Follow-up: Can I achieve smaller/more feminine nose with a NSNJ or do I need rhinoplasty? If so, which type of rhino? (photos)

Hello I would be happy to reply to your question. In order to approach the appearance that you are seeking to achieve, you would require a full rhinoplasty. Fillers can be very dramatic and useful in some noses, but with your nasal tip will only accentuate the fullness and will not reliably give you the definition that you are looking for in your nasal tip. I don't believe that a tip rhinoplasty will be adequate either. Your nasal sidewalls are quite wide, and you would have to narrow your nasal dorsum as well in order to refine the area of the nose above the tip. It doesn't really matter as much if you have an open or closed rhinoplasty, what matters is the experience and comfort level of the surgeons doing the operation that he/she feels most comfortable with. As far as pain is concerned - while there is always some pain involved in ay surgical procedures, most patients state that this is a surprisingly tolerable operation. I suspect you will do just fine, and in the end the result will hopefully make the discomfort seem well worth it. Best of luck!

Hello Beatriz and thank you for
your question.  Although an exam in person is ideal, from your photographs
alone it appears that you can benefit from a tip rhinoplasty where the nasal
tip cartilage is modified for a more refined, feminine, and more rotated appearance.  If your septum is deviated and you have breathing difficulty, a septoplasty may
benefit you as well.  A filler would increase the volume of the nose to help camouflage some prominent features, but would not refine the nose as in your goal photos.  The next step for
you is to find the right aesthetic plastic surgeon.  In your
rhinoplasty consultation, be sure your surgeon addresses all your aesthetic goals
and concerns specifically, and discusses the surgery details including the
position and size of the incisions used (with actual photographs and not just
digital animations), the risks and benefits of the procedure, recovery time,
and post-operative course.  Also, be sure to see plenty of
before-and-after pictures in women who have a similar nose appearance to yours,
and preferably at different time frames (3 weeks out, 3 months out, etc) to
more accurately predict your own surgical outcome.
After seeking out a
board-certified plastic surgeon who specializes in aesthetic plastic surgery, I
think the most important component of the consultation is to establish a good
connection with your plastic surgeon.  It’s the connection that allows you
to clearly define your desired nose outcome goals, the first step of this whole
process. If you don’t feel you have a good connection with your plastic surgeon
after your consultation, he/she may not be the best surgeon for you.
For more information on
rhinoplasty, please refer to the link below.
Good luck.
Mark K Markarian, MD, MSPH, FACS
Harvard-trained Board Certified Aesthetic
Plastic Surgeon

   Non-surgical rhinoplasty will not make the nose smaller nor refine and lift the tip.  A surgical rhinoplasty is able to accomplish these goals.  An in-person consultation is the best way to discuss your goals and receive realistic expectations about what can be achieved.  Best wishes.