The tip of my nose is asymmetrical and bulbous. Am I a candidate for a Rhinoplasty? (photos)

I've been wanting a tip rhinoplasty for sometime now, but I'd like a second opinion. As you can see the tip of my nose is asymmetrical and bulbous. I'm also uncomfortable with my profile and would like the projection of my nose slightly decreased if possible. Other than that I like the bridge of my nose just fine.

Doctor Answers 17

Nasal Tip


Hi there. Rhinoplasty (nose reshaping surgery) to address a wide nose is a common request. Most likely, an “open rhinoplasty” (where the soft tissues are gently elevated to allow direct access to the tip cartilages) will be required. These tip cartilages are then sculpted and sutured to refine the nasal tip. Osteotomies are required to reposition a wide nose closer to the midline.

If you like, please follow the link below. The article on Nasal Analysis contains many diagrams that you may find helpful. This may help guide your conversation with your surgeon.

Hope this is helpful. Best wishes.


San Antonio Facial Plastic Surgeon
4.0 out of 5 stars 5 reviews

Rhinoplasty and correction of bulbous tip

Thanks for your question and photos.
Rhinoplasty can be used for correction of bulbous tip. It is usually done with a combination of small amount of removal of cartilage combined with reshaping of the cartiages with suturing and reshaping techniques.
Best wishes,

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 168 reviews

Candidate for "Tip" Rhinoplasty?

Thank you for providing the photos, as they are very helpful. Based on these images, I believe you would be a candidate for Rhinoplasty. Yes, it is possible to improve the tip alone without altering the bridge of your nose. Please seek out a board certified plastic surgeon who can fully examine your nose and make his/her recommendations for the best result.

The tip of my nose is asymmetrical and bulbous. Am I a candidate for a Rhinoplasty?

You are absolutely correct, you would benefit from a tipplasty.  The goal of the tipplasty is to reduce and refine the tip of the nose.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

The tip of my nose is asymmetrical and bulbous. Am I a candidate for a Rhinoplasty?

OK I agree with your assessment of the tip. Now see IN PERSON a few surgeons to decide upon the operation... 

Tip rhinoplasty

A tip rhinoplasty could be performed to narrow the tip. I will say that you will have to be patient for the swelling in the tip to go down to see the final results.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 19 reviews

The tip of my nose is asymmetrical and bulbous. Am I a candidate for a Rhinoplasty?

   The tip can be refined and deprojected to produce those changes with a closed rhinoplasty.

Kenneth Hughes, MD

Los Angeles, CA

Rhinoplasty candidate for bulbous tip repair

The bulbous tip  can be narrowed with the rhinoplasty procedure. This is performed with suture techniques, and a conservative cartilage removal of the lower lateral cartilages of the nasal tip. For many examples, please see the link below

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 67 reviews

Reshaping bulbous, asymmetric tip with mal-positioned lower lateral cartilages during rhinoplasty

As you mentioned, your tip is asymmetric and bulbous.  Those cosmetic issues can be addressed during surgery by a rhinoplasty specialist.  Your tip is on the challenging end of the spectrum, so it's important to do your due diligence in researching and consulting with top rhinoplasty surgeons.

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 27 reviews

The tip of my nose is asymmetrical.

You can benefit from tip refinement, though reducing tip projection may require some reduction of the bridge. In order to get your terms right, computer simulation can help you see clearly the proposed or possible changes to your nose and give you confidence that the result will be just right.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 34 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.