The nose was thick and the nostrils were big, and it was just like a box nose to anyone who could see it. I had surgery using autologous ribs and the side lines were completely successful, but the front was a bit disappointing... I guess I should just accept the box nose and live with it. I really envy the sisters with thin and small noses. ..... The nose needs to be small and thin for the surgery to be successful. A double nose is definitely not a good first choice....