What can be done to my nose without it resulting in a Michael Jackson after surgery nose?

Thank you for your question and sharing your photographs.

In general, selfie photographs produce a significant amount of distortion and they are not easy to use as a baseline for simulations. Photographs taken in more precise conditions can help with the decision factor.

The fullness of the nostril may be one of the reasons why you find that simulations do not produce any effect that you like. It can be addressed but only moderately.

Rhinoplasty surgery may be a suitable way forward for you if you can identify a target shape that makes you feel comfortable. Consultation with surgeons that offer computer imaging and simulations is likely to be our best way forward.

Hi @ib2023! I recommend seeing an expert rhinoplasty specialist for an in person examination. There are several options for you that can be determined after examination. A rhinoplasty in my opinion is one of the most difficult procedures to perform. I utilize piezo surgery in my practice. Piezo surgery is a more gentle technique that allows for greater precision. Less bruising and swelling is common with Piezo surgery. In a typical rhinoplasty, a hammer and chisel technique is performed leading to more inadvertent fractures. Best of luck, Dr. Nima!