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Is This Kind of Nose Tip Augmentation, Repositioning of Nostril Angle, and Perhaps Reduction of Nostril Width Possible?

Is this kind of nose tip augmentation, repositioning of nostril angle, and perhaps reduction of nostril width possible? I think the main problem with my nose is that the nose tip is too short, which is why sometimes my nostrils look wider than they really are and also the angle of my nostrils, instead of pointing straight down, is more diagonally down making my nose and overall face look ugly.

Doctor Answers 8

Tip Augmentation is often the key to a great rhinoplasty results.

Congratulations on picking up on one of the most important factors in nasal appearance!  Too frequently both patients and some surgeons seem to focus on reduction, reduction, reduction, and this sometimes leaves a nose with less shape and structure than before.  However, you are right on track at considering tip augmentation or as we term it, "increasing tip projection".

This can be done surgically either strengthening your cartilages with sutures, or with cartilage grafting.  It may also be done non-surgically with injectable fillers carefully placed for tip projection.

I often recommend against nostril reduction, because personally I believe that nostril flare and curvature gives a nose character.  Nostril repositioning is also difficult to accomplish.  When the tip position is changed, the orientation of the nostrils may improve however.

Again, nice job with your computer generation and good luck in your quest for information.   Find a surgeon who is experienced and passionate about rhinoplasty!

For examples of Rhinoplasty Tip Augmentation cases I have performed, please click the link below.

Bay Area Facial Plastic Surgeon
4.5 out of 5 stars 62 reviews

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Changing Tip Rotation and Contour

The changes you request can be achieved, but your face is not "ugly". See an experienced rhinoplasty surgeon. Good luck!

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 19 reviews

Lengthening the short projected nose.

Yes this is possible to lengthen the short projected nose and change the angle. See an experienced rhinoplasty surgeon who can show you noses like yours that he has done,

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 19 reviews

Changing rotation of nasal tip and nostrils

Adjusting the rotation of the tip could be achieved with septal extension grafts. and nostril reduction is possible but achieving exact degree of correction may be more difficult as nostrils tend to change with facial expressions such as smiling.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 56 reviews

Tip Rhinoplasty

Without the frontal and oblique photographs it is difficult to give you specific advice relative to your nostril width and position.  It appears that the changes in nasal length and tip position are reasonable with cartilage grafts. I would recommend consultation with 2-3 Board Certified Plastic Surgeons who can morph pictures of your nose and give you an idea of what is possible.

Daniel Reichner, MD
Newport Beach Plastic Surgeon
4.5 out of 5 stars 9 reviews

See a Plastic Surgeon

It's clear that you have given a great deal of thought to your nasal appearance. Unfortunately I don't have enough of your photographs to give you a good answer. My suggestion is that you go to see a good plastic surgeon, but it sounds as though your requests can be met.

George Sanders, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 5 reviews

Is This Kind of Nose Tip Augmentation, Repositioning of Nostril Angle, and Perhaps Reduction of Nostril Width Possible?

Thanks for the question and photos, but an in person evaluation is really needed to address these issues. From MIAMI DR. Darryl j. Blinski

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.