Options For Addressing Bulbous Nose Tip, but Narrow Bridge, And Sinus Issues? (photo)

asked 6 months ago by RealFacerightnow in Seattle, WA
Latest answer by William Portuese, MD
Question viewed 345 times
Tags: asymmetry, blockage, breathing problems, bulbous, function, options

I'm interested in a rhinoplasty for functional & cosmetic reasons. I've had sinus issues for years, blockage, chronic light bleeding only on my right side. My nose doesn't look asymmetrical. My bridge is bony & high & is also very narrow in comparison to most people's noses that I see, which is why I have sinus problems? My nose tip is very, very bulbous, which I would like to correct as well. Is there hope that I can fix these 2 problems? I've heard bulbous noses are hard to correct. Thank you.

10 answers to Options For Addressing Bulbous Nose Tip, but Narrow Bridge, And Sinus Issues? (photo)

Septorhinoplasty to Improve Appearance and Nasal Function

Sinus surgery and a rhinoplasty to improve nasal shape and function can all be done at the same time. Bulbous tips can be difficult, but you are fortunate because your tip skin does not appear terribly thick.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Nasal surgery for bulbous tip, narrow bridge and nasal blockage

You can certainly have nasal surgery to address all of your concerns. Rhinoplasty can improve your tip bulbosity to create a better balance between your tip and bridge. I suspect that bringing down how high your bridge is may actually help with the narrow appearance as well. To determine the cause for your nasal blockage you would need an examination to assess your entire nasal airway. Septal deviation, turbinate overgrowth, polyps, or external/internal nasal valve collpase can... more

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

Options For Addressing Bulbous Nose Tip, but Narrow Bridge, And Sinus Issues?

From the photo, your nasal bridge width is aesthetically correct: the nasal tip is wide and a bit bulbous as you have mentioned. Thre's no side view, so I can't tell for certain but suspect that the nasal bridge may also have a dorsal hump that should be reduced. I have performed Rhinoplasty for 20 nyears and IMO, the nasal hump can be removed (osteotiomies would be required to close the open space normally created when removing a dorsal hump) and the nasal tip... more

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

Addressing bulbous nose tip with narrow bridge and sinus issues

Functional reasons for having nasal surgery include chronic sinusitis, which is treated by endoscopic sinus surgery. Allergies and postnasal drip are always treated with medications such as cortisone nasal sprays and antihistamines. Bleeding in the nose is treated with silver nitrate and cautery. Blockage of the breathing passages can be due to a multitude of issues that includes a deviated septum, valve collapse, turbinate hypertrophy, and allergies. An examination... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Options For Addressing Bulbous Nose Tip, but Narrow Bridge, And Sinus Issues? (photo)

You can have surgical correction for all your issues in one operation. Best to be examined in person by boarded surgeons in your area.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Rhinoplasty and Endoscopic Sinus Surgery

First, you would need an in-person exam and appropriate work-up to ascertain what type of surgery is best. Let's go on the assumption that your nose is not more complex than seen in the one photo. Also, let's assume that proper imaging has been done and that appropriate medical management for the sinusitis has already been given. Second, the rhinoplasty can be done and is well within the capability of a good board-certified Facial Plastic Surgeon. The bridge can... more

David Alessi, MD
Beverly Hills Facial Plastic Surgeon

Best treatment for nose and sinus issues

Sinus problems can be complex and should be worked up and evaluated by an ENT doctor..Cat scan may be needed the nose itself can be treated with an open rhinoplasty.. bulbous tips should be greatly improved with suture and cartilage shaping methods

Jed H. Horowitz, MD
Orange County Plastic Surgeon

Rhinoplasty and sinuses

Certainly, if you have sinuses issues, they can be treated at the same time as a rhinoplasty. A bulbous tip can be challenging but can usually be refined.

Steven Wallach, MD
Manhattan Plastic Surgeon

Rhinoplasty with ballon sinuplasty is an option

Rhinoplasty with functional nasal surgery is definately an option. You would likely benefit from "spreader grafts". This would improve your breathing and also make you nose look less narrow in the middle. I would suggest a sinus CT preop. If you have signifcant sinus disease, this could be treated at the same time. New sinus surgery techniques (ballon sinuplasty) are less invasive and easier recoveries. I would highly recommend you see... more

Gregory Pippin, MD
New Orleans Facial Plastic Surgeon

www.pippinmd.com

Sinus surgery and Rhinoplasty

Sinus surgery and rhinoplasty can be performed at the same time. In fact, functional nasal surgery and cosmetic rhinoplasty are preferred to be done together. The height of your nasal bridge probably has nothing to do with your sinus issues. Best to obtain a CT scan of your sinuses to get more insight into your problem. Bulbous tips are challenging, but I would not say difficult.