Is it possible for me to have a successful nose job? (Photos)

Hi and thanks for your photos and question.  Yes, you can have a successful rhinoplasty.  You do have a bulbous tip and it appears that you have wide nostrils.  Your skin is a bit on the thicker side, but not extremely thick.  A rhinoplasty to reduce the tip bulbosity and narrow the nostrils would make a nice difference.  I would be happy to see you for a consultation with computer imaging to show you what can be achieved. 

Thanks for your query.well you do have a  round bulbous tip with thick skin.You do need cephalic trim and tip refinement The  skin quality and thickness determines your final surgical outcome.A the same time it is hard to predict also,Howver do consult a board certified rhinoplastic surgeon and be realistic with your expectation and go  then ahead with your surgery.

It is true that patients who have thick skin do not get a well-defined nose after rhinoplasty.However, a good improvement can't be achieved by reducing the width of the nostrils through alar plasty and reducing the bulbous tip through cartilage reduction, tip plasty.  As long as you are realistic with your expectations you can benefit from her rhinoplasty and have a successful outcome.RegardsDr. J

Based on your photos, you may not have very thick nasal skin. Thick nasal skin is usually associated with darker skin types, rather than freckles. If you have significant dissatisfaction with your nasal appearance, consider consulting with several reputable rhinoplasty specialists so you could see what to expect after rhinoplasty surgery. Hope this helps! Dr Joseph

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. You may have thick skin on your nasal tip, but this can still be improved with rhinoplasty.  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.
Harvard-trained plastic surgeon

It is definitely possible to produce improvement in tip contour and definition despite thicker skin.  Thick skin can be a limitation, but it is not a contraindication.  You need to see a rhinoplasty surgeon who understands that with thick skin, the tip needs to be augmented, or expanded in the skin envelope, to produce better highlights of through the skin.  Reducing the cartilage in your case would have the opposite effect, which would make your nose look more round with less definition.  It is always tempting to want to reduce the cartilage structure to improve the tip contour, but in most people with thick skin, the counter-intuitive opposite is more appropriate.  See below for an example.  

From your photos it seems you are focusing on the tip area of your nose. There seems to be some fullness partially caused by the thickness of your skin. While this may limit some of the thinning you are looking for, changes can be made which would enhance your appearance. The stability and shape of the underlying cartilage is important to assess, and this an only be done by feeling the structures in a personal consultation. 

It is true that the thickness of the skin may  play a role in the final results of nasal surgery.  It is possible to thin the skin slightly and make relaxing incisions on the undersurface of the skin which allow the new cartilage structure to help reshape the skin.  Although the possibility of damaging the skin exist, it is rare. 

As facial plastic surgeons, we perform rhinoplasty or nose surgery on a variety of patients and ethnicities.  Ethnic patients like Asian, Latin American, African American populations often have thick skin and undergo successful rhinoplasty surgery.  I would suggest you meet with a board certified facial plastic surgery to discuss your goals and concerns.  I do think you would be a good candidate for surgery, but in-office evaluation would be the next important step in the process.

You are correct, very thick skin can impact how much refinement we can attain in the tip region. It doesn't look like your skin is very thick, so you should get good results. Most importantly, you need to go to a Facial Plastic Surgeon who specializes in Rhinoplasty. Good luck!