What can be done to my nose? (Photo)

Question

I don't like my side profile and bulbous look What can it be done. I am just scared to look like Michael Jackson if I go for a nose job.

Steven M. Denenberg, MD · Answer

Don't worry about Michael. You protect against that by selecting your surgeon well.
What I see for your nose is to narrow the tip and bridge, lower the bump on the bridge, elevate the tip, and bring the tip and entire nose back closer to your face, helping to make it less prominent. That last movement is called "deprojecting" the nose.

How *much* to elevate or narrow the tip, or deproject the nose, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

Bora Ok, MD · Answer

Hi from Istanbul! Several techniques can refine your nose's appearance, focusing on enhancing the tip's shape and structure, which appears to be a key concern for you. By employing cartilage stitching and support techniques, the cartilages can be refined to be narrower and more defined. Osteotomies could slim the nasal bones, and alarplasty can improve nostril shape. A well-executed rhinoplasty aims to deliver a natural, proportionate look that harmonizes with your facial features. Choosing an experienced surgeon whose aesthetic vision matches yours is crucial to avoiding an overdone appearance. You can definitely have the type of nose you describe without looking like Michael Jackson. Hope this helps!

Donald Groves, MD · Answer

Hello and thank you for your question and the pictures. Addressing the shape of your nose (especially the bridge and nasal tip) is actually one of the most common reasons people seek out and undergo a rhinoplasty. An open septorhinoplasty can best address both your aesthetic concerns and any functional issues with your nose. I would be able to adjust the size, shape, and definition of your nose (particularly the bridge and tip)! I'd be able to give you a nose that perfectly balances and naturally fits your face!

This truly is a surgery of millimeters- and whether you're looking for a minor adjustment or a major transformation, it requires exceptional surgical skill to achieve functional and natural-looking results! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading rhinoplasty experts (who performs 1,000+ nosejobs annually).

I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have a wide nasal appearance in your bridge and tip and a droopy tip on profile and a small dorsal hump. These issues may be addressed with well-performed rhinoplasty surgery. Please consider meeting with several reputable rhinoplasty specialists who offer computer Imaging so you could see what to expect after surgery. In our experience, people's three biggest fears are that they do not want to look like somebody else, do not want to look like Michael Jackson, or do not want to look like they've had previous nasal surgery. If you choose your surgeon wisely, none of these outcomes should happen. Wishing you well! Sincerely, Dr Joseph

Gary M. Horndeski, MD · Answer

You are a candidate for a rhinoplasty.  You need to raise the nose-lip angle to 110 degrees, refine the tip as it is too bulbous and straighten the dorsum because it has irregular contour.

Best Wishes,

Gary Horndeski, M.D.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. You are an excellent candidate for rhinoplasty, I think it is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can see from your photos your nose is a bulbous tip for get rid of this image I recommend you rhinoplasty surgery when the operation is performed with the right surgeon, there is no need to be afraid of the operation.
It would be better face to face consultation.
Best regards!

Shabnam Ghazizadeh, MD · Answer

Hi @marieRA, I am a facial plastic surgeon and rhinoplasty specialist. You would likely be a good candidate for a rhinoplasty and possible alar reduction. I recommend a consultation with a facial plastic surgeon who is a rhinoplasty specialist. Best of luck, Dr. Ghazizadeh

Cengizhan Ekizceli, MD · Answer

Hello, thank you for your question, we suggest to do a rhinoplasty
If you want to check the doctor's Instagram page, I added the link, you can take a look and have an idea about the surgery.
We can offer you a virtual consultation for a better evaluation, please send us your full name and phone number on our email: hi@estherianclinic.com. We will contact you as soon as possible.
Hope it helped!

Robert Ciardullo, MD · Answer

Are you a candidate for a Rhinoplasty? as you correctly point out, you have a dorsal hump and bulbous nasal tip. These are routinely addressed during a standard rhinoplasty. It would take a lot of surgery and a very deliberate effort to get a nasal tip anything like Michael Jackson. Frankly, the opposite is true. People with very bulbous tips, particularly if the skin is somewhat thick, Will tend to get softer tips with less definition which are less “pointy“ than they sometimes would like.

What can be done to my nose? (Photo)

Answers (16)

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