How can I achieve a sculpted looking nose? (Photos)

Question

I like sculpted noses ..worried to go through a nose surgery and get a nose with loose skin..with poor structures .. any extra material or special tools should be used to avoid that problem.. adding to skilled doctor! Attached one actress quite similar to my nose and she got a perfect nose .. need opinionplz

Steven M. Denenberg, MD · Answer

Click on the "Learn more" link, just below my response, or go here:
FacialSurgery.com/RealSelf/RealSelf_rashaUAE8.html
I made a couple of computer morphs of your nose, and animations of the morphs, to show the changes that are possible for your nose in truly expert hands.I lowered the gentle bump on the bridge of the nose, elevated the tip upwards, and then brought the entire nose back closer to your face, so it doesn't protrude so much.The frontal view wouldn't change as much. It would change mostly from narrowing the tip. I think your tip cartilages are wide, but it's really the three-quarter view that shows the width of the tip best. The woman in the short video that I posted with this answer had her tip narrowed, and she's seen there in a three-quarters view.These changes typically don't run into trouble with loose skin afterwards. We try to keep good structure to the nose while making it smaller.
You should understand that the changes I demonstrated in the morph require advanced techniques, techniques that most plastic surgeons cannot handle.  Be sure to read the section in the "Learn more" link on how to stay out of trouble while searching for a rhinoplasty surgeon. You should only have surgery if you are able to make yourself very confident in your surgeon's skills. Read that page very carefully. Most plastic surgeons are quite poor at this operation, and I believe my advice will go a long way toward keeping you safe.
I'd love to hear what you think of the morphs. Did they seem to address your main concerns?
Your nose is also a good example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. When you see his goals, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. But remember, you're not hiring him for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer.
In your case in particular, you need to find a surgeon who understands all of the issues I mentioned, and how they fit together, and who can actually accomplish them in surgery.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty.  You may also benefit from a cephalic rotation
of your tip to turn up your tip slightly and a conservative dorsal hump
reduction.  Make sure you specifically look at
before and after pictures of real patients who have had this surgery performed
by your surgeon and not just a computer animation system.
The most important aspect is to find a surgeon you are comfortable with. I
recommend that you seek consultation with a qualified board-certified plastic
surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

How can I achieve a sculpted looking nose? (Photos)

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How can I achieve a sculpted looking nose? (Photos)

Answers (2)

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Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.