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Am I A Good Candidate For Nasal Tip Refinement? (photo)

asked 6 months ago by jan131 in Los Angeles
Latest answer by William Portuese, MD
Question viewed 642 times
Tags: candidate, hump, nose tip rotation, options

Im 46 years old, noticing tip moving south as I age. Would I benefit from this procedure than a nasal rhinoblasty. I have a bump, however that doesnt bother me.. Im in excellent health, weight, non smoker/drinker.. however on med for BP.

18 answers to Am I A Good Candidate For Nasal Tip Refinement? (photo)

Nasal Tip Refinement

One of the beauties (no pun intended) of rhinoplasty surgery is that each procedure can be individualized to meet the needs and desires of each patient and surgeon. Your tip can be 'refined' without changing other parts of your nose. Talk with an experienced surgeon so you can consider all alternatives before making a decision.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Tip Rhinoplasty? Heck yeah!

I see a nose that would do great with a tip rhinoplasty. My preference would be to do this with an endonasal approach. That means your incisions would be on the inside and you'd heal a little faster vs. an open approach. However, there's nothing wrong with an open either. It'll take a little longer to heal. I do note a little bit thicker skin than average so you'll need to be a little patient with the result. You don't want your... more

Chase Lay, MD
Bay Area Facial Plastic Surgeon

Nasal tip refinement

It is very rare that one needs only a nasal tip procedure performed. In the far majority of cases the entire nose must be addressed at the time of rhinoplasty. It is important to make sure all components of the nose is in balance with each other as well as other facial features. There are several different techniques to lift, refine and feminize the nasal tip. Results should be in balance with the remainder of the nose, otherwise the patient would look unnatural. more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Rhinoplasty Surgery

Hello, It is possible to improve the appearance of the nasal tip with a rhinoplasty. I use computer imaging software in my office that allows me to morph a photo of the patient to predict the outcome of a surgical procedure. This serves as a goal and a guideline for me to follow in the operating room. I would recommend seeking a consultation with a board certified facial plastic surgeon who specializes in rhinoplasty. Sometimes, additional procedures may be necessary to... more

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon

Rhinoplasty

As long as your blood pressure is under good control and you have no other medical problems you appear to be a good candidate for nasal tip surgery You can have nasal tip surgery without having surgery on your nasal dorsum Refining and rotating your nasal tip can alter the appearance of your nasal dorsum without having any surgery on your dorsum. Frequently, rotating your nose upward decreases the prominence of the nasal dorsum on a relative basis . After tip surgery, it... more

Paul Carniol, MD
Summit Facial Plastic Surgeon

Am I A Good Candidate For Nasal Tip Refinement?

From the photo, there's seems to be a small bump in the cartilage section of the nasal dorsum with an under-rotated nasal tip. This can be addressed through a closed Rhinoplasty.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Correction of the drooping tip

From the photos, it does appear that your tip has fallen some or has what we refer to as tip ptosis. Given your state of health, you certainly can have a limited tip-plasty to address the lower third of your nose or you can undergo a more complete rhinoplasty to correct or improve the entire nose depending upon your preferences.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon

Rhinoplasty for the drooping tip.

Rhinoplasty for the droopy tip is one part of rhinoplasty. There Are several other parts that may be indicated as well but I would need to see other photos. I only use your tissue--no foreign material.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Tip refinement rhinoplasty

I think there is an improvement to be obtained on your tip. I would consider rotating it up slightly and a subtle refinement. Tip refinement surgery is a delicate task that requires much finesse but it can be quite rewarding.

Mark Samaha, MD
Montreal Facial Plastic Surgeon

Tip rhinoplasty

Cosmetic rhinoplasty is like going to a restaurant. You do not have to eat everything on the menu and you do not have to get every area of the nose operated on. If you only want the tip done do the tip. If you want the tip and the bridge done do both it is a personal choice up to you. Some individuals have large dorsal humps in which case it does not make sense to only do the tip but even in these cases I have had patients that only want the tip work. One patient kept coming back to work on... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Tip rhinoplasty

The short answer is yes, I believe this procedure would be beneficial to you. Your Facial Plastic Surgeon and you should look at your nose as a whole. To get the desired results you are looking for may not only require rotating and resupporting your tip but also changing the projection of your dorsum to match it. You appear to have what I call a plunging tip(which is accentuated when you smile) due to your tip cartilages overidding your dorsal support allowing it to fall. They are... more

Von Graham, MD
New Orleans Facial Plastic Surgeon

Tip

Yes. Tip rotation with a columellar strut for support would help. You might also want to address the alar width. If you remove your slight hump, the lateral osteotomies woul narrow the bridge creating a long narrow nose. Stick with the tip.

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

Tip refinement for drooping tip

Rhinoplasty can be used to improve the tip drooping you're noting. This is a common issue as we age due to loosening of the connections of the tip cartilages to the nasal bones and loss of tissue volume at the base of the nose. Your nasal bump can certainly be left alone if you don't want it removed.

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

Tip refinement in rhinoplasty

Rhinoplasty can and should be tailored to your concerns. It is very possible to address the dropping of the nasal tip. This can be done with or without addressing any other changes in the appearance of the nose. The appropriate techniques can give you long term support to prevent further drooping with time. The one sentence review of your health suggests you are a good candidate for an elective procedure like rhinoplasty. Your surgeon will go over all this... more

Michael Bowman, MD
Montgomery Facial Plastic Surgeon

Is Tip-plasty for you?

You betcha. You have a drooping or plunging tip. it is caused by large cartilage which is also probably "mal-rotated". There also is a very small muscle that is pulling the tip down and should be cut. The tip might need support using something called a columellar strut, like a pole holding up the center of a tent. You have an attractive face - go for it.

Ronald Schuster, MD
Baltimore Plastic Surgeon

Best Rhinoplasty (Tiplasty) for Drooping Tip With Aging

Hi Jan, The nasal tip often "drops" with age (unfortunately like many other anatomic parts) due to weakening of the the nasal cartilages as well as the loss of volume at the base of the nose (at the bottom). As an aside, we have found that when we replace facial volume with Sculptra around the nose, patients often state that we have "given me back my nose that I had as a teenager." You would benefit from a tiplasty to support your nasal tip and keep... more

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Nasal Tip Refinement

Please consult with a board certified rhinoplasty specialist to address your concerns. Tip refinement is a common request and can be addressed.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon

Question about reasonableness of a rhinoplasty

If you are unhappy with the appearance of your nose and the tip in specific, then undergoing a rhinoplasty would be reasonable. You would need to be assessed by a rhinoplasty surgeon and based on your concerns and the physical findings, a reasonable surgical plan can then be formulated.