If your nose feels out of balance with the rest of your face, chances are you’ve considered rhinoplasty. A nose that feels out of place - whether because it’s overly large, small, crooked, or oddly shaped - is a constant blow to your self-esteem. Every time you look in the mirror, you are only reminded of how much better you might look if it were smaller.

Reduction rhinoplasty is a procedure meant to address a nose that is too large for your face. This procedure is designed to adjust the nose so that it blends seamlessly with the rest of the face and to boost confidence in your appearance.

If you are ready to finally get the smaller nose you’ve been dreaming about, keep reading to learn what you need to know about reduction rhinoplasty.

Reduction Rhinoplasty Defined

As always, the goal with rhinoplasty is to achieve balance with the other facial features. An overly large nose will stick out and draw attention away from other parts of the face. It may even appear balanced from the front but jut out dramatically from the side. 

A reduction rhinoplasty makes your nose smaller. The reduction could be in the overall size, or an adjustment to a specific part of the nose. An overly large tip, hump, bump, or nostrils can all be addressed during reduction rhinoplasty.

During this procedure, the surgeon typically removes cartilage and/or bone from the nose to reduce its size. In contrast, an augmentation rhinoplasty would add cartilage and/or bone, making the nose larger.

What Happens During Reduction Rhinoplasty?

Your surgeon will approach your reduction rhinoplasty using one of two incision techniques. In the closed technique, incisions are made inside the nostrils to give your surgeon access to the underlying cartilage and bone. The open technique uses a Z-shaped incision on the underside of the nose to give the surgeon access to the tip and the lower third of the nose.

Many surgeons prefer the open technique since it allows them to see the nasal structures. Similar to the way you would open the hood to see inside the engine of a car instead of reaching blinding inside and feeling your way around. 

Reduction rhinoplasty - regardless of incision technique - involves removing cartilage and/or bone. Surgeons don’t adjust the skin on the outside of the nose since it automatically shrinks down to fit any adjustments to the inner structure during your recovery.

Problems Addressed During Reduction Rhinoplasty

Depending on your specific goals for your reduction rhinoplasty, your surgeon may address the nostrils, bridge, and tip. They may change the length or width of the nose - or a combination of all of the above. 

Here are a few ways your surgeon might adjust the nose during reduction rhinoplasty.

To address wide and/or flaring nostrils - The surgeon uses the alar base reduction technique to narrow their width. This technique narrows the width of the nasal base to make the nostrils appear smaller.

To remove a dorsal hump - The open rhinoplasty technique is often employed to permanently remove a dorsal hump. Reduction rhinoplasty is only needed for nasal humps that are larger than 1-2 millimeters since the surgeon will likely need to break the nose to reduce the size of the dorsal hump. Smaller humps might be more easily addressed with dermal fillers.

To reduce the width of the nose - The surgeon will most likely break the bone and reposition it. They may use additional bone, cartilage, or an implant to improve the contour on a flat nasal bridge or tip.

To change the size of the nasal tip - The open technique best reveals the anatomy of the nasal tip, allowing your surgeon to adjust the cartilage and overall length of the nose. 

Your surgeon will let you know which techniques they are planning to use at your initial consultation after they have evaluated your nose and the proportions of your face.

What Are Your First Steps?

As with all rhinoplasty procedures, your first step is to call and schedule a consultation with a plastic surgeon near you. The consultation allows you to ask questions and find out what is or isn’t possible during reduction rhinoplasty. 

If you begin your consultation by asking about making your nose appear smaller, your surgeon will automatically start to consider reduction rhinoplasty techniques. They will most likely take some time to observe and measure your nose along with the other features of your face to determine the best course of action.

Keep an open mind when your surgeon gives you their recommendations. You may think that you want your nose to be significantly smaller, but your surgeon takes into account the proportions of your entire face. Their suggestion may be to keep the nose slightly larger than you want it to be to keep the overall balance of your face. 

Making the nose too small would result in it standing out from the rest of the face at least as much as an overly large nose. Also, since reduction rhinoplasty involves removing cartilage and/or bone, your surgeon may want to act conservatively to ensure that the structure of your nose remains sound.

When choosing a cosmetic surgeon, you will want to take time to consider their specialty, experience, location, and cost. Consultations are usually a great time to ask questions and to make sure you are comfortable with the surgeon you chose.

Schedule A Consultation Today!

Dr. Becker is a board-certified plastic surgeon who specializes in reduction rhinoplasty and revision rhinoplasty in Central and Southern New Jersey. His goal is to create a natural, un-operated nose that fits harmoniously with the rest of your facial features. 

Interested in discussing a reduction rhinoplasty procedure? Call to schedule a consultation to see how Dr. Becker can help!