How To Get A Refined Nose?
Rhinoplasty would be able to tuck up the columella and refine the nasal tip along the lines of what you are seeking. (Francis R. Palmer, III, MD, Beverly Hills Facial Plastic Surgeon)
You are already a beautiful woman, so I understand your concerns that you might look worse after surgery.
However, your complaints and goals are valid and reasonable and quite correctable with well performed rhinoplasty surgery.
The best thing to do is to carefully research your surgeon, including board certification, experience, training, patient referrals and before and after pictures.
I good surgeon should be able to make your nose look fantastic. (Lane Smith, MD, Las Vegas Plastic Surgeon)
Rhinoplasty for refinement
After looking at your pictures, I believe you have very realistic expectations.
The columella can be lifted and the tip refined in a nice and natural way.
When you are ready, go in for a consultation where all of your questions and concerns can be addressed so you can make an educated decision (Nima Shemirani, MD, Beverly Hills Facial Plastic Surgeon)
Rhinoplasty and realistic expectation
I believe that there is possibility to achieve your goal. The posted pictures are not the standard views that most of plastic surgeons like to have for evaluation.
I can see more than you mentioned that can be fixed. By the way you have a beautiful nose that just need some subtle changes to get you the perfect result that you looking for. (M. Ryan Khosravi, MD, Los Angeles Plastic Surgeon)
I see the concerns that you have and they would be correctable with a very conservative rhinoplasty.
The groove in the tip is natural and is actually desirable. You don’t want to try to change that.
Personally, I think your nose is cute and fits your face well as it is and would probably advise against surgery. (Ronald J. Edelson, MD, San Diego Plastic Surgeon)
Bulbous Tip and Hanging Columella Very Improveable with Rhinoplasty
Your thin nasal skin and the concerns that you have with your tip cartilages would do very well with a rhinoplasty procedure. Your rhinoplasty goals are very realistic and you should be very happy with the outcome that is achieved. (Barry L. Eppley, MD, DMD, Indianapolis Plastic Surgeon)
Are My Rhinoplasty Expectations Realistic?
First, I think your expectations are realistic as long as you have an experienced surgeon make subtle changes. Your tip can be refined by changing the contour and eliminating the bifidity of your tip cartilages. I would raise the columella slightly more than you did in the picture you morphed. (Richard W. Fleming, MD, Beverly Hills Facial Plastic Surgeon)
A More Refined Nose
Your upper nose has a very nice configuration. A tip rhinoplasty should allow you to get more refinement of your nose and to address your hanging columella. (Michael Sundine, MD, Orange County Plastic Surgeon)
I am answering your questions in a different manner. The posted photos are really useless because of the lighting and distances. So BEST to seek IN PERSON evaluations ONLY! Take the time to visit at least 3 boarded surgeons in L.A. to discuss, learn, understand the issues. Even here on REALSELF 3 L.A. PSs wrote responses, they could be a starting point for you. (Darryl J. Blinski, MD, Miami Plastic Surgeon)
Columella and Tip Refinement
This will require a couple of maneuvers with a closed rhinoplasty, and the results can be achieved. Find the plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties each year. (Kenneth B. Hughes, MD, Los Angeles Plastic Surgeon)