Wanting a rhinoplasty and looking into into facial balancing options (photo)

I would recommend an open or closed preservation rhinoplasty. When seeking a surgeon, I would ensure that they are certified by the American Board of Plastic Surgery. Ideally, this individual has also completed an aesthetic fellowship (for extra focus on aesthetic surgery). This fellowship would ideally also be accredited by The Aesthetic Society. I would also look at photos, reviews, and at minimum have a digital consultation (Telehealth/Zoom video consult). You need to make sure that the surgeon's outcomes are in line with what you are seeking.

Based on your photo, you are a great candidate for rhinoplasty. The nasal tip can be made less boxy without pinching it if it is performed well. I wouldn't do buccal fat removal because it can make your face look hollow faster. Be sure to see a rhinoplasty expert for consultation.

Hello and thank you for your question and the pictures.

It sounds like your nose is your primary concern, so let's focus on that for now. Addressing the shape of your nose (especially the nasal tip) is actually one of the most common reasons people seek out and undergo a rhinoplasty. An open septorhinoplasty can best address both your aesthetic concerns and any functional issues with your nose. I would be able to adjust the size, shape, and definition of your nose (particularly the bridge and tip)! I'd be able to give you a nose that naturally fits your face, and doesn't appear obvious or "done"!

This truly is a surgery of millimeters- and whether you're looking for a minor adjustment or a major transformation, it requires exceptional surgical skill to achieve functional and 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 also trained under a world-renowned master of complex facial aesthetics, so when you're ready to discuss facial balancing as well, I'll be happy and ready to go into all the details and different options with you!

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

Thank you for your photos. The upper portion of your nose, from the photos that you presented, looks excellent with beautiful dorsal aesthetic lines and normal width. Your tip is a little full, and a boxy tip is usually corrected by some conservative tip cartilage removal and reshaping the remaining cartilage with sutures to improve tip width, shape, projection, and improve the nasal/facial balance. You have a beautiful, youthful, natural facial contour, so I would hesitate in doing anything which could alter that. For your rhinoplasty, I would seek out a board certified plastic surgeon with specialization in rhinoplasty, and excellent before and after photos on their website. Best wishes.

Based on your photos, I have to say that you have an overall pleasing nasal appearance. I agree that your tip is a bit wide, however, in my opinion it is not terribly distracting. Since your surgery would certainly be a finesse operation, please consider meeting with several reputable rhinoplasty specialist so you could see what to expect moving forward. Insofar as ancillary procedures, you appear to have a relatively short chin appearance on front view, however, more photographs would be necessary to make another recommendation. Thank you for this question, and I hope it helps! Sincerely, Dr Joseph

Preservation rhinoplasty has many benefits that include a more natural result by preserving your dorsal anatomy and the natural connections between your nasal bones and cartilage. In addition, it’s better suited to preserving nasal function and typically results in faster resolution of swelling and bruising. I recommend having a consultation with a surgeon who is focused on rhinoplasty and has experience specifically with preservation rhinoplasty.
With regards to your buccal fat, a careful reduction rather than removal may be best for you.

I recommend a rhinoplasty to refine the tip. This will not make a "pinched look" but will make it look more slender instead of wide. I also recommend a lip lift. A lip lift does 4 things: shortens the distance between the nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question. You are an excellent candidate for rhinoplasty and have excellent facial features. 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. In your case, you should be able to have an excellent result. 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. In your case, I would do a very subtle liposuction of the cheeks and fat transfer around the outer portion of the chin to soften that area. 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. Best wishes to you.

Hello and thank you for your question. Based on your photographs, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. In regards to any other facial procedures an in-person consultation would be best. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

It is difficult to fully comment, based on the limited views of your nose. However, you appear to have a bulbous tip, lacking definition. This is one of the more commonly addressed aspects of many rhinoplasties. When performed by a well-trained plastic surgeon, it can be done in a way to provide natural results that do not result in a pinched tip. other details of a specific surgical plan would be based on your specific complaints and goals for surgery. A decision to pursue buccal fat removal would be better suited in consulting with a plastic surgeon so that they can evaluate your anatomy in real-time. You are very right, performing this in the wrong patient can result in premature aging, however when patients are selected appropriately it can have a nice overall effect.
Sean Fisher, MDAesthetic Plastic SurgeonSeattle, WA