Is a septorhinoplasty the best option for me? Looking for a second opinion (photos)

Hello and thank you for your question and the pictures. Addressing the shape of the nose is actually one of the most common reasons people seek out and undergo a rhinoplasty. An open septorhinoplasty can best address your nose, and is particularly effective at addressing the size, shape, and definition!

This truly a surgery of millimeters- and it requires exceptional surgical skill to achieve natural-looking results! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading rhinoplasty experts (who performs 1,000+ nosejobs annually).

I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

I think the computer imaging with profile nasal deprojection is pleasing. If your gut tells you that your surgeon has the experience to provide what you are looking for, go for it. If you have any hesitations, please go for a second opinion, in person. Wishing you well moving forward. Sincerely, Dr. Joseph

Based on your photos, you are a great candidate for rhinoplasty. Your imaged photo don't show much tip deprojection. I would deproject slightly, and then create a nice straight, masculine bridge. It's important to ensure that you are seeing a rhinoplasty expert for surgery.

To my eye, the tip is still strong in its forward projection, and the 3/4 view shows a bridge stronger than I would leave it. But it's certainly an improvement. The surgical drawings: they are proposed changes, right? I probably wouldn't use the spreader grafts or the columellar strut graft that are pictured. I personally only rarely use those grafts, but I know many surgeons do.

Thank you for your question. You are an excellent candidate for rhinoplasty. I think it is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. You should be able to have an excellent result. Best wishes to you.

Hello Curious,

It sounds like a good plan. Make sure that your goals are clear and that your rhinoplasty surgeon is on the same wavelength as you. Good luck and be well.

Michael Persky, MD
Encino, CA

The nasal columella angle is 110 degrees which is more appropriate for a woman than a man. I would not recommend the angle that higher. I would recommend a rhinoplasty/septoplasty.

Best Wishes,

Gary Horndeski, M.D.

Hi both function and appearance of the nose can be enhanced in one surgery. It is better for you to consult with a facial plastic surgeon who can examine you and discuss if needed the surgical procedure and the post op recovery
process

Your desired out come is reasonable and be accomplished in many different ways. Trust in your surgeon is the most important thing along with lots of experience

YES, based on your stated goals, I'm in general agreement with your surgeon's plan. Provided he/she has successfully accomplished such changes for other patients, you can proceed with confidence and the expectation (although a particular outcome can never be guaranteed) of a natural and aesthetic result.