Q: I would like to know what you recommend to make my nose smaller and my upper lip bigger. I have attached some pictures of myself for you to see and do computer imaging as well as some pictures of my goals. I understand the results are not going to be identical. The pictures are just an “inspiration” of what i want to achieve. I’am very excited to see the computer imaging!
A: Thank you for sending your pictures. I have done somecomputer imaging on your nose and lips. The side view is not a good quality image but I did the best I could. The refinement in your nasal tip will be somewhat limited by the thickness of your nasal skin which is always the limiting factor in tip definition from a rhinoplasty. But the tip area can definitely be improved. I also did some cartilage buildup of the dorsal line and bridge area. This will help make the rest of the nose higher and slimmer which will also help the appearance of the tip.
From an upper lip standpoint, you have nice contours and definition but just need some more volume. I would recommend concentrated fat/stem cell injections into the upper lip. That could be done at the same time as the rhinoplasty. An alternative is a subnasal (bullhorn) lip lift but this can not be done at the same time as an open rhinoplasty. Therefore, I would do the fat injections at the time of the rhinoplasty and see how that turns out. The subnasal lip lift can always be done later as an office procedure under local anesthesia.
Dr. Barry Eppley