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Can my Wide, Bulbous Nose Be Reduced in Size?

asked 9 months ago by OCTUBER in New York, NY
Latest answer by Mark Hamilton, MD
Question viewed 726 times
Tags: nose tip, bulbous, opinion, wide

I have a wide, bulbous nose and I was wondering if with Rhinoplasty I can reduce my nose to something like the picture below. I want my results to look natural. I am not aiming to narrow down my nose and making it thin, I have no problem with a small round nose. I just want a nose that will go with my features and facial structure. I would appreciate constructive criticism and what you think should be done to achieve the look I want. I also want to know if the results I want are possible.

17 answers to Can my Wide, Bulbous Nose Be Reduced in Size?

Refining the shape of your nose can be done

Absolutely! Having a widened nasal tip region is a very common complaint of patients seeking rhinoplasty. Fortunately, with today’s techniques, the nose can be refined in a natural fashion while preserving structure as well as breathing. Techniques to narrow the nose include conservative removal of cartilage and suturing of cartilages to provide further narrowing. With today’s techniques, consistent and safe results can be performed that provide refinement of the wide bulbous... more

Mark Hamilton, MD
Indianapolis Facial Plastic Surgeon

www.hamiltonfps.com

Tip refinement

A bulbous nasal tip can be narrowed, but the amount of narrowing and tip refinement can be limited to the skin thickness. The surgical approach to address tip refinement can vary depending on the thickness of the nasal tip skin. Narrowing a nose with thin skin and strong nasal tip cartilages is much different than a nose with thick nasal tip skin and weak nasal tip cartilages. I would recommend consulting with a rhinoplasty surgeon who does computer imaging and reviews your... more

Edward S. Kwak, MD
Manhattan Facial Plastic Surgeon

Large Tip Rhinoplasty

Patients often present with large bulbous tips for rhinoplasty. Rhinoplasty can change the shape of the nose by removing/adding structural elements. There is some skin retraction following rhinoplasty. After all, once a bump is taken down or a tip cartilage removed, where does the extra skin go? Often, the patient who has a big nasal tip has thick skin. The rhinoplasty surgery does not really address this issue. Excess skin/tip width is often able to be... more

Jonathan Berman, MD
Palm Beach Plastic Surgeon

www.drberman.com

Narrowing a wide, bulbous, nose

A wide or bulbous nose or nasal tip can be treated very successfully with rhinoplasty. Decreasing the domal angle, the interdomal distance and flattening the lateral crura are the most common things that need to be achieved by the surgeon to affect the width and bulbosity of the nasal tip. This can be achieved by removing small portions of tip cartilage, suturing techniques and/or placing cartilage grafts . In addition, thinning of the nasal tip skin and/or nostrils can... more

James C. Marotta, MD
Long Island Facial Plastic Surgeon

www.marottamd.com

Fixing a wide bulbous tip

Rhinoplasty is the right surgery to help improve your widw bulbous tip.In your case, I would suggest the open technique since it would allow for better visualization of the cartilages. Your cartilages are very large and will need to be reduced and trimmed. The tip should always be viewed together with the rest of the nose. So you may need additional work on the bridge, nostrils or the width of the nose as well. These might all contribute to getting your nose to have the best overall... more

Ronald Schuster, MD
Baltimore Plastic Surgeon

Can I make my nose look like the rendered picture?

No, IMHO of performing Rhinoplasty for over 20 years this picture has a significant reduction in the bulk of the nostrils which can't be achieved with a Rhinoplasty. Trimming the exterior segments of thick nostrils, IMO, deform the nsotril and result in obvious nasal changes that are not aesthetically pleasing. The other changes, to thin the nose, are more realistic.

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

Bulbous tip rhinoplasty

From your photo it is clear that there are a few areas to adjust. The tip lacks definition and is too wide. Sculpting the underlying framework will provide the right support. The overlying skin is thick with fibrofatty tissue and will need to be thinned so that it can re-drape properly.

Daniel Greenwald, MD
Tampa Plastic Surgeon

bayshoreplasticsurgery.com

It is very common to reduce wide, bulbous noses during rhinoplasty

It is very common to reduce wide, bulbous noses during rhinoplasty. It appears that you do have relatively thick skin, which may limit the amount that the nose can be narrowed. I would recommend a consultation with an experienced rhinoplasty surgeon. Board Certification by the American Board of Facial Plastic and Reconstructive Surgery is preferred. Good luck. Warmest regards, Dr. Pippin

Gregory Pippin, MD
New Orleans Facial Plastic Surgeon

www.pippinmd.com

Well-performed Rhinoplasty Surgery may result in a narrower tip with more definition.

I read your concerns and reviewed the photos you posted: You may achieve narrowing of your tip, but I do not think you could achieve the result in the photo demonstrating your desired outcome. The person in the photo showing your desired outcome appears to have thinner skin than you. You appear to have thick skin which will limit the amount of definition you might see after surgery. You should consult several rhinoplasty specialists to see what you could achieve after well-performed... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Bulbous nose

The guarded answer is yes. The response of thining the lower lateral cartilages is greatly dependent on the thickness of the tip skin The alar base narrowing and osteotomies are straight foreward

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

The tip can be reduced in diameter

We do not have your lateral view and you may need to have dorsal projection. I would recommend a personal consultation and computer imaging .

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Wide nose

Your nose can be narrowed. As far as achieving the morphed image you seek it would depend somewhat on your skin thickness as to whether you will get that much definition and alar thinning.

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

www.palmbeachface.com

Can my Wide, Bulbous Nose Be Reduced in Size? Yes!

A wide bulbous nose can definitely be narrowed. This is a frequently requested change done in rhinoplasty and can be done in a way that keeps your nose in harmony with the rest of your facial and ethnic features.

P. Daniel Ward, MD
Salt Lake City Facial Plastic Surgeon

Wide nose

Your nose can be narrowed. This is a common maneuver done in rhinoplastic surgery. Even if we narrow it, it can look natural.

William B. Rosenblatt, MD
New York Plastic Surgeon

Bulbous Tip

Hi, You have a classic bulbous nasal tip that is common in in Asian and African American patients. This can be improved by defatting the tip and placing cartilage grafts for more structure which will fit and enhance your facial features. The best way to figure what is right for you is to have computer imaging so you can see what your nose will look like after surgery. My website below has many examples of bulbous tip correction. Best, Dr.S.

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

www.facechange.org

Your Wide Nose Can Look More Narrow

Dear IssyL- Based on your current photo, and your desired look "after" photo, it should be possible to make your nose more narrow. The tip of your nose can be made more narrow. This is usually done by altering the shape and width of the cartilage of your nose in the tip. The base of your nose can be made more narrow by bring the external edges of your nose in. This is usually done by removing small skin wedges from your nose right where it attaches to... more

Roy Kim, MD
San Francisco Plastic Surgeon

Bulbous nose tip reshaping

Yes, of course! This is one of the most basic maneuvers in rhinoplasty. Tip bulbousity or wide and mal formed nasal tip is very common problem and this should be a basic technique that should be available to any rhinoplasty surgeon. Having said that, obviously the next question is how much should it be narrowed and will I look natural in my new nose. This is where experience and esthetic eye of the surgeon comes in. I always say that the best rhinoplasty results... more