Would a slightly smaller nose or thinner nostrils look better on my face?

Question

Even if my nose was almost the optimal size, I want to look the best I can. I am getting a septoplasty for medical reasons, (permanent swelling in my sinuses) but that probably wont change the size of my nose despite making it straighter. What I want to know is if a slightly smaller or thinner nose would scale with my small mouth and average sized eyes better.

Elliot M. Heller, MD · Answer

What you want done is completely up to you.Rhinoplasty which typically starts at $5,500 depending on the area you live. To make sure you get the best possible result, the surgeon should perform a detailed exam of the nose and provide a realistic goal that you and your surgeon agree upon. Rhinoplasty are permanent, but with age facial features do change. Find a surgeon and go for a consult. Maybe try and see if the Dr can do photo imaging to show you what he or she can achieve.

Steven Wallach, MD · Answer

I think that you need to be seen in person to be properly evaluated.  It is hard to say from only one photo from one view. Best of luck.

William Portuese, MD · Answer

A rhinoplasty procedure can accomplish narrowing a wide nose. To accomplish narrowing the wide nose requires osteotomies placed in the nasal bones, and conservative cartilage removal from the nasal tip. A septoplasty is performed in the back of the nose to improve air flow, and does not change the shape of the nose. For more information and many examples, please see link and the video below

R. Stephen Mulholland, MD (retired) · Answer

Dear 13almw,

Thank you for your clinical post and
photograph.  Although difficult to tell
from a single photograph and view you appear to have excellent craniofacial
features and skeletal proportions and pretty eyes, nice jawline and lips.  Although it’s easy to be critical and overly
obsessive over facial proportion and ideal nasofacial balance, the nose itself
might be a little wide up on the top of the bridge called the rhinion and the
tip itself may be slightly bulbous or boxy. 
With a slight refinement and narrowing of the width of the broad portion
of the upper part of the nose and refinement of the nasal tip and nostril
balancing your nasofacial features and proportions may be optimized.  In essence like many plastic surgery patients
you look good and are looking to look a little “better.”  While in certain circumstances this degree of
detail can be helpful.  You don’t want to
fall into the trap of taking the desire for perfection to unhealthy and
obsessive levels.

A good consultation with an
experienced rhinoplasty surgeon using computer imaging can help you delineate
whether subtle improvements of your nasal contour provide the type of
nasofacial balance and proportion you’re looking for.

I’ve been performing rhinoplasty for
over 20 years and having trained in both ENT and plastic surgery.  I like to ensure we improve form as well as
function.

I’m sure you’re going to get an
excellent result and make the right decision for your facial contours and
shape.

To find out more, please visit the
link below.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto

Dennis Barek, MD (retired) · Answer

Looking at your picture, I do no see anything wrong  that needs, or, would benefit from surgical correction. If y our are still concerned, go for a consultation.

Would a slightly smaller nose or thinner nostrils look better on my face?

Answers (5)

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