It’s still early after one month from a Rhinoplasty so you might want to wait a few months. I know this is hard, but a lot of times what you are looking at is swelling that is affecting the way it looks. Swelling can make a big difference.

Fillers for the bridge is a temporary solution that can cause problems. Radiesse is often the most considered for that region of the bridge but there are reports of complications with it there as well. Dr Toriumi, I believe has an article on that.

A rhinoplasty revision might be the best choice for you for your nasal bridge issue. If it is truly short, you might need some grafting material. Ear cartilage and septal cartilage can be used if it is a little deficient. But if you are looking for a big change like 3-4 mm of additional height you will need either a rib cartilage graft or silicone. Goretex is another option in this area.

The nostrils can definitely be different if things were not made even during the surgery.  The open technique is the most accurate means and your incision under your nose is very minimal. And, yes definitely you can bring pictures of yourself and your surgeon can help make it look a little more like what you had before. You’ll get the feeling of the right person to help you with this. You have to find someone that cares and will help you through this process every step of the way.

Dr Young is located in Bellevue near Seattle, Washington

Silicone is a good option, Alloderm will fade with time when consideringRhinoplasty for the Asian Nose. Silicone is the most commonly used. I have a friend that believes in Goretex in the nasal bridge. In my experience, Goretex is hard to make smooth but the mild integration of goretex can help fix it better in the nose.

Silicone has the tendency to move a little bit. But fixed well in the nose, the silicone can maintain a solid fixation to the bone. Silicone has the most experience in the nasal bridge over the years and has proven to be a great graft for the nose. It is really compatible with our tissue because it is right under carbon on the atomic chart.

Most of the time, silicone is placed in the dorsum through minimal incisions within the nose. My approach usually entails an incision under the tip in the columnelar area. I believe this cuts down on variables that can lead to asymmetry and uneven bridge although the recovery is more the results are more reliable. Alloderm does resorb and you won’t be happy after several months to years because it will go away. Also this material is taken from someone else and some people have issues with that with transmission of disease etc.

Dr Young is located in Bellevue near Seattle, Washington

Your nose can be definitely narrowed through Rhinoplasty and the Acne should not be a problem. Your acne should be under control before your surgery. There are many ways to control your acne through cleaning with a cleanser with salicylic acid, topical and oral antibiotics, a nightly retin A cream, etc.

For your nose, the width is ideally one iris width. Your nasal tip should also be one iris width. The base of your nose should be approximately 3 iris widths. When I mean an iris width it is the width of the colored portion of your eye. The narrowing will entail manipulating your nasal bones, and cartilage structures that dictate how wide your nose appears. The width at the base will entail taking some skin out around the base of your nose. This part can be done at a later time.

Choosing a surgeon with an eye for facial beauty is half the battle and more. For males, you may not want your nose to be perfectly ideal, as it could feminize your face. A wider nasal dorsum, tip and base is appropriate for the male nose and renders an element of masculinity.

Dr Young is located in Bellevue near Seattle, Washington

A wide nose can be reshaped through Rhinoplasty. Nose reshaping is one of the most complicated procedures in plastic surgery. The techniques used for the wide nose can vary depending on where the width is of concern.

The top third of the nose is made up of bone and the middle, cartilage and the lower third more cartilage but even more skin. There are different procedures for each area. The upper third requires manipulating and controlled breaking of the nasal bones in rhinoplasty. The middle third requires manipulating cartilage and part of the process of breaking the bones allows the middle third to become narrowed. The lower third requires or can require making the tip smaller and sometimes excising some skin on the sides of the nose can help make the base of the nose more narrow.

Sometimes, it is harder to make the nasal tip narrower if the cause is due to skin thickness. People try to overcome this by defatting the tip or adding grafts to shape it more. Consulting a surgeon who has extensive experience and a deep fundamental knowledge of rhinoplasty is a must for a great result. You want to go to someone with the best training.

Dr Young is located in Bellevue near Seattle, Washington