Boise Rhinoplasty doctors

The dorsum refers to the top ridge of the nose - think the peak of an A frame house.  Most patients and doctors like a smooth dorsum.  The question is, what happens when you get to the tip cartilages?  If there is a clear change in slope between the dorsum and cartilages - think a gentle hockey stick shape - we call this a supra tip break.  You just need to bring in some dorsum to tip transitions that you like to your surgeon to decide what you prefer and if that look is possible for your nose.  Remember, anatomy always beats desire.

If you put tent fabric over tent framework, you see the framework.  If you put a bearskin rug over, you don't see much definition.  If your nose skin is bearskin rug, you can't change it into tent fabric.  That said, if the surgeon in an open rhinoplasty elevates the skin in a nice, even plane and then removes any extra tissue from the cartilages, you can get some thinning in a safe manner.  Agressive thinin of the under side of the tip skin is indeed hazzardous.  As always surgeons get into trouble trying to make the body do someting it was not meant to do and as always, patients need to be counseled appropriately and have realistic expectations.  Best wishes.

Rhinoplasty is a technically demanding operation.  Open procedures allow more predictable results in most surgeons hands.  Unless you need minimal tip work, I would stay with open.