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Would a Bulbous Nasal Tip Reduction Be Successful for Me?

asked 5 months ago by Madeline100 in Lawrence, KS
Latest answer by John Bitner, MD
Question viewed 248 times
Tags: nose tip, reduction

As you can see, my nose sticks out considerably further than my chin (I don't want a chin implant). Would getting a tip reduction help this? Also, it points downward when I smile and it makes me very self conscious when smiling. Would it fix this? I got a rhinoplasty done just to remove a small hump on the bridge of my nose about seven months ago but there was no work done to the tip of my nose because I've been afraid it would come out looking "pinched". What do you think? Thank you so much!

11 answers to Would a Bulbous Nasal Tip Reduction Be Successful for Me?

Bulbous Nasal Tip Reduction

Your bulbous tip can be refined by reducing the width without causing a pinched tip. I would not decrease the tip projection to compensate for a weak chin. Then you would have a weak chin with a weak, under projected nose.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Chin Augmentation or Nose Surgery

Your nose, overall, looks nice. The tip could be slightly narrowed (refined) and rotated up, just a little. The projection is good. I can guarantee that if you deprojected it (brought the tip closer to your face) you would not be happy. The chin is definitely the problem here. There are chin augmentation options that are easy, quick recovery, and even reversible. You could even try Radiesse first, although you would need 3 or more syringes, to see how you... more

John Bitner, MD
Salt Lake City Facial Plastic Surgeon

www.drjohnbitner.com

Is Tip Rhinoplasty Helpful?

I see no aesthetic benefit to trying to change the tip of your nose. It is a little wide but otherwise has a nice shape and definitely does not point downward. You made a good decision in your first rhinoplasty to leave it alone. Your facial balance issue is your chin which adds to your accentuated facial convexity. But trying to make the tip of the nose more narrow will not change your overall look. Plus, as you have already expressed concern, there is the risk that you may see it as too... more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

www.eppleyplasticsurgery.com

Tip reduction most likely will help you

The pictures you post are some what misleading due to the fishbowl effect and the incorrect angle, a proper recomendation can only be done with a face to face examination, however it looks like a properly done tip refining surgery (open approach) with sutures will improve your tip defining points and give you the result you desire.

Victor Manuel Perez, MD
Kansas City Plastic Surgeon

Tip or chin surgery

Whiile you may not want chin surgery( and I can understand that), a tip rhinoplasty to reduce the tip projection ( which looks OK to me at least from the photo) I would not suggest. The chin is the issue in the photo.

Steven Wallach, MD
Manhattan Plastic Surgeon

Questionable gain from tip rhinoplasty

I think that you made the right decision the first time and I see little to gain from a second procedure on the tip of your nose. Best leave things alone. You do realise that the problem with your facial convexity is with the chin, not your nose. Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon

Chin-Nose Harmony

Thank you for your question. You nasal shape and projection seems good (although we don't have the ear-nose pictures). Your nasal tip is somewhat moderately bulbous and a tip refinement procedure would make it more refined (without having a 'pinched' look if done properly). Yet, it would not help with the nose-chin relationship. The issue is your recessed chin. I know you are not interested in chin surgery, so why don't you try some... more

Marc DuPere, MD
Toronto Plastic Surgeon

Would a Bulbous Nasal Tip Reduction Be Successful for Me?

Following the proper aesthetics of facial beauty, your chin is weak as you mentioned. This makes the entire lower face appear smaller and the nose relatively larger despite the nose being the appropriate size and shape on profile. IMHO, the nasal tip could be refined a bit which is a far cry from a pinched, un-natural one. This could be done using a closed Tip-plasty and would not require an entire Rhinoiplasty, IMO. Be sure that the Rhinoplasty Surgeon, you... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Imbalance between nose and chin - correction?

Your nasal shape and projection are good. Nasal tip can be made finer, but would not fix the disproportion with your decreased chin projection. Good options for your chin would include a chin implant or advancement of your chin bone.

Frank Agullo, MD
El Paso Plastic Surgeon

www.elpasoplasticsurgery.com

Tip reduction versus chin augmentation

I think that your nose projection is good and wouldn't recommend changing that. Similarly, your tip doesn't appear bulbous to me in your photos. A chin augmentation would likely improve the overall balance that you're concerned with. Rather than bring your nose in toward your chin you should bring the chin outward instead.

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

Bulbous nasal tip reduction NOT recommended!

Hi Madeline. From one Kansan (born and raised through medical school!) to another, your assessment of nasal over-projection is incorrect; rather your assessment of facial imbalance between your chin and your nose is absolutely correct! Your nose looks great after the bump removal, and you may certainly be correct about adverse cosmetic results from surgery on your nasal tip. Attempting to reduce the tip now will only ruin the balance between the nasal profile and your supratip and nasal tip... more