African American Rhinoplasty Q&A

I'm between 2 doctors for my Primary Ethnic Rhinoplasty. One usually doesn't use rib for his ethnic patients unless he feels it's necessary . The other mainly uses rib for almost all his ethnic patients. I want a defined bridge and slimed nose tip, and slightly reduce width. Getting conflicting information online. I prefer not to use it if I can avoid it but not if it won't get me results that will make a noticeable difference.

I believe I have thick skin and bulbous tip so I'm not if it would be possible to get my nose this small. Also any suggestions on what to do for side profile? Slope or straight high bridge, which typically looks better on ethinc women ? Thanks

I want to either get a full rhinoplasty or an alarplasty but Im concerned about my sickle cell disease getting in the way of that. I have SC disease and Ive had 1 mild crisis 8 years ago. Ive heard that a nose job can end up in death of the nose due to poor blood circulation and I dont want that to happen to me. I also dont want to be rejected by a surgeon but if they think Im not fit for the surgery I wont go through with it elsewhere.

After the alarplasty, the outermost edges of the left and right nostril are angled inwards & low on the philtrum instead of laterally towards the cheek. Can the incision of an alarplasty be reopened to reshape the nostril angle? And can the tip be lowered to have less projection? Can this look relatively natural with minimal scaring?

I had a revison last year for my tip. The cartillage put into my tip was poking through my nose and causing a visible dent that freaked me out. My doctor reshaped my tip and its gone now thankfully. But now when i touch my tip it feels so hard and bony. I imagined there would be some protective layer over the tip. There isn't. Whats the likelihood that as swelling decreases this could cause an issue?

I am looking to have both eventually but the rhinoplasty surgeons I am looking into dont perform chin augmentations. Will it make a difference what order I get them in?

African American, 56 and 27 years old. Im about 160lbs

Obviously my nose is too bulbous, i want to know the exact procedures required for it to be beautiful

My philtrum is about 20mm and I was considering a lip lift but my upper lip is already bigger than my lower lip and I dont want bigger lips. I realized that my nose is too short and far up my face so it made my philtrum longer. Is there any way to lengthen my nose downwards by 5mm to balance my face out. Also note that I am not old so my philtrum has naturally looked like this.

What would I need to get done for it to be ideal