I'm hoping that there's a plastic surgeon who can fix my bulbous nose. I know that surgeons have trouble with these types of noses, which are common in more ethnic cultures. How realistic is it to assume that this can be fixed significantly enough to justify the cost of surgery? I sometimes see before and afters of bulbous noses where not much has changed. I live in Canada.
Can Someone Fix my Bulbous Nose? (photo)
Doctor Answers (13)
The bulbous tip rhinoplasty
A bulbous tip can be addressed through suturing techniques of the lower lateral cartilages, and removal of cartilage when necessary to affect the refinement and change of the tip. It is also important to make sure that the remainder of the nose is in balance with the new tip, so a full rhinoplasty is sometimes necessary. The morphed pictures too much of a pinched nose that is not obtainable. For other examples of bulbous tip rhinoplasty in our practice please see the link below
Improvement of Bulbous Tip
A bulbous tip can be improved but the results will depend on the skill of the surgeon and the thickness of the skin. With all due respect, I feel the tip in your morphed result is a little too pinched at the nostril rim, but that will be decided with the help of your surgeon.
Refining the bulbous nose during rhinoplasty
Your tip can certainly be made smaller and more refined, and the width of your nostrils can also be reduced. The amount of nostril width reduction you have pictured is essentially closing off your airway to the point where you would have a difficult time breathing. Having an in-person consultation will give you a more accurate idea of what degree of change is possible.
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Can someone fix my bulbous nose?
Refinement of a bulbous nose is a routine rhinoplasty feature.
You should not worry that you cannot have a more refined tip. I am not sure why you believe that this is so difficult to achieve. Any cosmetic plastic surgeon who is experienced in rhinoplasty should be capable of delivering a refined tip. The biggest risk that should not be taken is that the tip will be too narrow, pinched, twisted, and very unnatural. In the hands of an experienced nose surgeon, this would be very unlikely.
Do some cosmetic surgery homework by visiting plastic surgery websites. Just search, "Bulbous Tip"
Web reference: http://www.robertkotlermd.com
Correction of Bulbous Nasal Tip
Typically a virgin nose is relatively straight forward with regards to correction of a bulbous nasal tip. It usually requires removal of a small portion (not too much...) of the lower cartilage of the nose. In most but not all cases it could also require sutures to orient the tip correctly and provide a adequate contour for the best facial aesthetics. As someone mentioned above your final result depends on the skill of the rhinoplasty surgeon as well as your skin quality. Thicker skin will show some residual fullness despite contouring the tip cartilage well. So thinner skin will show better contour all other things being equal. Lastly, some cartilage may be needed to maintain the lower cartilage in the proper orientation like a supporting beam on a roof. Again, your surgeon's expertise here will be key in this decision.
Bulbous Tip Refinement
The bulbous tip is not an uncommon request, and it is not uncommon to get a result like the one you want. Find the plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties each year. Kenneth Hughes, MD Los Angeles, CA
Web reference: http://www.hughesplasticsurgery.com/Rhinoplasty.php
Can my bulbous nasal tip be made more attractive?
Nasal tips that are bulbous, round, too big and/or out of proportion to the rest of the nose are often the primary reason a patient consults a surgeon. Thick skin can contribute (it's hard to make it thinner!) but when the cartilages under the tip skin are excessively large and wide, (think over- sized McDonald's arches), then these can often be sculpted and made more refined. Your surgeon can help you decide if you are a candidate for surgery and if he/she is an appropriate surgeon for you.
Reducing wide nostrils and bulbous tip
It should be possible to improve the appearance of your tip. It appears that your nostril width is overly reduced in your morphed photo, though.
The nostrils can be narrowed using an alar base reduction technique. The bulbousness can be addressed via cartilage trimming and possibly with cartilage grafting.
Learn more about this type of surgery at my web reference link below.
Correcting a bulbous tip
It depends on just how small you want it. The tip can certainly be refined by a combination of techniques. Often the limiting factor is the thickness of the skin. Despite a great change to the internal framework, the skin is so thick that the work is camouflaged. Also, some ethnic types have small fat pads in the tip that add to the bulbous appearance. These can often be thinned with excision, but only so much can be removed before the viability of the skin is compromised. The best way to decide on whether to have the surgery or not is to see an experienced rhinoplasty surgeon and find out what to expect in your specific case.
Bulbous Tip Rhinoplasty
Bulbous tip is one of the most common complaints in rhinoplasty. It can almost always be made significantly better. The key is to maintain tip and alar support so you don't get pinching or external valve collapse. Good Luck!
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.
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