Shortening a nose during rhinoplasty
In general it is a good idea to bring pictures of rhinoplasty during your consultation in order to facilitate discussion and improve communication with your doctor. Shortening and de-projecting a nose is one of the more complicated tasks in rhinoplasty.
First, significant shortening of the nose can leave behind skin excess which will make the tip look round, also known as a poly beak deformity. Secondly, significant shortening of the nose may render it fake or operated looking.
Having said that, rhinoplasty can achieve great results in patients with your stated goals, as long as the patient has a lot of patience and allows 12 to 18 months for skin shrinkage after the operation.
You should consult an experienced surgeon and review some of their surgical results. See below for some examples of rhinoplasty in male patients. (Maurice M. Khosh, MD, New York Facial Plastic Surgeon)
Rhinoplasty goals
Since we all have different facial shapes and appaearnces, the best result after a rhinoplasty is one that looks best on and fits your face. In my practice there is no such thing as a “cookie cutter nose” which really should be a thing of the past.
Bringing in photos during your consultaton may help in order to determine your aesthetic ideals. Obviuously Brad Pitts’s nose will not look good on Arnold Schwarazegger. In a thoruough discussion with you and your experienced rhinoplasty surgeon, we can determine what wil be best appearng on your face in order to look as if you were born with you new nose.
Pictures of rhinoplasty of alternative image
Computer imaging software can be used by your surgeon to show you what he / she thnks that they may be able to achieve with your nose. Pictures of rhinoplasty are worth 1000 words. (Jacob D. Steiger, MD, Boca Raton Facial Plastic Surgeon)
Photos for rhinoplasty planning
You ask two questions. The first is about bringing example photos for rhinoplasty. While it can be very helpful to discuss your desires using photos you need to be very aware that it is impossible to create the exact nose you see in a magazine.
Every patient starts with a different nose and no two results will ever be the same. I do discuss photos that my patients bring to office as a guideline, but always make it clear that getting any of those photos as an end result is impossible. As for shortening a nose, some shortening can be achieved.
Pictures of rhinoplasty procedure image
But the amount of change you are hoping for may not be possible. I would recommend that you visit with many surgeons and get a few opinions. You may find they all feel similarly about your case. You should pay a lot of attention to the limitations on the results they can achieve. If you hear the same answers from 3 or 4 surgeons, pay close attention. If you choose to have surgery with the one surgeon that promises what you want you may be disappointed in the end. (Adam Rubinstein, MD, Miami Plastic Surgeon)
Rhinoplasty post-op
It is always a good idea to explain to your doctor your concerns and desired results from surgery. Photos of other people’s noses may or may not be helpful. Sometimes the pictures brought in demonstrate unrealistic expectations. Everyone’s face is different. (Steven Wallach, MD, Manhattan Plastic Surgeon)
Photos can be helpful
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Pictures of rhinoplasty are helpful for me to understand what type of nose the patient likes. Its my job then to tell the patient if he/she has a realistic chance of getting that result.
The long noses you speak about after surgery may be the surgeons being conservative. If you do make a long nose shorter, it will become perceptually more triangular and thus chubbier.
Computer imaging can give you a preview. Also, if you’ve researched for a year and are still tentative about surgery, it may not be for you. (Ramtin Kassir, MD, Wayne Facial Plastic Surgeon)
Pictures may represent what you wish, but not what is realistic
Rhinoplasty can only do so much for any individual. A nose starts with a given shape, size, and orientation and surgery can only go so far. So if you bring photos that are drastically different from your existing nose, that will not be very helpful to the surgeon. If the photos you bring are within the realm of surgical possibility, then they may be helpful. Overall, I think using a computer morphing imaging program is a better way to determine goals and expectations for surgery. (David W. Kim, MD, Bay Area Facial Plastic Surgeon)
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