Nose Shapes That Vary

The nose is one of the most defining features of the face, contributing not only to facial balance but also to essential functions like air conditioning and respiratory health. Research, such as the study published in PLOS Genetics on nose shape and climate adaptation, highlights the remarkable diversity in nasal structure across human populations, shaped by both environmental and genetic factors. 

These variations highlight the uniqueness and functional uses of various nose types. It’s not all about physical beauty.

Many may embrace their natural nose shape, but some individuals might explore changes to their nasal structure, be it for personal or functional reasons.

Remember there is no “ideal” nose shape, and every person’s preferences and goals are valid. Rhinoplasty, when carefully considered, can address concerns like breathing difficulties, or aesthetic preferences, always with respect for the patient’s individuality.

This article explores possible nose shape concerns that some individuals may wish to address through rhinoplasty.

1. Enlarged Nose Tip

An enlarged nose tip is characterised by a rounded, prominent nasal tip that seems “disproportionate” to the rest of the facial structure. This could stem from variations in the nasal cartilage or soft tissue (genetics, or accidents).

In some cases, an enlarged nasal tip may be associated with rhinophyma, a condition linked to advanced rosacea. Rhinophyma involves the proliferation of sebaceous glands and connective tissue, leading to a thickened and often bulbous appearance of the nose.

Individuals with a bulbous or enlarged nose tip may consider rhinoplasty as a way to alter the nasal structure. Depending on the patient’s anatomy, options may include reshaping of the cartilage, reduction of soft tissue, or adjustments to the nasal base.

2. Pronounced Dorsal Hump

A pronounced dorsal hump refers to a visible protrusion along the bridge, which may give the nose a convex appearance. These features are affected by the structure of the nasal cartilage and nasal bone. They’re a natural and common nasal feature, but some may find they give off an “imbalanced” appearance in the facial profile.

Rhinoplasty for a dorsal hump typically involves reshaping or reducing the excess cartilage and bone. Techniques such as dorsal preservation rhinoplasty, which maintains the natural nasal bridge structure, or more traditional reduction methods, can address this concern. 

However, it’s important to remember that reducing the dorsal hump is not without its challenges. A study showed that recurrence of the hump is possible after operation, particularly in patients with significant preoperative hump size. 

Factors like improper dissection or inadequate adjustments can contribute to the issue, prompting those who are unsatisfied with the initial surgery to seek secondary procedures.

Ultimately, while dorsal hump reduction can refine the nasal contour, it is essential to approach such procedures with realistic expectations and thorough discussions with a qualified surgeon. 

The decision should be guided by individual anatomy, aesthetic goals, and a comprehensive understanding of the benefits and limitations of rhinoplasty.

3. Crooked Nose

A crooked or misshapen nose can be due to genetics or result from physical trauma or injury. Trauma, such as a nasal fracture from sports injuries, falls, or accidents are among the common reasons for a crooked nosed (displacement of the nasal bones or cartilage).

The nature and extent of the injury may determine the severity of a patient’s crooked nose. For example, fractures in the nasal bone will result in visible facial asymmetry

Rhinoplasty for a crooked nose may help improve nasal shape by addressing structural issues, like realigning the nasal bones, reshaping the cartilage, or correcting a deviated septum. 

In cases where functional problems are present, such as breathing difficulties, the surgery may also involve functional corrections to improve airflow through the nasal passages.

4. Wide or Flat Nose

A wide, broad or flat nose bridge is common in many Asian facial features. This nasal structure is defined by a broader nasal bridge or a flatter appearance that may sit closer to the face compared to higher, more prominent nasal bridges. 

Again, there is no “ideal” nose shape, but some individuals may consider rhinoplasty to fix personal aesthetic preferences or achieve a better balance with their other facial features.

Rhinoplasty for wide or flat noses, focuses on refining the nasal bridge and tip. This can involve adding definition to the bridge or subtly reshaping the tip. The techniques used may include cartilage grafts, or implants to elevate the nasal bridge.

In some cases, individuals may see rhinoplasty to address functional and structural issues. For example “cocaine nose” or “coke nose”  is characterised by a flattened or collapsed nasal structure caused by prolonged cocaine use. 

This condition occurs due to the destruction of the nasal septum and surrounding tissues, often resulting from chronic vasoconstriction, ischemia, and necrosis associated with cocaine inhalation. Over time, these factors can lead to a saddle nose deformity, where the nasal bridge appears sunken, the nostrils become wider, and nasal airflow is compromised.

Rhinoplasty for such cases focuses on restoring structural integrity and improving both function and appearance. Techniques could involve cartilage or bone grafting to rebuild the nasal structure.

Deciding to undergo rhinoplasty is a significant and personal choice. It’s a procedure that can impact facial harmony and address both aesthetic and functional concerns. Given the complexity and individuality of each case, it’s essential to consult a qualified and experienced specialist who can provide detailed information about the procedure, its potential outcomes, and any associated risks.

If you have questions or concerns about rhinoplasty, seeking guidance from a trusted medical professional ensures you can make an informed decision based on your unique circumstances.

Disclaimer: At Artiste Plastic Surgery, our Plastic Surgeons led by Dr Jack Zoumaras have been trained to the highest possible degree. All surgery has risks and it is always advised to get a second opinion. Risks are very real and we cannot guarantee any result. Results are illustrated as a guide only. All risks are managed and any need for revision surgery or complications (1-5%) can be managed by our specialist plastic surgeons.

Any statements on how you will feel is based on Level V Evidence:

Level V:  How you will feel after plastic surgery varies between individuals, depending on psychological and physical factors. Our internal research is based on how patients in our practice feel after surgery.

The blogs are not a substitute for a medical consultation and do not form as part of the doctor to patient relationship.