My Nose is Bulbous and Nasal Tip is Overprojected Due to Fat, What Can Be Done to Improve It?

asked 7 months ago by akhil in India
Latest answer by William Portuese, MD
Question viewed 282 times
Tags: nose tip, bulbous, Indian

I am indian and have thick skin.However I think my nose is bulbous because of fat under the skin and not the skin itself.

9 answers to My Nose is Bulbous and Nasal Tip is Overprojected Due to Fat, What Can Be Done to Improve It?

Bulbous Nasal Tip

Although certainly possible, a bulbous tip is usually not secondary to fat but thick skin with poorly defined, weak tip cartilages which can be strengthed with the actual addition of cartilage to improve the tip contour. With rhinoplasty we always change the underlying structure of cartilage and bone but it is difficult to change the overlying envelope of skin and effectively remove subcutaneous fat.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Bulbous nasal tip and fat

In my experience with patient's with slightly thicker skin and denser fat in the nose there is less that can be accomplished in refining the nose compared with those that are thin skinned. However, it is definitely acheivable to refine your nose in a variety of different ways. Typically, most patients benefit from a combination of both reductionist and augmentation techniques to both take away from areas that are too broad or full and add to other areas (such as the nasal... more

Shepherd G. Pryor, MD
Scottsdale Facial Plastic Surgeon

www.valleyfacialplasticsurgery.com

Bulbous nose & over-projected nasal tip

There is no fat in the tip of the nose. The nasal tip is simply composed of very thick oily skin and wide thick cartilage. To change the nasal tip, a portion of the tip cartilage can be removed. The remaining portion provides structural integrity to the nasal tip and will then be sutured together to narrow and refine the tip. This is also known as a tip plasty procedure. This will reduce the bulbous portion of the nasal tip, but it is important to make sure that... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

My Nose is Bulbous and Nasal Tip is Overprojected Due to Fat, What Can Be Done to Improve It?

No, the nose doesn't have a fatty layer capable of making the tip appear broad, wide or bulbous. These characteristics, of the nasal tip, are due to tip cartilage shape, subcutaneous tissue (not fat) and thick skin. IMHO, you should send photos for evaluation, of your nose, or have Rhinoplasty consultations with experienced Rhinoplasty Surgeons.

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

Rhinoplasty in individuals of color

Rhinoplasty in individuals such as yourself is quite tricky. The first reaction that patients often have is to make the nose smaller, however, this can be disastrous if you do not visit a board certified surgeon who has done a fair amount of ethnic rhinoplasty. As the skin color darkens the cartilage in the nose becomes more amorphous and less rigid. This combined with the greater percentage of sebaceous glands makes the nose seem flat and bulbous. To correct such deformities an open... more

Giancarlo Zuliani, MD
Detroit Facial Plastic Surgeon

Perhaps Non-Surgical Rhinoplasty Might Work!

I assume you have not had prior surgery, correct? If that is true, and your surgeon told you that your problem is excess fatty tissue and not bulbous cartilages and not thickness of the tip skin itself, consider a non-surgical technique. Ask your surgeon about injecting a cortisone solution under the skin to thin the fat layer. This is not an unorthodox technique. It has been done by many surgeons for many years. There is a best concentration and volume to use, and it must be... more

Robert Kotler, MD
Beverly Hills Facial Plastic Surgeon

Thick skin nose

Patients such as yourself do present challenges in rhinoplasty. Typically a combination of defatting and thinning of the skin along with creation of a strong cartilage framework to impart structure to the skin will yield improvement in shape. Keep your expectations realistic though, you will likely never have a small delicate and refined nose.

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

www.palmbeachface.com

Refining the thick skin nose.

This can be done but I would need to see photos to say how much refinement you can expect. Fat and excess cartilage can be removed but not the skin.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Indian

I believe all of us surgeons believe that thick skin or fat under the shin impairs tip refinement. Trying to thin skin or remove fat results in scar tissue. However there are procedures on your tip that will improve things