients, like yourself, indeed present a distinct set of challenges throughout the surgical process. However, this is precisely our specialty. With advanced techniques tailored for thick-skinned patients, it is possible to sculpt a nose that not only complements your profile but also respects your ethnic heritage. I would recommend an in-person consultation for a more comprehensive evaluation. Wishing you all the best on your journey!

Jacob Tower, MD · Answer

Hello, hope you are well! Based on the photos you provided, the most noticeable feature of your nose is the lower third / tip complex. The tip itself is relatively amorphous, and as you have pointed out it appears to point downward. The nasal base is relatively wide, and your radix (the lowest point of the bridge of the nose), between the eyes, is relatively deep set. So in general, you want to add shape and structure to the nose. With rhinoplasty, this can be done by increasing tip definition and rotation, and I would suggest a conservative radix/high dorsal augmentation, and possible alarplasty to reduce width of the base of the nose. Those suggestions sometimes change when meeting in-person based on examination (photos that are not standardized can distort the appearance of the nose and be somewhat misleading). Of course all modifications are customizable, and you would discuss with your surgeon preoperatively to make sure you are in agreement about any proposed changes.

Man Koon Suh, MD · Answer

The tip of your nose shows drooping, which is presumed to be worse when smiling. The drooping can be corrected by nasal tip projection surgery, which is possible through a columellar strut graft or septal extension graft. Don't worry about becoming a piggy nose. It is possible to make a natural and pretty shape.
However, one disadvantage is that the tip skin is thick and heavy, so it is necessary to use a sufficiently strong cartilage graft. To do this, it is necessary to compare which cartilage is stronger between ear cartilage and nasal septum cartilage, and depending on the condition, the use of rib cartilage may be necessary, but the possibility is not high.
For the correction of bulbousness of the tip, debulking of the fat tissue and alar cartilage realignment will be required.
Even if you didn't mention a wide nasal bony base, but osteotomy can be used to transform it into a slimmer and more defined nasal bridge if you're interested.

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have a wide nose on front view with a bulbous droopy tip and flaring nostrils. On profile, your tip droops, and you have a "polybeak".Depending on your examination, Rhinoplasty surgery may be considered for achieving significant narrowing of your nose on front view, with tip lift and dorsal lowering on profile for a less distracting and more feminine nasal appearance. Consider consulting with several reputable rhinoplasty specialists that offer computer Imaging so you could see what might be best for you moving forward. Hope this helps! Dr Joseph

What would you recommend for a rhinoplasty on my wide/flat Asian nose? (photos)

Answers (6)

Answer: I can recommend a couple of steps for the nose you want.

Answer: I can recommend a couple of steps for the nose you want.

Answer: Rhinoplasty surgery may be helpful for achieving a less distracting nasal appearance.

Answer: Rhinoplasty surgery may be helpful for achieving a less distracting nasal appearance.

Recommended reading

Everything you need to know about Asian Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

What would you recommend for a rhinoplasty on my wide/flat Asian nose? (photos)

Answers (6)

Answer: I can recommend a couple of steps for the nose you want.

Answer: I can recommend a couple of steps for the nose you want.

Answer: Rhinoplasty surgery may be helpful for achieving a less distracting nasal appearance.

Answer: Rhinoplasty surgery may be helpful for achieving a less distracting nasal appearance.

Browse related questions

Recommended reading

Everything you need to know about Asian Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.