Can you really reduce a nose as bulbous and big like mine? (photos)

Question

I am of Arab descent and my nose is very boney. I have a hump but I ALSO have a very bulbous nose from cartilage. Can I even reduce it..?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your two photographs, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Dorsal hump reduction, tip deprojection, and tip elevation would also be helpful. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Oakley Smith, MD, FRCSC · Answer

Hi, During a Rhinoplasty the nasal profile is changed according to the agreement between the patient and surgeon. The change includes  bridge,tip, width and length. It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery 
process.

Gary M. Horndeski, MD · Answer

Yes, your nose can be improved. Your dorsum is not straight and needs to be taken down. The nasal columella angle is at 90 degrees and it should be at 110 degrees. The tip needs to be refined as well. You would benefit from a rhinoplasty to correct all of these.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ramin Behmand, MD, FACS · Answer

It appears that you are an excellent candidate for a primary rhinoplasty. The thickness of your skin, will determine the ultimate degree of refinement. However, a moderate refinement is likely to produce significant results for you.

Dr. B.

Dr. B.

Ronald J. Edelson, MD · Answer

You can absolutely get a great result . I don’t think your skin thickness will be a problem to deal with. You need to have your bridge lowered and that will make the most difference

Ruslan Zhuravsky, DO · Answer

Hello, Yes it is possible to achieve nice refinement of your tip. From the photos it appears your skin is likely a high moderate thickness, which may retain swelling a little longer, but is certainly not a very big limiting factor. The most significant issue about your tip is that your cartilages are very convex, and perhaps a little bit cephalically positioned. This requires more than your basic "generic" rhinoplasty techniques. So yes. It's possible, but please make sure to consult with true rhinoplasty specialists, and ask how they plan to address your issues. My technique of choice for these is to free the cartilages, use grafts to flatten them, then position them as desired. Good luck!

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can see from your photos you have an arched nose but your skin structure is suitable for rhinoplasty operation for get rid of this image I recommend you rhinoplasty surgery.
It would be better face to face consultation.
Best Regards.

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have a wide and somewhat crooked nasal appearance on front view. On profile, you have an over projected nasal profile appearance. That means that you know sticks out a bit too far. This is associated with a dorsal hump and a droopy tip. Rhinoplasty surgery may be considered for achieving a narrower, smaller, less distracting, and more feminine nasal appearance. Please consider meeting with several reputable rhinoplasty specialist who offer computer imaging so you can see what to expect. I hope this helps! Sincerely, Dr. Joseph

Robert Ciardullo, MD · Answer

Are you a good candidate for a Rhinoplasty?
Your nasal tip can be refined and the dorsal hump removed with a standard rhinoplasty. However if the skin of the tip is very thick the resultant tip will be modestly improved. Further definition however can be achieved postoperatively with steroid injection which will thin the skin and enhance the definition of the tip, depending on how much definition you are seeking.

Mats Hagstrom, MD (license on probation) · Answer

You can definitely have a reduction rhinoplasty.
You have a slight poly beak deformity, and my biggest recommendation for you is to be more selective regarding provider selection than you may think necessary.
Interview multiple plastic surgeons before selecting a provider. Period.
Look for plastic surgeons, who have the most extensive rhinoplasty experience with at least one or two decades of doing these type of procedures.
Look for plastic surgeons, who either emphasize exclusively on rhinoplasty surgery or those who have this as a major part of their practice.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients with similar nasal characteristics.
 Being shown a handful of pre-selected images, representing the results of a providers career may be insufficient to get a clear understanding of what results look like in the hands of each provider, would your results are likely to look like, or how many of these procedures they actually done. an experienced provider should have no difficulty showing you the before and after pictures of at least 50 previous patients.
Bring pictures of your face just like you have posted preferably printed and use those as reference during the consultation.
Do not rely on mirrors or memory in regards to comparing your others when reviewing results
There’s no correct number of consultations needed to find the right provider.
The more consultations you have the more likely you are to find the best provider for your needs
Personally, I don’t think you can find the best provider using the Internet.
Best,
Mats Hagstrom, MD