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Thick Skinned Bulbous Tip - What Can be Done?

asked 1 year ago by anon3567 in England
Latest answer by William Portuese, MD
Question viewed 487 times
Tags: nose tip, nostrils, male, bulbous, thick skin, wide

Hi there, I've attached 2 pictures of my nose showing front and side views. I've had an appointment with my surgeon who basically told me he couldn't do anything because I have very thick skin and im not really prepared to pay £3500 for nothing.

As you can see I've got wide nostrils and if I press my nose tip in it goes in about 1/2 cm before reaching any bone. Surely something can be done? What sort of results can I expect 3-4 months after the OP?

3 answers to Thick Skinned Bulbous Tip - What Can be Done?

+1

Rhinoplasty for bulbous tip with thick skin

While thick skin is quite a limitation to rhinoplasty, there are some limited results that can occur through the rhinoplasty procedure.  It is important to discuss this thoroughly with your rhinoplasty surgeon.  Make sure your surgeon has performed thousands of rhinoplasties to address your issues.  While the cartilage can be resculpted and refined, the skin can be slightly thinned if thickened in the tip area.  This can all be done through an endonasal technique, but the... more
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Rhinoplasty in thick skinned bulbous tip

It depends on what you are looking to refine about the appearance of your nose. Surgery can serve to narrowness the nasal base and/or nostril openings. To refine your tip and provide more support, you will need cartilage grafting to project into your thick skin.
Kristin Egan, MD

Manhattan Beach Facial Plastic Surgeon
+1

Tip rhinoplasty

Sorry to say but these limited view photos are not helpful in anyway. Technically nostrils are the openings at the bottom of the nose. It is hard to tell from the photos but it looks like the nostril rims are thick and the openings are slightly smaller as a result. The optimal rim width is about 5mm. If that is the case the fat inside the rims can be thinned to narrow the rims. As for the movement of the tip when it is pressed that is usually due to lax or torn ligaments between the tip... more
Aaron Stone, MD

Los Angeles Plastic Surgeon

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