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Can the Roundness of the Nose Be Reduced?

I have a round ball-like nose. Can just the ball be reduced? How much will that cost? And is there a way to do it without anesthesia?

Doctor Answers (12)

Roundness of the nose can be reduced with tip-plasty

+1

Yes, the roundness in the ball of the nose can be reduced with surgical tip techniques called a tip plasty. Sometimes the cartilage has to be simply removed from the tip of the nose, and sometimes the tip cartilages have to be sewn together to create less of a bulbous tip. It all depends on the presenting issues and problems. It can be done under local anesthesia, but it is quite painful because of the amount of nerve endings at the nasal tip. For that, we recommend a brief general anesthetic, and the tip plasty usually takes about half an hour to 45 minutes to perform. It is just quite uncomfortable to have it done under local anesthesia.


Seattle Facial Plastic Surgeon
5.0 out of 5 stars 55 reviews

Rhinoplasty; Reducing the Roundness of the Nasal Tip Under Local Anesthesia

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Hi Angie,

Yes, the round, bulbous tip of your nose may be refined with rhinoplasty under local anesthesia.  You should consult with a few rhinoplasty specialists to make certain that other changes will not be required.

Good luck and enjoy your new nose.

Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

Tip Rhinoplasty Can Correct Round Tip or Ball Tip

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The appearance of a "ball tip" most commonly arises from the shape of the underlying cartilages. If this is the case, the lower lateral cartilages (tip cartilages) can be trimmed and reshaped either with sutures or with grafts to relieve the excess curvature. A tip rhinoplasty is the most reliable means of acheiving the desired result. Most surgeons perform rhinoplasty under general anesthesia

To get a better understanding of what your nose would look like after surgery, your prospective rhinoplasty surgeon should be able to show you before and after computer simulations. Many rhinoplasty surgeons use computer imaging, and recently 3D rhinoplasty imaging has become available. This allows patients to preview how their nose might look after surgery.

C. Spencer Cochran, MD
Dallas Facial Plastic Surgeon
5.0 out of 5 stars 90 reviews

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Tip rhinoplasty

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Roundness of the nasal tip can be improved by perfroming a tip rhinoplasty. This is usually best done open.  Sutures can be placed into the tip cartilages to improve the shape.  The fee varies from region to region.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Yes it is possible.

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The tip roundness can be corrected by several methods. It  can be done under local anesthesia without you going to sleep. See a rhinoplasty specialist who is experienced. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

Rhinoplasty to address the tip of your nose

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Yes, a rhinoplasty can reduce the roundness of your nose. This is typically done by removing and shaping the cartilage framework underneath the skin. As far as price goes, this varies according to region and doctor, but the average is around $4,000. Because the nose is a very sensitive area, performing a rhinoplasty without anesthesia will be extremely painful. However, it can be done with twilight sedation and this is pretty easy to recover from. Good luck!

Jeffrey E. Schreiber, MD, FACS
Baltimore Plastic Surgeon
5.0 out of 5 stars 69 reviews

Tip of the nose can be reduced with local anesthesia without siginificant problem

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You don't need to be under iv sedation or general anesthesia for reducing the tip. The tip is easily made numb for tip rhinoplasty. The tip can be reduced by altering the  cartilages through an incision under the nose.

Philip Young, MD
Bellevue Facial Plastic Surgeon
4.0 out of 5 stars 37 reviews

Round ball of the nose

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It is called a bulbous tip deformity. It can be reduced. Cost is anywhere between $2500 to $7500 depending on your geographic location.

It can be done without anesthesia by very few surgeons. One of them is Norman Pastorek in New York City. Most surgeons will however use anesthesia.

Regards

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 25 reviews

This is a common problem and fixable

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The box tip or ball tipped nose a fairly common problem due to large cartilage that is shaped like a ram's horn. This runs along the upper edge of your nostril and extends down between the nostrils. I usually approach this by making an incision in the skin between the nostrils (the collumela) and lift the skin and subcutaneous tissue off of the cartilage . I then trim it and suture it together if necessary. If the overlying skin is very thick, change in the shape will not be as noticeable as when the overlying skin is thin. In addition ,there are some conditions where the tip of the nose is large due to congested blood vessels. This is the "WC Fields" type of nose. This is a condition called rhinophyma and is treated with carbon dioxide laser.

Joseph M. Perlman, MD
Houston Plastic Surgeon
5.0 out of 5 stars 8 reviews

Reducing the nasal tip

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A round, ball like nasal tip is from one of two things: large cartilage and/or thick skin. Either can be addressed by nasal tip rhinoplasty. Often, once the nasal tip is reduced, the rest of your nose is out of balance. So, you should seek out a rhinoplasty specialist to determine what is best for you. I usually use computer imaging to demonstrate potential results.

As for anesthesia, nasal surgery is always performed with local anesthetic. Additionally, we use either sedation by and anesthesiologist or general anesthesia. This can also be discussed at the time of consultation.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon
5.0 out of 5 stars 39 reviews

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.