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Yes. Likely need open rhinoplasty with rib cartilage graft. Look at the genioplasty patient in my profile. I think that will help.One caveat with regard to you photo and your goals. Your skin is a littler thicker at the ala region. That is an area that can not be thinned as much as in your goal photos. Otherwise i think your desires are achievable.
You would need dorsal and tip augmentation to help achieve a nose more similar to the goal pics.These maneuvers can be done through a closed rhinoplasty approach without a visible scar to produce a natural result. Find a board certified plastic surgeon who performs hundreds of rhinoplasties and rhinoplasty revisions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA
Your nose can be thinned and refined but the thickness of the skin cannot be changed. Having said that see a rhinoplasty expert because your nose can be improved.
Based on your photos, you should get your desired result with a closed Rhinoplasty. An exam is needed to discuss your goals and expectations. Consult with a Board Certified Plastic Surgeon for a clear understanding of what is possible for you.
Hi Ms. Hope,Since your nose bothers you a revision rhinoplasty would likely be of benefit. It appears that you have a so-called "parrot deformity" which is usually easily corrected. It occurs because there is excess tissue in the lower third of your profile. It is corrected by...
There may be room for improvement in both areas, but more photos will be necessary from different perspectives as well as understanding your specific goals that you have for each.Kenneth Hughes, MDLos Angeles, CA
I would wait a minimum of 9 months before a revision. If the dent is still present and bothersome, a revision with an osteotomy would be appropriate. Good Luck
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