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Post Your Face: I Want My Nose to be Slim, Small and Cute!

by Laura Kenney (Subscribe to Laura Kenney's posts)
Posted May 11th 2010 at 5:00PM  
50 Comments
Share
In our weekly Post Your Face column, Dr. Robert Freund answers readers' cosmetic surgery questions, and shows them how they'd look if they underwent the enhancement. To post your own face, visit postyourface.com.

The Patient's Question: I have always had a dominant nose and it seems to have only gotten wider since I had children. I want a petite nose that compliments my facial features instead of drawing away from them. I have also played with the idea of plumping my lips a bit, but maybe once my nose is slimmer, my lips will end up looking more full naturally. Please help me out!

The patient before (left) and after (right) the suggest nose and lip procedures. Courtesy Photo



Dr. Freund's Answer: Let's take your concerns one-by-one:

Nose: I think your nose is of a nice natural length, but I agree with you that the middle part is a bit wide and with just a bit of narrowing you will certainly see – and hopefully feel – a big change. The techniques necessary to create this change are part of a rhinoplasty procedure (Nose job). The typical rhinoplasty costs from $4000 to $8000 depending on the doctor's skills, region of the country and the amount of surgery performed. I would expect your procedure to be at the lower end of that number.

Lips: In regards to your question about whether a nose job might help your lips look larger - the answer is partially yes. As your nose decreases in size, other features of your face will become larger, relative to your nose. For instance, by narrowing your nose, the beauty of your full cheeks and oval shaped face will be enhanced. Your lips will also look wider, but slimming your nose will not change how full they look. This can be done easily with quick filler.

Your lower lip is fine, but you have very little upper lip. Ideally the upper lip should be 40% of the vertical height of the lips and the lower lip should be 60%. In your case, the ratio of your lower to upper lip is more like 80:20. The two ways to correct this discrepancy are to reduce the size of the lower lip (not in your case!) or increase the size of the upper lip.

There are several different types of fillers available for lip enhancement:

Collagen
  • - cheap ($400/ml)
  • - short-lasting (1-3 months)
  • - may require a skin test to avoid an allergic reaction
Hyaluronic Acid (Restylane/Juvederm)
  • - more expensive ($600/ml)
  • - longer lasting (2-5 months)
  • - no allergy testing necessary
Fat (Viafill)
  • - more expensive, but much more volume available
  • - longest lasting, may be permanent
  • - safe, it is your own tissue, no allergy test required
Silicone
  • - same price as Hyaluronic Acid ($600/ml)
  • - permanent!
  • - can cause lumpiness, inflammation and localized scarring. Because it is permanent and has these risks "buyer beware!"
Everything I have discussed here, as well as anything else you need to know about skincare, facial fillers and other plastic surgery procedures, is concisely discussed in my book "A More Beautiful You : Reverse Aging Through Skin Care, Plastic Surgery and Lifestyle Solutions."

I hope this helped you see what you could expect from surgery and fillers. Good Luck!

Respectfully submitted,

Robert Freund, MD, FACS

The health or medical information in this article is for informational purposes only and is not intended to be used as a substitute for professional medical advice, diagnosis or treatment. Please consult your doctor or a qualified healthcare provider with any questions.
Read All Comments
Filed under: Beauty, Skin & Body, Makeovers
Tags: cosmetic surgery, CosmeticSurgery, dr freund, Dr. Robert Freund, Dr.RobertFreund, DrFreund, lip injections, LipInjections, nose job, NoseJob, plastic surgery, PlasticSurgery, post your face, PostYourFace, rhinoplasty
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READER COMMENTS

(50)Add A Comment

Derrel, 5-16-2010, 8:49PM

Half a star vote downvote upReport
Derrel

That nose is a bit past "dominate" not to say that it's horrible, but it is unattractive on her face.

Reply »

Marlo, 5-16-2010, 9:15PM

Half a star vote downvote upReport
Marlo

Yeah, and I want to look like Elizabeth Taylor when she rolled out of that carpet in Cleopatra. Just get over it.

Reply »

Susan, 5-16-2010, 10:16PM

3 stars vote downvote upReport
Susan

Someone needs to force this Dr. Freund to "step away from the Photoshop". I've yet to see one of his 'fixes' that look realistic. This particular series is, in my opinion, just more self-serving propoganda for this quack.

Reply »

mesager42, 5-17-2010, 12:24AM

3 stars vote downvote upReport
mesager42

Great shades of Jennifer Grey, will women never learn. Grey was a star in Dirty Dancing and Ferris Bueller's Day Off until she listened to an acting agent and got her nose reduced. After that she looked just like all of the other Hollywood actresses and never got another good role. It is unique things about faces that make people remember others. Barbara Streisand and Bette Midler are both gorgeous sexy memorable women who have noticeable noses. Far too many women fail to look at the advantages of not looking like a beauty queen. Personality and talent can overcome any facial flaw without plastic surgery. Strive to be memorable, not just another pretty face.

