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How Do you Know When Someone Has Had a Nose Job?

The most successful plastic surgeries are those in which the alterations are barely perceptible to the naked eye. Surgery on the face calls for deft hands and close observation. Even minor complications from nose surgery (rhinoplasty) can leave you feeling discouraged about your new nose. Dr. Sheffield is a nose specialist who thinks accuracy is the key to improving your most noticeable feature. Outstanding rhinoplasty results require a blend of technical know-how, artistic skill, and intuitive judgment. What are the telltale signs of a botched nose job and how to tell when someone has had a nose job, if the mark of a successful procedure is that you look better in every way?

The Healed Nose: A Study in Post-Recovery Change

A surgeon’s job is to think ahead and plan for the future, which includes considering the possibility that your nose will alter as you recuperate. Even though your nose looks perfect while you’re lying on the operating table, that doesn’t mean it will until you’ve recovered. Curling or bending of grafts or cartilage can occur despite the best efforts of your surgeon. Although the presence of these unknowns is not always obvious at the outset of a surgical procedure, a competent surgeon will always make every effort to anticipate and avoid them.

Nasal Deviation: A Poorly Constructed Nasal Bridge

Bad nasal structure is a common sign of a nose job, definitely a top way of how to tell when someone has had a nose job. Over-reducing the height of the nasal bone results in a hollowed out appearance of the nose. The upper lateral cartilage can collapse, resulting in an inverted V deformity, if the hump of the nose is reduced too far. Overcorrecting the breadth might result in a nose that is unnaturally small for the rest of the face. An overly narrow nose is the result of surgical infracture of the nasal bones. Breathing may also be affected if the surgeon doesn’t evaluate a large turbinate that needs to be removed beforehand and decides to remove it.

Abnormalities of the Nasal Passages

A poorly performed nose job will likely have noticeable and uncomfortable texture differences. When you run your finger over the bridge of your nose and feel jagged bones or an uneven texture, you have an irregular dorsum. Bony growths, known as “spurs,” alter the shape and texture of the nose.

Low-Quality Nasal Cavity

If the surgeon removes too much of the lower lateral cartilage, the result will be a constricted nasal tip. Because of the pinching, the tip of the nose becomes flatter and flatter. A pig-like upturned nose with exposed nostrils is created when the tip is over-rotated, which is another problem with the nose.

Aesthetically speaking, rhinoplasty is a great choice because it may make your nose look better and help you look more put together. Most people who choose for rhinoplasty desire only minor changes and subtle embellishments. Nearly everyone who gets rhinoplasty would rather have a natural appearance than one that looks like it has had work done. So this is why a plastic surgeon needs to be highly trained and meticulous in their work.

The rhinoplasty procedure is not simple. Given the prominence of the nose in facial aesthetics, even a minor misstep can have long-term consequences. Because of this, rhinoplasty, despite becoming common, is still a rather delicate operation.

An effective nose job will produce subtle but noticeable improvements in your appearance. To what end, then, do some nose jobs draw more attention than others? In this case, we may think of four explanations:

  1. An insufficiently sized bridge

A prominent bump on the nose bridge is a common reason for seeking rhinoplasty. At each stage of the rhinoplasty process, the bump is carefully reduced until the bridge is flat.  Too much filing down of the bridge can cause it to take on an unusual shape, and it is not uncommon to encounter persons with such a bridge. The most extreme manifestation of this is the so-called “collapsed bridge deformity,” in which the bridge of the nose is so severely collapsed that it takes on the shape of a saddle and has a noticeable dip in the center.

  1. A simply unflattering tip of the nose

A constricted nasal tip may develop if the tip cartilages are reduced too much. The pinched tip is not only unattractive but also potentially dangerous because it restricts airflow. There can be noticeable imperfections in the cartilage. One of the most dreaded aftereffects of excessive septal and upper lateral cartilage removal is a nasal tip that turns up too much. As the name implies, this is a “upward nose reminiscent of a pig.”

  1. Poorly proportioned nose width

Occasionally, patients will have an abnormality in nasal width, wherein either the top of the nose is abnormally wide or the bridge of the nose is abnormally narrow. There is bone in the nose’s upper third, and if that bone isn’t cut precisely and in the exact area, the nose’s width might not be lowered as intended. Asymmetry of the nose’s top third can be caused by uneven cutting of the right and left nasal bones. The so-called “inverted V deformity” occurs when the top lateral cartilages are reduced in size too much in the middle third of the nose, leaving the nose excessively thin there.

  1. Too little or too much of a correction

Since additional work can be done later, it’s better to start with a somewhat less-than-ideal nose correction. A nose with too much correction, which may have a combination of the several factors stated above, is the major problem and the one that appears like a nose job. When a surgeon overcorrects a nose, they have to add material to the nose and often deal with scar tissue.

Overcorrection in more than one day is the most difficult to fix, so when someone says they had a botched nose operation, they usually mean they had the surgery and is a clear sign of how to tell when someone has had a nose job


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Learn More About Rhinoplasty, Check Out: How Long Does It Take To Recover From Rhinoplasty?


Interested to know about how to tell when someone has had a nose job?  Whether you are thinking about having cosmetic surgery such as facelift or liposuction, a non-surgical procedure such dermal fillers or have had prior surgery and are seeking additional touch-ups, it is critical to work with a skilled plastic surgeon that specializes in facial procedures. Dr. Robert Sheffield is a board certified plastic surgeon at SB Aesthetics plastic surgery center offering services to those in Santa Barbara, Santa Maria, San Luis Obispo, Oxnard and Ventura, CA, and the surrounding communities. Dr. Sheffield offers patients a customized treatment plan and is available to answer your questions. To schedule a consultation , call 805.318.3280 today.

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