The contour of the tip of the nose is mostly created by the structure of the cartilages within the tip. The overlying skin also plays a role. Sometimes it is thick and sometimes it is thin and there may also be a layer of fatty tissue. The most common way of altering the tip of the nose is to change the structure of the cartilage.
Cartilage can be bent to desirable shapes with stitches and some other maneuvers. Also, sometimes cartilage from other parts of the nose or even that year can be added as a graft to add strength or change the contour of the nose.
When one desires to have the tip of the nose changed but is satisfied with the upper part of the nose, we call the procedure to achieve this a nose job tip.
There are many types of anesthesia that one can use for this although I prefer general anesthesia in most cases. The fee for tip nose job can vary significantly from surgeon to surgeon (and do remember that the fee does not reflect the result). (George Volpe, MD, Boston Plastic Surgeon)
Wide nasal tip
The nasal tip may be thinned without changing the rest of the nose but that would have to be determined at your preoperative evaluation. In this type of nasal tip cartilage shape, care must be taken in not thinning the tip to much because the external valves will move inward and cause postoperative nasal obstruction. (Thomas Romo, III, MD, FACS, Manhattan Facial Plastic Surgeon)
It appears that you are a great candidate for a nose job tip if the tip of your nose is the only part that you would like to improve. Tip-plasties can be performed under local or general anesthesia depending on your disposition.
Recommended downtime i.e. abstaining from strenuous activities is about 1 week. Dr. Dean Toriumi is one of the best Rhinoplasty surgeons in the Chicago area. Thank you for sharing your photos and questions. Best wishes. (Gregory Park, MD, San Diego Plastic Surgeon)
Tip nose job
It certainly looks like from your photos that you could be a good candidate for a nose job tip. Best to be seen in person to discus your goals and options. (Steven Wallach, MD, Manhattan Plastic Surgeon)
I agree your tip is wide and could benefit from surgery.There are several options regarding your nose which you should consider.Computer imaging would be helpful for you. (Jay M. Pensler, MD, Chicago Plastic Surgeon)
You might be a candidate for a tip only nose job, though a careful evaluation with computer simulation and overlay will be telling, as the tip projection and rotation can depend on the relationship with the bridge of the nose. Typical rhinoplasty cost is about $5500, and the recovery or down time is a week. (Peter E. Johnson, MD, Chicago Plastic Surgeon)
Based upon the photos that you have posted, I believe that you would be a good candidate for a limited, tip nose job. On profile examination, you can see that you have fairly feminine dorsum and well rotated nasal tip.
There is a slight bump which, if of no concern to you does not require it to be addressed, although doing so would be likely straightforward during surgery. On frontal view, you can see that the nasal tip is certainly bulbous, and this is secondary to the shape and orientation of your lower lateral cartilages, which could be corrected with cartilage trimming and suture refinement. A tip-refining nose job does not require a long surgical procedure and usually, in terms of recovery, you are looking at 1 week of recovery followed by several weeks of nasal swelling. (Danny Soares, MD, Clermont Facial Plastic Surgeon)
Tip refinement
From the photos that you included, your tip looks bulbous and poorly defined and on the lateral view, you have a small dorsal hump. You would be a great candidate for a nose job tip, more specifically tip refinement, which would reduce the volume of the cartilages that comprise your nasal tip creating a narrower appearance.
This is typically done under sedation or general anesthesia. When you go for a consultation with a plastic surgeon, you should get a detailed exam, photos, and a computer imaging simulation so that you can be given a clear explanation about what a realistic result would be. (Michael T. Somenek, MD, FACS, Washington DC Facial Plastic Surgeon)
Yes, you are a candidate for a tipplasty, however, you need to discuss all issues with your facial plastic surgeon. A full evaluation of the entire nose needs to be done for complete evaluation. (Francis R. Palmer, III, MD, Beverly Hills Facial Plastic Surgeon)
I do not think you are a candidate for tip only I recommend a full rhinoplasty operation for you. (Darryl J. Blinski, MD, Miami Plastic Surgeon)
Tip plasty or full rhinoplasty?
You need a full rhinoplasty to primarily refine the tip but also balance the rest of the nose with the new smaller tip. The end result should be a natural balanced looking nose. See a very experienced nose job surgeon for this. (Toby Mayer, MD, Beverly Hills Facial Plastic Surgeon)