Reply »

Carrie-Lee, 5-19-2010, 1:17PM

2 stars vote downvote upReport
Carrie-Lee

Great points! Cindy Crawford refused to have her mole removed! Jewel refused to have her teeth fixed!

»

Pookie, 5-17-2010, 12:38AM

2.5 stars vote downvote upReport
Pookie

Who wants to look like everyone else? If God wanted us all to look the same, He would have created us that way. We're all unique in our own way.

Reply »

MukwaKwe, 5-17-2010, 2:06PM

3 stars vote downvote upReport
MukwaKwe

Your nose is beautiful...your mouth is beautiful...you're beautiful! You don't need this crap to be beautiful. Just be your beautiful, unique self.

Reply »

d, 5-17-2010, 2:19AM

2 stars vote downvote upReport
d

The nose on the right which is supposed to be the after operation is not good enough. It should be narrowed more and the tip should be more refined and turned up a bit. The two sides should be made somewhat smaller and it should be shortened. What they have in the after picture is not good enough, much more should be done.

Reply »

Margaret, 5-19-2010, 7:26AM

2 stars vote downvote upReport
Margaret

Look at the hair, eyes etc. The after picture is an enhanced pic that the doctor takes during a first visit. They are identical even to each strand of hair so don't believe what you see. I would like to see a real "after" photo.

Reply »

tee, 5-19-2010, 8:05AM

2 stars vote downvote upReport
tee

Ridiculous! I say leave your face alone! You look fine to me! and for all people who want to change their face, if you are beautiful inside, it shows on the outside! Leave the plastic surgery for the disfigured / injured. These so called "doctors" are greedy and do not really have your best interests at heart.

Reply »

Mary, 5-19-2010, 8:09AM

2 stars vote downvote upReport
Mary

Beware! I went in for a routine plastic surgery on October 13, 2008 and have been in pain and agony every day, ever since. You never know when a tiny nerve can be damaged in the process. Vanity should not over rule your desires to please the world.

Reply »

Angiebaby, 5-19-2010, 8:57AM

2 stars vote downvote upReport
Angiebaby

Did you get an eyeful of those "after" lips? I'm depressed and going back to bed.

Reply »

anita, 5-19-2010, 8:59AM

2 stars vote downvote upReport
anita

i like the origional nose she looks fine its in preportion to her facial features

Reply »

carol, 5-19-2010, 9:07AM

3 stars vote downvote upReport
carol

i am 61 yrs old and i refuse to have any thing done to make me look more youthful. i will age with dignity in a world which is very judgemental. if you don't like my wrinkles, take a picture, it may last longer. it is more important what is in your heart than how wrinkled you are. i love god, believe in jesus so i have an eternal body to look forward to when i leave this very corruptable body. god is the best plastic surgeon you will ever need. stay away from the knife, unless it is necessary. things can go very wrong. men are not perfect, doctor title or not. your life could be reuined with that knife. i have seen so many botched up jobs. be appreciative that you have your health and thank god for his protection and blessings. there are so many suffering people in the world. get your mind off your looks and help the unfortunate. you would be surprised at how beautiful you will start looking.

Reply »

Dave, 5-19-2010, 9:41AM

2.5 stars vote downvote upReport
Dave

it also shows what her top lip would look like with a shot of fat in it

Reply »

Kia, 5-20-2010, 9:37AM

2 stars vote downvote upReport
Kia

SHE IS STILL UGLY!!

Reply »

laurel, 5-19-2010, 9:59AM

3 stars vote downvote upReport
laurel

Yes, some women are beautiful despite their big nose... but I wasn't one of them. After a lifetime of hating my profile I got my nose done at age 46. I love how the new look softens my features and should have done it years ago. There are definitely risks so be very, very careful in selecting a surgeon. Then I say go for it.

Reply »

Jane, 5-19-2010, 9:49AM

2 stars vote downvote upReport
Jane

Sorry, this girl is unattractive in both photos.

Reply »

PHATGRLSNGR, 5-19-2010, 9:57AM

2.5 stars vote downvote upReport
PHATGRLSNGR

KEEP THE NOSE GOD GAVE YOU! You will NOT be happy with the outcome of surgery. You are beautiful just the way you are. Don't change a thing!!

Reply »

Pnut, 5-19-2010, 9:57AM

2.5 stars vote downvote upReport
Pnut

Wow! She looks great. Wish I had the money for corrections to my face! I would do it in a heartbeat! Pnut

Reply »

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