Rhinoplasty for a flat nose – seeking advice on specialist surgeons & precautions (Photos)

Asian rhinoplasty comes in a variety of shapes and sizes, but the most permanent results will come from using tissue from your own body. With an experienced rhinoplasty specialist, you will be able to create a surgical plan based on your aesthetic/functional goals. When looking for a surgeon, start with the basics like appropriate board-certification, education/training etc, but then look carefully at their before and afters. You want to see that this surgeon has worked on many patients similar to yourself, with results that you like.

Hello and thank you for your question. Based on your photographs, you may benefit from adding tip projection, tip refinement, and a dorsal onlay graft consisting of diced cartilage wrapped in fascia. Cost varies based on geographic location and surgeon expertise. Here is some general advice when looking for a surgeon. I highly recommend that my patients focus much more on real longterm before and after photographs rather than 3D imaging.   I encounter so many patients in my practice who see me for revision rhinoplasty who previously had surgery elsewhere who feel like they were mislead into surgery by surgeons who relied heavily on 3D imaging without adequate real before and after pictures to back it up. Photoshop is easy but real surgery is very different.

I always recommend that you carefully evaluate your surgeon’s online before and after gallery on their website for both quality and quantity of results. Make sure that there are hundreds of real before and after pictures which demonstrate long-term follow up results. If your surgeon is posting mostly on table results without real long-term follow up results, that is usually a major red flag. If a surgeon is posting mostly just splint removal day videos without longterm follow-up pictures, that can also be a red flag. Long-term results are much more meaningful than on table results or 1 week post-op results.

With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

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