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What Kind of Rhinoplasty Would Be Needed for my Wide Nose and Bulbous Tip?

asked 9 months ago by gloriafiveeee
Latest answer by Francis R. Palmer, III, MD
Question viewed 309 times
Tags: nose tip, bulbous, options, wide

I feel like my nose is very wide and the tip is really large and i've been considering a rhinoplasty for quite some time. The only thing is I don't know what kind of surgery would be needed and if it's even possible to fix both the width and the tip in the same surgery or will I need to choose?

13 answers to What Kind of Rhinoplasty Would Be Needed for my Wide Nose and Bulbous Tip?

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Wide Nose Issues in Rhinoplasty

You have asked very good questions. A lot of techniques are available to assist you with your nasal reshaping.Just because you have an overall wide and blky nose and nasal tip, doesnt mean that it can not be made naturally elegant and narrow. A lot of tip suturing and grafting techniques can be used together as well as conservative soft tissue debulking to allow the beauty of your new and more refined tip structure to show itself. UOur nasal tip really has no shape and is like a wide arch... more
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What kind of Rhinoplasty would be neede for my wide nose and bulbous tip?

From the photos a Closed Rhinoplasty with osteotomies to break the nasal bones inward and a tip plasty to thin the nasal tip should do the trick. Hope this helps.
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Rhinoplasty to improve wide nose and bulbous tip

A rhinoplasty would be able to address both of your concerns. Controlled bone fractures would allow the wideness of the upper third of your nose to be improved. Your tip shape can also be changed during surgery. Narrowing of the nostril width can also be done at the same time. The incisions for this aspect are in the crease where the ala meets the cheek.
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Refininf the nasal tip

Various maneuvers can be perfromed to enhance the lookd and definition of the nasal tip. A full exam is essential to assess the skin quality and the underlying structures. If the nose is wide this can be treated as well.
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Rhinoplasty

The width of the dorsal nose and tip and nasal base can all be addressed during a rhinoplasty procedure. Your surgeon should be able to show you pre- and post-op photos to illustrate the ways in which the nasal proportions can be adjusted. Your nose looks a bit wide, as you have suggested, and could be narrowed using standard rhinoplasty techniques. All of the areas of concern would be addressed at the same time.
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Bulbous tip

Your requests are common for rhinoplasty patients and certainly you can be helped. There are a variety of techniques that can be used to narrow and refine the nose. Which ones are used take into account the thickness of skin, overall size, shape and strength of your current cartilage and the desired result. Seek a rhinoplasty surgeon who is skilled in a variety of techniques which can be adapted to you and not a one size fits all approach.
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What Kind of Rhinoplasty Would Be Needed for my Wide Nose and Bulbous Tip?

Thanks for the posted photos, looks like a tip rhinoplasty or a tip + wedges + nasal bone fractures would improve your appearance. But you do realize you do not need surgery is an option.
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Rhinoplasty For Wide, Bulbous Tip

It is a relatively straightforward procedure to address a wide, bulbous tip, and they can be done during the same procedure. From your photos, the issue with your nose may be the thickness of your skin. Because your skin appears on the thicker side, there is a limit as to how "refined" the tip can be. 3D imaging is very helpful in showing you what you can expect.
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Rhinoplasty for a wide nose

Usually as one part of the nose is changed, the balance will be shifted such that some adjustment of the rest is needed. If your nose is wide, narrowing may affect the projection of the tip relative to the bridge, or the width of the tip and how is balances with the narrowed bridge. Explore the possibility of computer imaging to see how changes will work out for you and a change to see what you like. Best of luck, peterejohnsonmd
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Wide nose

The simple answer is that you are an excellent rhinoplasty candidate. Choose an experienced rhinoplasty surgeon and let him/her tell the best procedure. Be clear on what you desire.
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Refining bulbous tip - narrowing nose

Looking at the pictures one has to balance your desire for more tip refinement, with the real possibility of nasal obstruction and compromise. You see, to a certain extent when you narrow the tip, you are also narrowing the inside of the nose which could cause serious breathing problems. So think about that carefully and request a conservative degree of change from your surgeon to lessen that risk. Also, you may need spreader grafts to prevent nasal obstruction... more
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Wide nose with bulbous tip

Both the tip and the width can be safely addressed in the same surgery. An open rhinoplasty is essential to expose the cartilage and accurately refine and shape the tip. The nasal bones can then be fractured and reset closer to each other. And finally, additional small incisions are needed in the creases on the sides of your nose to narrow the base.
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What Kind of Rhinoplasty Would Be Needed for my Wide Nose and Bulbous Tip?

Regarding: "I feel like my nose is very wide and the tip is really large and i've been considering a rhinoplasty for quite some time. The only thing is I don't know what kind of surgery would be needed and if it's even possible to fix both the width and the tip in the same surgery or will I need to choose?" A few comments. You appear to be a very attractive woman. If you can readily breath through your nose, NO surgery is, strictly speaking, "needed".... more

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