I hate my nose. What do you recommend to improve its shape? (Photos)

There are a number of subtle refinements that could be done with your nose.  You may want to discuss your case with prospective surgeons and see who has an aesthetic eye that matches your sensibilities, and the experience to implement them.  

Scarless Rhinoplasty is absolutely the answer.   This is the approach all celebrities, models and actresses take because there is no external cuts or scarring.  The goal is to refine the nose, not drastically change the nose.  By doing subtle refinements we are able to finesse the sculpt the nose to match your face perfectly.  By doing this via a scarless (closed) approach, there are no external cuts ever on your nose.  This prevents the dreaded complication of external scarring at the base of the nose, which even if rare, if it occurs, is devastating.  Through a scarless approach you can accomplish almost everything needed to be done to the nose with no scarring, less healing time, less bruising, and less swelling.   





Do consult a board certified plastic surgeon who performscarless rhinoplasty as 100% of his/her surgical practice and do hundreds of these procedures a year.  









All the best!

Hello and thank you for your questions and pictures. Communication is the KEY and you have taken the first step. What I do for my patients is have them bring in pictures of noses they like and those they do not like. Both are important! This allows the first step in the communication pathway = allowing me to visualize your concept of what an attractive nose looks like. The next step is to have me do a computer imaging of what "I think" based on our communication, you want your nose to look like. I provide different versions of your expressed desires. Based on this process, you should have a good idea of what can be done and the vision of what your nose will  look like after surgery. The link I provided you below will show you other patients that had similar concerns as you and their before and after pictures. 

Hi thanks to share your concern.you can undergo a closed rhinoplasty which will be less invasive.there will not be a visible scar noted.a tip refinement procedure with addressing the nasal dorsum also   can improve your appearance with other facial features.however  do discuss all your concern  in detail as well the outcome with a board certified rhinoplasty surgeon and then get it done .ALWAYS HAVE A REALISTIC EXPECTATIONS WITH THE SURGICAL OUTCOME.

Thank you very much for sharing your concerns with us.The harmony between facial parts makes us instinctively recognize the beauty... without knowing it, without defining it, just a perception that surprises and captivates us.In this regard, I suggest perform a Closed Rhinoplasty (without visible scars) to treat the tip, base and nasal bridge.With this procedure you get a delicate nose, better harmonize with your other facial features.Respectfully,Dr. Emmanuel Mallol Cotes.-

It appears that you  dislike the projection of your nose. As the tip is brought closer to the face the bridge will appear higher so that really the entire nose must be brought into proper proportion. To get more predictable results I would recommend an open approach which leaves an inconspicuous scar at the lower end of the columella. To find plastic surgeons and facial plastic surgeons who are dedicated and experienced in rhinoplasty visit the Rhinoplasty Society website. There are several well qualified specialists in the Bay Area

A closed rhinoplasty approach can accomplish decreasing the projection of the nose, making some minor adjustments to the tip cartilages and  straightening the midportion of the nose which appears to be asymmetric by making all of the incisions on the inside of the nose. A full set of photographs usually required to make a determination about specific surgical techniques. Osteotomies are used to narrow the bridge line, while spreader grafts can be placed  under the concave upper lateral cartilages. For more information and many examples of noses similar to your own, please see the link below to our before and after closed rhinoplasty photo gallery

Every nose is
different and unique to that individual. If the appearance of your nose
concerns you enough to do something about it, it can be improved with a natural
artistically performed rhinoplasty. What would be the best option and exact
procedure would depend on an in person examination (not just an online
consultation) and discussion about desired outcome. Excellent results can
be achieved with either a closed or open technique.
Keep in mind that following advice from a surgeon on this or any other website
who proposes to tell you exactly what to do and how technically to do
it based on two dimensional photos without examining you, physically
feeling your tissue, assessing your desired outcome, taking a full medical
history and discussing the pros and cons of the operative procedure would not
be in your best interest. Natural appearing results need to be individualized
and what is appropriate for one patient is not necessarily the best for someone
else. I would suggest that you find a surgeon with extensive rhinoplasty
experience certified by the American Board of Plastic Surgery and one who is
ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that
surgeon in person.
Robert Singer, M.D., FACS
La Jolla, California

 

From your description, photos and concerns, a rhinoplasty (either open or closed) may be a good option in your case.  A reduction type of rhinoplasty which can decrease the overall projection of the nose, along with tailoring the nasal tip can be considered.  These options are all surgical procedures and therefore, carry the risks than any surgery does - bleeding, infection, etc.  In most cases this procedure could be preformed in 1 to 2 hours as an out patient procedure.  You would probably need to wear a nasal splint for approximately one week and would need to avoid any nasal trauma for at least 6 weeks.  Seek out a board certified plastic surgeon who has extensive rhinoplasty experience.  Best wishes, Dr. Lepore.

Thank you for your question and photographs.I would recommend scheduling a consultation with a board certified plastic surgeon who specializes in rhinoplasty so that they can perform a nasal examination and give you the best recommendations. The key in Rhinoplasty is finding facial harmony. Based on your photographs, you may benefit from a tip rhinoplasty which includes trimming the lower lateral cartilages and placing precision sutures to refine the tip and make it look more pleasing along with shaving down excess cartilage or bone from the bridge. The combination of the two should help reduce the projection of your nose and shape/size of the tip. I hope this helps. Best of luck in your endeavors!Sincerely,

James Fernau, MD, FACSBoard Certified ENTBoard Certified Plastic SurgeryMember of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science