Will a rhinoplasty make my face more proportionate? (Photos)

Question

Hi I always have hated my nose especially when I smile. I feel that it is to big for my face and I am looking for a professional opinion. I have very prominent checks and chin which I am okay with but my nose also is very prominent and I feel it doesn't fit my face. I am willing to take suggestions of what I can do I am very open to a rhinoplasty but would like to see if there is any non surgical options that can make my face more proportionate.

Nima Shemirani, MD · Answer

Hi @Nice564312. Thank you for sending your photos. I recommend seeing an expert rhinoplasty specialist for an in person examination. There are several options for you that can be determined after examination. A rhinoplasty in my opinion is one of the most difficult procedures to perform. In my practice, I utilize piezosurgery. Piezosurgery is a more gentle technique that allows for greater precision. Less bruising and swelling is common with Piezosurgery. In a typical rhinoplasty, a hammer and chisel technique is performed leading to more inadvertent fractures. Best of Luck, Dr. Nima!

Jonathan Kulbersh, MD · Answer

Thank you for submitting your question and photos. Rhinoplasty can effectively reshape and resize the nose to create a more proportionate appearance with the other facial features. If you aren’t sure about surgery at this time, you may want to consider a non-surgical rhinoplasty that uses hyaluronic acid fillers to reshape the nose and improve symmetry. 
It’s important to note that surgical rhinoplasty is one of the most complex plastic surgeries, requiring skill, experience, and artistry to produce the best possible result. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon with expertise in rhinoplasty techniques. They will be able to assess your aesthetic goals and determine the best treatment option for you.

Gianfranco Frojo, MD · Answer

Yes, I believe that a rhinoplasty would help make your nose more harmonious with the other features of your face.

Caner Kacmaz, MD · Answer

Thank you for your pictures. In my opinion, you are a great candidate for rhinoplasty. A more feminine and natural look is achievable by narrowing the bridge and the wings of your nose, making the tip smaller, reducing your nose's projection, and removing some cartilage from the tip to give it more definition. Hope this helps.

Steven M. Denenberg, MD · Answer

Since, in general, the appearance of the nose can be changed, but the appearance of many other facial features cannot I don't think in terms of "making the entire face more proportional", but rather: if some features of the patient's nose bother her, and we correct those features, then she's going to like her nose and face better, and that's a success. In other words, if you think your nose is too prominent, then we make the nose less prominent, regardless of what's going on with the rest of the face!
You don't have the world's most prominent nose, but you do have that bump on the bridge, and the nose is perhaps a bit wide, and it's strong in its forward projection away from your face, and the tip could be elevated a bit as well. None of those changes would be gigantic when measured in millimeters, but they can add up to something you like better.
How *much* to elevate the tip, or deproject the nose, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

I'd love for you to see some excellent morphs of what could possibly be done with your nose. It might make you feel better about the possibilities. Morphs help you plan your ideal goal, and help the surgeon understand what you need in order to be happy, and correlate that with what he thinks is possible in his hands.
Remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon.  And it also discusses how to take photos that are best for online evaluations.

Oakley Smith, MD, FRCSC · Answer

Hello,
Surgical rhinoplasty can help you in improving the shape of your nose. The overall size of the nose can be reduced by deprojecting it and making the dorsum more straight or with slight curve. Also, the tip can be refined to be make it more defined and rotated up a little bit. Non-surgical rhinoplasty is not a good choice for you as it will add more volume to your nose. It is better to consult with a facial plastic surgeon to discuss how your nose shape look after surgery.

Cory Bovenzi, MD · Answer

Hi and thanks for your question and for submitting high quality photos at multiple angles.
I think for what you are looking for, a rhinoplasty would be the most effective treatment. I don't think any non-surgical approaches with filler, etc would get you the goals you want there.

Jeffrey Lisiecki, MD · Answer

Rhinoplasty would be a great option to balance your features. I would not consider you a candidate for a nonsurgical rhinoplasty, as these only make your nose larger which is not the goal here. For nonsurgical options, you look like you may have some masseter hypertrophy. If you do (which could be revealed on examination), or have any problems with clenching or grinding your teeth, Botox to the masseter can be very helpful. A little bit can be placed into the chin as well to soften it.

Thomas Trevisani, MD · Answer

Based on your photos and your desire to improve your nose- it appears that you would benefit from Reduction Rhinoplasty preferably performed through a closed technique. I suggest that you seek an experienced Board Certified PS to go over the details and receive more info

Andrew Miller, MD · Answer

Based on your photos, you are a great candidate for rhinoplasty. The fullness and width of the bridge can be reduced, while the tip can be refined and narrowed. The tip will also become better supported so it won't droop when you smile. The result should look very natural and complement your face. Be sure to see a rhinoplasty specialist for consultation.