Slimming the Nose, How do I Get a Pixie Curve?

Question

Hello, I am researching rhinoplasty to educate myself for future consultations (and detect any red flags in doctors). The whole procedure is terrifying, and I'm afraid of ending up with a madman wielding a knife. :P I am interested in slightly slimming my nose, but I like nose with a bit of a "pixie" curve to them. I see so many cases where the profile has a perfectly straight shaft. Is this preference, or is it dangerous to give the nose a curvier appearance? Thank you, have a good one!

Mark Beaty, MD · Answer

The most important step in deciding on a plan for your rhinoplasty is consulting with one or more facial plastic surgeons or plastic surgeons who perform rhinoplasty frequently. During the consultation your surgeon should discuss your desired outcome with you and any limitations on achieving that outcome due to anatomy, functional compromise, etc. Every person's face is different and while curved nasal dorsums (pixie nose) are generally out of favor aesthetically, a gentle curve may be attractive and possible in some patients.

Ali Sajjadian, MD, FACS · Answer

Rhinoplasty can be used to make the nose better, slimmer and better with having a curve, however, doing it too much can make the nose look un-natural.

	Hope this was helpful.

Vincent N. Zubowicz, MD · Answer

I'm not sure I know exactly what you're after but video imaging will give you and the surgeon a very good idea. Outside of that you do need to do your due diligence when selecting a surgeon.

Tanveer Janjua, MD · Answer

It is aesthetically unpleasing to have a pixie curve to the nose but as a personal choice you can ask for it. You are doing the right thing by doing a lot of research before undergoing surgery. You need to communicate very clearly with the help of photographs to your surgeon what EXACTLY you are looking for. Write down your concerns, desires, fears before you go for consultation. Take notes during consultation. After that reach a mutually agreed upon goal with your surgeon. Once you have done at least two in person consultations then go ahead with surgery. Dr. J
	Disclaimer: This answer is not intended to give a medical opinion and does not substitute for medical advice. The information presented in this posting is for patients’ education only. As always, I encourage you to see your personal physician for further evaluation of your individual case.

Remus Repta, MD · Answer

Hello,

	Thank you for the question.  Nose shape and appearance is based on many factors including the shape and dimensions of the facial structures surrounding the nose.  Since no two faces are alike you may want to consider having either a 3-D consultation with your plastic surgeon or having your plastic surgeon take photos of you and then draw general contours of correction on your photos.  Doing so will allow definitive discussion between you and your plastic surgeon regarding the shape and length of your nose as well as the projection of the tip of your nose.

	All the best,

	Dr. Remus Repta

Jeffrey Zwiren, MD · Answer

By going to an experienced board certified plastic surgeon you are unlikely to encounter a mad man wielding a knife no matter what you may read on the internet. Computer imaging is an excellent tool to allow a patient to determine what they like. It is up to the surgeon to understand a patients desires and then determine if these are reasonable expectations and that can be accomplished surgically.

Steven Wallach, MD · Answer

I think you mean retrousse in appearance. Yes, it is possible to have a slight curve to it or just "below" a straight look. This makes the nose a bit more feminine. In the old days I think it was overdone to look like this, and function was sacrificed. Pick a good surgeon. Good luck.

William Portuese, MD · Answer

Pixie noses when out in 1970s and looked very unnatural, and operated upon. Best to seek out In experienced rhinoplasty surgeon who dedicates significant portion of their practice to the field rhinoplasty to give you a very natural-appearing nose.

Pablo Prichard, MD · Answer

Dear Lilith, Thank you for your question. Yes, this is just preference. But make sure you go to a well respected board certified plastic surgeon who listens to your preferences, and shows you before and after photos of what you are looking for. The following is a link to another patient who wanted a slight curvature to her nose. Best Wishes, Pablo Prichard, MD

Peter E. Johnson, MD · Answer

Most often patients will like a more neutral profile rather than a 'scoop' or pixie curve to the bridge of the nose. The look however might be just right for you. Computer simulation can help you understand the look of your photos and communicate the correct goal for your rhinoplasty.

Slimming the Nose, How do I Get a Pixie Curve?

Answers (12)

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