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Reducing Nostrils for Bulbous Nose

asked 1 year ago by sal2005 in USA
Latest answer by William Portuese, MD
Question viewed 708 times
Tags: male, bulbous

I would like to reduce the size of my nose and to achieve some tip definition.I will also have the hump filed down slightly –as I still want some of my original features. I have been advised that my nostrils can be reduced to make the nose appear smaller, it was also suggested that the tip can be slightly raised in order to make the nose appear less sloped from the side. Would reducing the nostrils make my nose look small and bulbous?How effective is grafts on bulbous noses?

12 answers to Reducing Nostrils for Bulbous Nose

Reducing Nostrils

Everything suggested by your surgeon is appropriate. Grafts will provide support and help to improve definition in a bulbous tip.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Rhinoplasty for bump and profile refinement, and reducing bulbous tip.

All you mentioned can be done and if you need grafts, they should have no problem as long as they are not over crushed. Select an experienced rhinoplasty surgeon and look at his work--better yet, see live patients he has done.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Rhinoplasty

From your pictures, you have asymmetry, lack of definition, and lack of tip support in general. You have a small hump. I think a rhinoplasty can improve your nose significantly, but likely, it won't be perfect. Tip grafts will be needed for support and shaping, and are very effective. You skin looks thick too, so it may not be possible to get a really refined look.

Scott E. Kasden, MD
Dallas Plastic Surgeon

Refining bulbous nose and reducing nostril size

The treatment of the bulbous nose is to reduce the projection, narrow the width of the nostrils by alarplasty. Reduction of tip cartilages can be performed by direct excision and sewing the cartilages together to narrow the dome of the tip. It is very difficult to reduce the length the nostrils. Osteotomies are performed to narrow the width of the bony portion of the nose. All of these procedures de-project the nose and refine and sculpt the nose for a better facial profile. more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Modifying a larger nose

A "bulbous" nose is a rather generic term that is generally understood to mean a round and prominent tip. Fundamentally the nose consists of several layers including skin, subcutaneous ( fatty) tissue and cartilage and bone. The tip has no bone but a lot of cartilage structures. A round and prominent tip can be a reflection of too much of any of these tissues. To the extent that the prominence is due to cartilage it is rather easily addressed. If... more

Talmage J. Raine, MD
Chicago Plastic Surgeon

Nostril Reduction and Bulbous Noses

I would not do the nostril reduction alone. It will make your tip appear MORE bulbous. The only way to avoid that is to do a tip-plasty as well, so that the tip cartilages can be narrowed. This will preserve the balance in your nose and make the entire structure appear smaller. What you do with the profile height and the amount of tip elevation is purely up to your own personal taste. I would not do anything drastic in either area. You would do very well with subtle changes... more

Richard W. Westreich, MD
Manhattan Facial Plastic Surgeon

Rhinoplasty for the bulbous nose

There are numerous procedures which can be used to provide tip definition and improve the appearance of the nose, and cartilage grafts are very useful in certain cases. Narrowing the nostrils is often possible no matter what techniques are used on the dorsum and remainder of the nose. An in depth consultation with a plastic surgeon is essential in order to answer all your questions prior to undergoing any surgery on your nose.

Olivia Hutchinson, MD
New York Plastic Surgeon

Bulbous Nose

Thanks for your question but it is too difficult to address over the internet. Seek 3 opinions from boarded rhinoplasty surgeons in person to satisfy your issues. From MIAMI Dr. B

Darryl J. Blinski, MD
Miami Plastic Surgeon

Nostril reduction in conjunction with correcting a bulbous tip

The main reason for nostril reduction is to narrow a wide nasal base or to change the angulation of the nostrils themselves. Reducing the nostrils themselves will not have any major effect on the tip itself. That being said if one lowers the tip closer toward the face, this may result in flaring of the nostrils which would require an alar base or nostril reduction. Finally, to answer the other part of your questions, for a very wide and bulbous tip, grafting can help to further narrow... more

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon

Reducing the size of a thick bulbous nose

First you must be made aware that your nose is asymmetrical particularly the nostrils and this may not be completely correctable. While grafts in small noses with thick skin to achieve greater projection can be useful, I do not prefer these in larger noses that need to be made smaller. Your thick skin is the primary obstacle in achieving a refined and smaller nose. see video

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Nasal treatment

Without a formal exam, it is difficult to tell you if your tip can be narrowed. Sometimes the skin is very thick and difficult to thin.

Steven Wallach, MD
Manhattan Plastic Surgeon

Reducing the width of the nostrils is fine in the right patient

Rducing the size/wodth of the nostrils is a good procedure if they excessively wide. You can measure their position in relationship to the inner portion of the eye...if outside this vertical line, a Weir resection as it is called would be appropriate.