Bulbous Tip

I have a much bulbous tip and a hump at my bridge. My tip is so thick and heavy that it makes my tip droop. It seems like it makes my profile appear worse than it really is with the hump. Is there anyway just the tip could be fixed? I feel like if the tip was reshaped the profile would improve a great deal. Is it possible to avoid everything else that is involved with rhinoplasty, if you only reshaped the tip. Is is possible?

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8 Doctor Answers | Asked by 1lilcookita in Indian Trail, NC

Doctor Answers (8)
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Tip rhinoplasty can be done alone.

Hi. Sometimes, sculpturing the tip is all that's needed, but I would advise you to let an expert plastic surgeon make a surgical plan. Make sure you understand all the details before you decide that the tip is the only thing you want fixed. Treating other parts of the nose, like the hump, is safe and reliable. see video

Tip alone can be modified with Rhinoplasty

Of course, the tip alone can be thinned using a Rhinoplasty...most likely an Open Rhinoplasty if your nasal tip is also under rotated as this procedure increase tip rotation, IMHO. If you want to keep the bump, in your nose, and understand the nasal aesthetics involved with that decision...it's absolutely your right and decision to do so. In that scenario, you'd have an open or closed tip plasty depending on the current shape of your nsasl tip. No cast, no... more

Tip-only rhinoplasty - not always possible

Everyone’s nose is different, and for some people a tip refinement rhinoplasty is possible, while for others it is not a good idea. Based on what you are describing, you could either have think skin with a bulbous tip and strong cartilage, or you could have weak / floppy tip cartilage and a “tension tip” where the dorsal septum is holding the tip up (even though the tip would appear to be hanging). In the first case, tip-only refinement is possible... more

Bulbous, Droopy Nose Tip

The tip cartrilages can be reduced or the contour changed to improve appearance of your tip. Although little can be done to change the thick overlying skin, the tip can be improved with surgery. You and your surgeon will decide if anything else should be done to achieve the best possible result.

Richard W. Fleming, MD

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Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Bulbous TIp

Thick, rounded nasal tips are one of the most asked about features in rhinoplasty. If the cartilage under the skin is firm and rounded, it can be modified to reduce prominence and width. If the tip is underprojected increasing the height may make it look thinner. Thick and sebacous skin is a different, and tougher problem. Thick skin is like a covering fine details with a fluffy blanket. The subtle cartilage changes just don't show through. Trying to thin the skin is rarely helpful.... more

Thick nasal tip skin and a bulbous tip

If the dome cartilages under the nasal tip skin are large and rounded, then you are in luck in that these cartilages can be trimmed and then reshaped with sutures, giving you better tip definition. If on the other hand, the roundness to your tip is all due to thick skin and the cartilage underneath is weak, then there is less that can be done. Sometimes with thick skin, the tissue underneath can be thinned out, but this must be done conservatively and carefully. Some individuals with thick... more

Bulbous Tip

If you have the tip refined, the hump will be problem afterward and you will want to correct it too. Rhinoplasty is a procedure to reshape all nasal components. There are certain proportions that must be maintained to achieve an ideal nose. Changing one component will affect others and therefore, all components need to be refined to have an ideal shape.

Poissible, but the nose is a whole feature

A bulbous tip is partly bulbous because of the cartilage, but also because of the skin. If skin is thick, as it often is when the tip is bulbous, only limited reduction is possible. Even when the skin is thin there are limits. However, the tip belongs to the rest. Often the upper nose looks too small for the lower nose. Because skin tightening beyond a certain point is not possible, the best solution is often to reduce the tip as much as... more