Possible for a Nose to Be Too Large for Rhinoplasty?

Is there ever a situation in which a nose may be too big for a rhinoplasty? Would the only solution be to have a revision rhinoplasty some time after the first procedure to progressively reduce the nose after a given amount of time? Thank you very much in advance.

Doctor Answers 11

Large Nose and Rhinoplasty

Large noses are not a contraindication to rhinoplasty.  Actually, may people have a rhinoplasty to make their nose appear smaller.  The most important considerations when performing rhinoplasty on a large nose are 1) making sure the nose enhances the overall appearance of the face  and 2) making sure that the nose can still function properly (breathe). 

Often when a person has an operation to make the nose smaller , also known as reduction rhinoplasty, the structure of the nose can be weakened causing collapse over time.  So, not everyone can have a "small" nose.  The nose can only be reduced to a certain point so that it will retain its support and structural integrity.  Noses that are too small will also give  a very "surgical" look to the face, and will interfere with the enhancement of the other features such as the eyes and cheeks. 

New York Facial Plastic Surgeon
4.4 out of 5 stars 25 reviews

Large nose can be improved with rhinoplasty

No, there is never really a situation where the nose is too big to undergo a rhinoplasty. Even with very large noses there is always improvement that can be done on the tip, bridge, and nasal bones. Having realistic expectations from rhinoplasty and good communication with your surgeon are things to consider prior to undergoing surgery.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Rhinoplasty for Large Nose

Any nose, regardless can be improved with rhinoplasty surgery. Consultation with an experienced surgeon will help establish reasonable expectations. Don't worry about revision surgery before seeing what happens with your primary operation.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Nasal reduction

A rhinoplasty can be performed to reduce the overall nasal size. This is very commonly due to an enlarged dorsal hump or bump on the bridge of the nose.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Your nasal size may be reduced with Rhinoplasty Surgery.

If you'd like to see what you'll look like after Rhinoplasty Surgery, you can consult a qualified Rhinoplasty specialist that performs computer imaging during your consultation.

I don't think your nose would be "too large" for Rhinoplasty Surgery. There just may be limitations to how much smaller you can make it without having a problem.

I hope this is helpful for you.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 418 reviews

Nose is not too large to be improved with a rhinoplasty.

No matter how big the nose is it can be improved greatly with a rhinoplasty. Not only that, but the larger it is the more dramatic the result. The skin may be aq limitation on how small one can make a nose, but shape is a more important consideration.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

Size of Nose Affecting Rhionoplasty

Not all noses are the same size.  While a large nose is not a contraindication to surgery, the patient needs to have realistic expectations.  The surgery is always customized to the patient's anatomy and the same result cannot be achieved in a patient with completely different anatomy.  Good luck with your surgery. 

David Shafer, MD
New York Plastic Surgeon
4.9 out of 5 stars 75 reviews

The bigger the better

There is no such thing as a nose that is too big. The problem could be your expectations - you must be realistic as to the changes that can be delivered.

William B. Rosenblatt, MD
New York Plastic Surgeon
4.2 out of 5 stars 12 reviews

Staging rhinoplasty surgery

It would be unusual to have to stage a rhinoplasty for adequate reduction. Sometimes the thickness of a patient's nasal skin might limit the amount of change that he or she will see after surgery. We generally prefer to work on the nose only once; there is so much scar tissue formed in this region that a secondary surgery is much more challenging. Good luck, /nsn.

Nina S. Naidu, MD, FACS
New York Plastic Surgeon
4.7 out of 5 stars 13 reviews

Nose too big for a Rhinoplasty


Occasionally a patient will have a large nose due to a large amount of skin. Even though the cartilage and bone can be reshaped under the skin, it is almost impossible to remove excess skin. So even if all bone and cartilage was removed ( which it never would be) there is still a excess amount of skin that needs to be dealt with. If its large nostrils, then a good amount of nostril tissue may have to be removed during the first procedure and may also require additional procedures.



Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 272 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.