Ask a doctor

How Much Difference Will Reducing Bulbous Nose Tip Make?

Hi. I am considering getting Rhinoplasty (a "nose job") done to reduce the "bulbous-ness" at the tip of my nose. However, I am worried that I will look totally different to what I look like now.

Is it possible to get surgery, without looking like a totally different person after? Also, comments on my nose are welcome!


Doctor Answers 21

Options for reducing size (bulbous) and fullness of nasal tip in nose job (rhinoplasty surgery).

There is no "perfect nose". In fact, aesthetic standards are subject to change and personal interpretation. It is your job to tell the plastic surgeon what you desire to achieve and it is the plastic surgeon's job to tell you: 1) if that is possible, 2) how the surgery will be accomplished, 3) what to expect in the post-operative period, 4) potential alternatives and outcomes, as well as the 5) risks of the procedure.

Reducing the fullness in the tip of the nose. You may also want to consider reducing the nostril flare but this is difficult for us to assess when smiling.

Chicago Plastic Surgeon
5.0 out of 5 stars 54 reviews

Have a question? Ask a doctor

Reducing a bulbous nasal tip

The tip of the nose can certainly be slimmed down. The goal with conservative surgery is to maximize the result while noe causing changes that appear done or feminized.

Also important with the tip is to leave enough cartilage on the sides of the nose so it does not collapse or look pinched; or if the cartilage is not correct, to corrrect it.

You seem to have irregularities and asymmetries that might best be addressed with an open rhinoplasty.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 103 reviews

Nose shouldn't look totally different after good Rhinoplasty

Hi Daniel,

Typically after a good rhinoplasty, it should not look totally different. As a matter of fact, most people will not notice unless you tell them.

The best way for you to know what the outcome will be is to get computer imaging. This helps the patient see what his nose will look like after the surgery.

Reducing the bubosity of your nose may be achieved by simply restructuring your tip cartilages and rotating your tip. To evaluate your profile I would have to see it.

All the Best,

Dr. S.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
5.0 out of 5 stars 220 reviews

Rhinoplasty...Reducing the Bulbous Tip While Maintaining Your Identity

Hi Daniel,

Yes, it is possible to have rhinoplasty, addressing the "offending parties" (as one of my Brit patients termed it) without drastically changing the rest of your nose. You can reduce the "bulbous-ness" (the offending party in your case), and still look like yourself (you will not need to re-introduce yourself to family and friends at the next party).

By refining your nasal tip, most likely the upper 1/3 of your nose will also need a subtle degree of refining as well. This can be accomplished with precise rasping. The key is choosing your rhinoplasty surgeon most carefully.

See the below web reference for further information on subtle rhinoplasty.

Good luck and be well.

Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

Bulbous nasal tip surgery

Surgery to reduce the bulbosity of the tip of the nose is a very rewarding procedure. However, in general, it can take up to a year or two to see the final results of tip reduction so patience is also required. How much you narrow the tip of nose depends upon personal preferences, however, in men I typically recommend avoiding a boxy or pinched tip since that tends to feminize the nose or make it look created. Also, refinement should match the profile which more pictures would be necessary to assess that. Finally, a masculine nasal tip typically is still strong and is not overly rotated upward but lifted up some as your frontal view shows it to be hanging. I hope this information helps.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 11 reviews

Tip rhinoplasty

As has been said, a proper evaluation of your nose requires a full set of non-smiling photos.  However, a tip rhinoplasty done by an experienced surgeon should be able to refine your tip without feminizing you.  Seek a few consultations with well qualified surgeons and ask their advice. 

Most patients still look like themselves after rhinoplasty

Rhinoplasty should refine a nose but in most cases not make patients look dramatically different than before surgery. Radical changes can be made but are not usually necessary. What I find is that most patients go back to work and co-workers often don't notice they had surgery. Once people get to know you, they really don't study your face, once they see you its about recognition. One of the best comments I hear goes along the lines of "I saw an old friend from high school and they asked if I lost weight or changed my hairdo."

As for the photo you posted, it is difficult to fully evaluate the tip of your nose without non smiling, 3/4 and profile views. I suggest you seek out a qualified rhinoplasty specialist for an opinion on what you really need.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon
5.0 out of 5 stars 48 reviews

Tip Rhinoplasty for Bulbous Tip

A Nose Job (Rhinoplasty) is the most customizable operation in Plastic surgery. no one has the same nose and everyone has different things they wish changed on their widely different noses.

You have large and asymmetric lower lateral cartilages (more convex on the left) with what appears to be flaring. The tip can be refined, but you need to ask your surgeon not to make it too narrow or feminine. In itself that would give you the nose I THINK you are asking about.

In your case all you have to do is consult an experienced BAPS surgeon and tell him what bothers you and what you want. As such your face will not be transformed into a Michael Jackson meets Dorian Gray type nose - the kind the media loves to stoke the fears of the populace with.

Dr. P. Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 69 reviews

Natural results after rhinoplasty

The modern-day rhinoplasty is geared towards creating a more refined appearance to your existing nose - not getting a new nose altogether.  Your nose appears to have a widened tip and base; refining both of these attributes will give you a more aesthetic version of the nose you already have, without changing your overall look.  Seek out a Board-Certified Plastic Surgeon who you feel comfortable with.  I often create a simulation to "show" you what options you have so we are on the "same page" before operating.  That way, any differences in opinion on what would look best on you would be worked out PRIOR to undergoing surgery.

Bulbous tip with bridge refinement

Thank you for your inquiry!

It seems that you are a good candidate for a conservative rhinoplasty that will improve the way your nose looks to complement your facial features in a natural fashion. However, without a physical examination it is not possible to provide you with specific details. I highly recommend that you schedule a consultation with a well-experienced surgeon.

It is important to mention that the finest cosmetic results in any particular case are based on a variety of factors, including: the unique anatomy of the patient, realistic expectations, a well-informed and detailed discussion with your plastic surgeon concerning the best options for you especially covering a deep understanding of the pros and cons of any given choice you will adopt.

Please keep in mind that following the advice from a surgeon online who offers to tell you what to do without a physical examination covering the nature and the status of the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative solution would not be in your best interest. With that in mind, it is the safest and for your best interest to find a plastic surgeon with solid experience and certified by the American Board of Plastic Surgery who is ideally a member of the American Society of Plastic Surgeons that you will trust and be comfortable with. You should discuss your concerns with that surgeon in person.

Good luck!!!

Ali Sajjadian, MD FACS

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 157 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.