Question: Can I reduce my nose which has gotten bulbous and wide to what it was like a couple years ago?
Answer: A closed rhinoplasty approach can accomplish narrowing the nasal tip and the bridge line. Thick skin in the tip of the nose will prevent refinement in that area. It’s also important to have realistic expectations. A full set of pictures are required, since the nose is a three-dimensional structure, and rhinoplasty is performed all three dimensions.

Question: Will nose filler look good or will I need a rhinoplasty?
Answer: In our practice, we do not recommend fillers placed in the nose because they will only make the nose bigger, not more refined. They are also temporary, And it’s important to understand that they do have risks associated with them such as skin necrosis. There also not FDA approved for that application. A surgical closed rhinoplasty can accomplish narrowing the bridge line, slightly lifting the nasal tip, and narrowing the nasal tip cartridges as well.

Question: What procedures would I need to achieve my desired results?
Answer: A full set of facial photographs from all angles is going to be required to make a determination about how best to proceed, since the nose is a three-dimensional structure, and rhinoplasty is performed in all three dimensions. To narrow the bridge line requires osteotomies placed in the nasal bones. Augmenting the bridgeline may be helpful as well. To narrow wide nostrils requires in an alar-plasty.

Question: If my nostril shuts when I breathe in, starting from the base of the nostril, where and what graft would be placed?
Answer: A thorough internal and external examination of the nose at rest and with inspiration is going to be required to make a determination about how best to proceed. Static and dynamic collapse are two different issues. Internal and external valve collapse are also two different issues.

Question: Follow-up: Will an alarplasty make my wide nose look better?
Answer: Probably best to wait at least 6 to 9 months before making a determination about narrowing the nostrils with an alar-plasty, since there’s still swelling in the nose. An alar-plasty simply narrows wide nostrils, that’s it.

Question: I’m 10 days pre-op and I have a headache. I usually use Excedrin Migraine, it has 500mg aspirin. Is this okay, close to surgery?
Answer: In our practice, we ask patients to avoid aspirin for two weeks prior to nasal surgery to prevent a nosebleed. Always best to check with your surgeon.

Question: Is this rhinoplasty fixable?
Answer: More information is needed such as the length of time since your primary rhinoplasty, and a copy of the operative report. The swelling in the tip of the nose may be due to thick skin or residual cartilage, which must be determined at the time of examination/ consultation. Revision rhinoplasty is more difficult than primary rhinoplasty, so It is important to choose your surgeon wisely based on extensive experience.

Question: Should I get a chin implant or a nose job or should I get both?
Answer: The nose, and the chin are three-dimensional structures, therefore a full set of facial photographs are required make a determination about how best to proceed. The side profile photograph demonstrates a recessive chin profile for such an implant can improve significantly. Augmenting the chin forward will help with better facial balance and proportions, especially with respect to the nose. From the side profile, your nose appears very nice, but that’s only from one limited photograph.

Question: Should I get a rhinoplasty revision? Will more swelling go down?
Answer: For the first one year, it’s important to follow up with your operative surgeon for management of the fluid retention and soft tissues of the nose, especially the nasal tip. Steroid shots may be of some benefit along with taping at night. It’s also important to wait close to one year before undergoing a revision rhinoplasty allow full healing to occur before embarking on a revision.

Question: If I add height back to my bridge in my revision rhinoplasty, how will that change my frontal view of my nose?
Answer: A full set of facial photographs from all angles and an in-person examination going to be required to make a determination about how best to proceed. Revision rhinoplasty is more difficult than a primary rhinoplasty due to the fact that there’s been previous alterations to the normal anatomy, scar tissue present, thick skin, and over resection of the bridge line. It’s also important to know how much cartilage is left over on the inside of the nose for grafting purposes to build up the bridge. Building up the bridge of the nose will be most evident visually from the side profile, not the frontal profile.