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

Question

Thank you for answering my question! I want a smaller nose with a pointy tip and want to know if I can achieve this with a NSNJ or if I need rhinoplasty. I live between the Boston and Miami area. If I need rhinoplasty, which type would be the best to achieve the results I want? I attached photos of what I’m looking for. I have a low pain threshold and have never undergone surgery.

Robert Galiano, MD · Answer

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!

Mark K. Markarian, MD, MSPH, FACS · Answer

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

A. Joshua Zimm, MD · Answer

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.

Jeffrey H. Spiegel, MD · Answer

Non surgical adds volume. You can add fillers to areas that are deficient. Sometimes, such as with a bump, we can make a nose look smaller by an illusion.  Overall, you want actual surgery.  Watch our video to learn more.JS

Waleed Ezzat, MD, FACS · Answer

Non-surgical procedures use fillers to add volume to the nose - which, in your case, is something that you do not want.  You are more likely to benefit from a rhinoplasty were the tip is refined and lifted.  There are several factors that will affect how narrow you can get the nose, such as the thickness of the skin and the strength of the cartilages on your tip.  If you are considering rhinoplasty, then I would seek out a board certified specialist with extensive experience in rhinoplasty.Good luck!Dr. E

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs and goals, a surgical rhinoplasty will be the best option to obtain a refined and uplifted nose. You may benefit from a tip refining rhinoplasty and a cephalic rotation of your tip to turn up your tip slightly. A nonsurgical rhinoplasty would only add volume to your nose and not accomplish the type of result in your goal pictures. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon.Best wishes and good luck.

Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon

Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon

William Portuese, MD · Answer

A non-surgical rhinoplasty involves placement of fillers in the nose to make  the nose bigger, not smaller, and only on a temporary basis.  A closed rhinoplasty approach can accomplish making the nose smaller, and lifting the  nasal tip.  For many examples of closed rhinoplasty, please see the link and the video below

Robert L. Kraft, MD, FACS · Answer

To correct your nose, a surgical procedure would be required. Fillers cannot slim or shorten the nose and are used to fill nasal deformities such as a ski nose. I can understand your trepidation about surgery. The best way to allay your fears is to discuss the procedure in detail with a board certified plastic surgeon who can explain the techniques and goals to you.

Harry V. Wright, MD · Answer

In my opinion the only way to achieve your goals is with a surgical rhinoplasty. I do not think that there are any nonsurgical options that would be satisfactory to you.

If your nose is a distraction to you when you look in the mirror, or when you see yourself in photos and you find that it's a source of concern for you, than you have realistic motivations for rhinoplasty. Do your homework and seek out a consultation with a Board-Certified Facial Plastic or General Plastic Surgeon who has experience with rhinoplasty.Best wishes!  Harry V. Wright MD, Sarasota, Florida

Michael Elam, MD (retired) · Answer

You would benefit from a rhinoplasty procedure to address your bulbous drooping tip. I would not suggest fillers in the nose as they would not address your concerns and many surgeons like myself do not agree with these as a treatment plan when surgery is required. A non surgical nose job would actually add volume to your nose and would go against your desired results. Seek consultations with experts in the field and have imaging performed to show you the changes rhinoplasty would provide for you. Once a desired nose is agreed upon the surgeon will quote you a fee. These fees will vary from surgeon to surgeon. Review the surgeons before and after photographs to ensure expertise. See examples in the link and video below. Best regards, Michael V. Elam, M.D.

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

Answers (10)

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