Rhinoplasty: Cost, Pics, Reviews, Q&A

Narrowing your tip will have a nice overall effect on your nose. However, I would have to see your nose from different views to give you advice on any other changes. (David Shafer, MD, New York Plastic Surgeon)

Treating the bulbous tip will make the lower third of the nose more refined and appear narrower. This can be combined with refinement to the upper 2/3’s of the nose as well. (Steven Wallach, MD, Manhattan Plastic Surgeon)

Bulbous tip and a “fat” nose.

There appears to be some “fish-eye” distortion with this photo which is typical of compact cameras. However, reducing the appearance of a bulbous tip will commonly make the nose appear smaller.

Other procedures may be required such as an alar base reduction or hump reductions with lateral osteotomy an infracture. Discuss these options with your surgeon. (Otto Joseph Placik, MD, Chicago Plastic Surgeon)

The bulbous tip is too larger for your nose.

A bulbous tip can make your nose look large. Most of the features of your nose are fairly refined but the bulbous tip is out of place.

If you refine the nasal tip it will match the rest of your nose and you will think it is skinnier. Other issues to consider in regards to nasal appearance is the strength or weakness of your chin.

A recessed chin will make the nose seem larger in relation to your whole face. Discuss all of these issues with your surgeon to see what will give you the look you desire. (Marcus L. Peterson, MD, Saint George Plastic Surgeon)

Bulbous Tip Fix

Rhinoplasty bulbous tip before and after pictures

Refinement of a bulbous tip will certainly help your nose look smaller, thereby bringing it closer to appropriate proportionality with the rest of your face. Judging from your picture, it appears that your nose may also benefit from other manuevers to make it appear thinner, such as deprojection. Decreasing the distance from your face to the tip of your nose (deprojection), in combination with refinement of the bulbous tip, will make your nose appear smaller, thinner, and more feminine. Have a local rhinoplasty surgeon show you this with imaging so you have a better understanding of how your nose might benefit from a rhinoplasty. (Randolph Capone, MD, Baltimore Facial Plastic Surgeon)

Nasal Bones Need to be narrowed to make nose thin

Your bulbous tip narrowing will help make the lower third look narrow. However, for the upper 2/3 of the nose the nasal bones need to be narrowed by osteotomies. (Tanveer Janjua, MD, Bedminster Facial Plastic Surgeon)

Bulbous tip needs refinement, but all parts must match

Rhinoplasty bulbous tip before and after to narrow nose

Beware of thinking that slimming of the bulbous tip may be the sole answer to getting a better nose. The examination is critical because the doctor needs to see and feel the tissue to understand how they will be influenced by the tip refinement.

Rhinoplasty surgery bulbous tip before and after

No substitute for a complete exam and much thought. The most important time you spend with a cosmetic nasal surgeon is at the consultation.

Take the time to do it right. (Robert Kotler, MD, Beverly Hills Facial Plastic Surgeon)

You may need more than tip reduction

You have complained about your tip and your picture shows wider tip. This will require tip work and may also need alar reduction. The most important issue is the harmony of the whole nose and face.

If you only reduce the tip, the you may notice length and width of the nose more later on. Please have more than one consultation by a board certified plastic or E.N.T surgeon. Let your doctor examine you and recommend the things that he can do. If yo have access to a doctor with imaging software it will be helpful. (Kamran Khoobehi, MD, New Orleans Plastic Surgeon)

Nose job bulbous tip would allow refinement and balance. This can be performed in closed fashion without a visible scar.

Find a board certified plastic surgeon who performs hundreds of rhinoplasties and rhinoplasty revisions each year.

Then look at the plastic surgeon’s website before and after photo galleries to get a sense of who can deliver the results. (Kenneth B. Hughes, MD, Los Angeles Plastic Surgeon)

you are definitely a candidate for tipplasty! This is a great localized procedure that will refine and thin your tip to be more in-line with bridge of your nose.

The recovery is fairly quick, unlike the full nose job. (Francis R. Palmer, III, MD, Beverly Hills Facial Plastic Surgeon)

Your bulbous tip is primarily due to over projected lower lateral cartilages. This can be altered by reshaping the tip cartilages and using some septal cartilage grafts (Oleh Slupchynskyj, MD, FACS, New York Facial Plastic Surgeon)

Obviously, an examination in person is required for a full assessment and to make formal recommendations, but based on your photos, I think you are correct that your dorsum looks good and you appear to be a candidate for a nose job bulbous tip.

I typically perform them with the “open” technique, which I strongly believe gives the surgeon more direct control over the shaping of the cartilage.

Since you have had a prior rhinoplasty, an exam in person to assess the skin quality and bony/cartilaginous structure of the nose is especially important. (Tim A. Sayed, MD, FACS, Boca Raton Plastic Surgeon)

A revision nose job bulbous tip of the lower third should significantly improve the harmony and balance of your face. Your surgeon should mindfull of the thinness of your skin/soft tissue envelope.

As with every procedure, it will be advantageous for you to hear the opinion of different physicians, especially of those who handle revision rhinoplasty habitually. We see patients fly into Boston from out-of-town for consultations routinely. (William Numa, MD, FACS, Boston Facial Plastic Surgeon)

Achieving nasal harmony after nose job

As you have noted, your tip does have asymmetries and appears boxy. It looks as though this is due to the fullness of the underlying lower lateral cartilages as well as how they are connected to one another. This is something that could be improved during revision nose job.

That being said, it is important to consider other issues that may not be apparent to you at this time but could become more perceptible to you after a revision surgery to address your main concern. There are irregularities of the bridge apparent on the frontal view with deviation of the tip to the left.

There is also a subtle residual dorsal hump (bump). If you choose to undergo revision nose job, you may also consider addressing these issues to achieve the best possible overall result and decrease your chances of requiring a third surgery. (Jamil Ahmad, MD, Toronto Plastic Surgeon)

You do have a slight ventral bump but if this doesn’t bother you a tipplasty would be a good idea. See 2-3 facial plastic specialists with experience; look at their photos before the visit and make sure you like their results! (M. Sean Freeman, MD, Charlotte Facial Plastic Surgeon)

You are a good candidate for a tipplasty based on the photos alone though a full examination would be recommended. (Frederic H. Corbin, MD, Brea Plastic Surgeon)

Asymmetrical Bulbous Tip

You do still have one fullness of your profile line but if that does not bother you the work can be limited to your nasal tip. The full, boxy tip can be refined so you achieve a natural result that is proportional to the rest of your nasal features. (Richard W. Fleming, MD, Beverly Hills Facial Plastic Surgeon)

My nasal tip is bulbous and asymmetrical. Would a Nose job bulbous tip make it look more refined and balanced?

I think a tip-plasty would give you excellent results, I agree with the posts below. When you go in for a consultation, see if the surgeon can do computer imaging for a tip-plasty so you can see what changes that will bring for you. (Amy T. Bandy, DO, FACS, Newport Beach Plastic Surgeon)

Tip platy candidate for bulbous tip

It is possible to perform a tip-plasty to the nose to narrow the bulbous tip. This is accomplished with a combination of cartilage removal and suturing techniques to the lower lateral cartilages.

Some minor adjustments to the bridge may also need to be Performed at the same time to make sure the new tip balances with the remainder of the nose. (William Portuese, MD, Seattle Facial Plastic Surgeon)