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Adivce for a Wide and Bulbous Nose? (photo)

asked 4 months ago by KyleS87
Latest answer by William Portuese, MD
Question viewed 324 times
Tags: nose tip, bulbous, candidate, recommendation, wide

Hello, I am considering having a Rhinoplasty on the tip of my nose as I feel that there is no definition, the shape is very wide and bulbous. I'm not sure whether it is that I have thick skin (making a Rhinoplasty pointless) or an overly sized cartilage? Am I a candidate for Rhinoplasty? If so what would you recommend I do? Because it's dealing with the tip of the nose and the procedure is more complex are the chances high that I would need a revision surgery after a primary surgery? Thankyou

12 answers to Adivce for a Wide and Bulbous Nose? (photo)

+1

Wide, Bulbous Tip with Thick Skin

While thick skin will limit the definition that can be achieve, it does not make a rhinoplasty "pointless". Significant improvement is possible without an increased risk of the need for a revision procedure. Although possible, it is unlikely that you have oversized cartilages. In patients like you with thick skin the cartilages are frequently weak, necessitating cartilage grafts in the tip to provide support and narrow the existing tip.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

+1

Advice for wide & bulbous nose

A bulbous tip is best addressed by cartilage removal and tip cartilage suturing techniques to refine the nasal tip. Any dorsal hump is also reduced at the same time to decrease the overall projection of the nose and to make sure the bridge is in good alignment with the tip. This gives more definition to the tip. Thin or thick skin cannot be made based on a picture, it must be done by palpation at the time of physical exam by your rhinoplasty surgeon. In very... more
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Adivce for a Wide and Bulbous Nose?

From the photos, the nasal skin appears thick with weak, wide and asymmetric tip cartilages. IMO an open Rhinoplasty or more appropriately an open Tipl-plasty with possible ear conchal cartilage ear graft to the nasal tip for further tip strength and refinement would be suggested. Be sure the Rhinoplasty Surgeon, you choose, understands and follows the proper aesthetics of facial (and nasal) beauty for the creation of a naturally, more attractive nose.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Wide tip

Treatment of a wide or bulbous tip is a common request among rhinoplasty patients. A number of techniques have been described to manage this problem. You are correct in recognizing that both skin and cartilage can play a role in the wide nasal tip. It is important that you see a plastic surgeon experienced in rhinoplasty who will perform a detailed exam and nasal analysis. Your surgeon will be able to discuss technique and possible results with you. more
David Bray, Jr, MD

Los Angeles Plastic Surgeon
+1

Bulbous tip rhinoplasty

Your photos show a bulbous tip that should be very amenable to improvement with rhinoplasty. Thickness of skin certainly can effect the outcome, but a skilled surgeon will take this into account when adjusting the underlying cartilagenous support. You can expect a great result if you choose the right doctor. Look for a board certified plastic surgeon with a good portfolio of before and after pictures top show you. Any rhinoplasty in any patient may require a... more
Daniel Greenwald, MD

Tampa Plastic Surgeon

bayshoreplasticsurgery.com

+1

Male rhinoplasty

You certainly are a candidate for rhinoplasty and tip work can help improve the way it appears. A formal exam and an evaluation of your concerns is the first step to take becuase photos can distort things especially as seen in some of the photo views that you took. Good luck.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Male rhinoplasty

From the pictures and information you have provided, you are likely an excellent candidate for rhinoplasty. I would recommend an open rhinoplasty to decrease the fullness, or bulbosity, in your nasal tip. In addition, your photos suggest that you would benefit from reduction in the area above the tip (the supratip area). Rotating your tip up to a refined but masculine position, and reducing nostril size would also be beneficial. Any surgery has risks; rhinoplasty specifically has a revision... more
Steven Goldman, MD

Cleveland Plastic Surgeon

www.drgoldman.com

+1

You may be a candidate for Rhinoplasty Surgery to refine your wide and bulbous tip.

I read your concerns and reviewed your photos. Up-close photos, as you posted, are not as good as full-face photos for evaluation. Your oblique photo demonstrates an acute nasolabial angle, a droopy tip, lack of tip support, and fullness in the supra-tip area. These issues may be improved with well-performed nose job surgery. Hope this is helpful for you. Dr. Joseph
Eric M. Joseph, MD

West Orange Facial Plastic Surgeon

www.ericmjoseph.com

+1

Rhinoplasty for the bulbous tip.

To have a good result from a rhinoplasty for your nose you need to select an experienced rhinoplasty surgeon. You should not need a revision for this normally.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon
+1

Rhinoplasty

A rhinoplasty would be beneficial for you in all likely hood. While you may have slight thickness of your nasal skin it is more an issue of your cartilaginous anatomy that is the issue in your situation based on the photos ,which are not optimal.
Jay M. Pensler, MD

Chicago Plastic Surgeon

www.plasticsurg.org

+1

Nasal tip reduction surgery

You do have a very wide and bulbous nasal tip with some degree of asymmetry. It also appears that you have some thickened skin of the nasal tip as well. A reduction and a reshaping of the cartilage may be beneficial since it also appears that your nasal tip is slightly underprojected At the time of surgery the cartilage work can be done and some, but not all, of the fatty tissue of your nasal tip can be removed. The rest is left to your skins on ability to contract.... more
Jeffrey Zwiren, MD

Atlanta Plastic Surgeon
+1

Tip definition can be improved with rhinoplasty

Tip definition can be improved with rhinoplasty but as you mentioned the thickness of the skin can make it difficult to achieve your goals. From your photos I do not think that your skin is overly thick -- it appears average, but is sometimes difficult to tell from a photo. You do appear to have cartilage asymmetry and some increased prominence which can be improved.
Richard H. Fryer, MD

Salt Lake City Plastic Surgeon

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