Pointy Tip Cartilage - What Can I Do? Doctor Answers, Tips
Rhinoplasty: Q&A
Ask a Question

Pointy Tip Cartilage - What Can I Do?

I find my tip very pointy and edgy because the allar cartilage is sticking out, is very pronounced and pointed a bit downwards at the end (the actual shape of cartlg.). What tecniques can be used to make it more rounded, or soft looking through a closed rhinoplasty? How can you reshape this kind of tip and make it more "baby" like?

15 Doctor Answers | Asked by 123anona in US
+2

Reshaping the tip of the nose in Endonasal (closed) Rhinoplasty

Thank you for the question regarding the techniques for reshaping the tip of the nose. In my San Francisco Bay Area rhinoplasty practice, I perform both endonasal (closed) rhinoplasty as well as open rhinoplasty and the choice of which approach to use is based on the needs of the particular patient and the unique anatomy of that patient's nose. From your description of your nose, it seems that you are bothered by the edges of your tip cartilages showing through the skin of the tip of... more
+1

Rhinoplasty for pointy tip

Making precise structural changes to the tip cartilages is one of the most complicated (and least forgiving) aspects of rhinoplasty. I'll start by saying that it is difficult to answer your question without a physical examination. But if I'm understanding you correctly, it sounds like you have a very firm alar cartilage. It also sounds like you may have thin skin (which makes the cartilage seem more prominent). This can be addressed in a number of ways, but if it is the lower... more
+1

Nasal tip surgery

Dear rhinoplasty patient, It is difficult to render a professional opinion without examining your nose or seeing a photo. If you truly need just tip work and there is no sufficient skin thickness, I would recommend an open rhinoplasty with non-destructive suturing technique and covering it with Alloderm or fascia. You must see a surgeon specializing in rhinoplasty. Good luck  

You might also like...

Real Stories

May 20th Surgery Date. - Missoula, MT

Monday morning at 7:30AM I am finally going to have done what I have wanted for decades. I...

Before + After Photos

View 3471 Rhinoplasty photos
+1

"Pointy" Tip Cartilages

With thin nasal skin you can see every minor tip cartilage irregularity. Although very challenging, a beautiful shape and contour can be achieved. There are several techniques which frequently involve placement of cartilage or fascia grafts over the existing tip cartilages.
+1

Thin pointy nose tip cartilage

In many instances this occurs in thin skinned individuals wtih prominent cartilage. Addition of fascia may be an option but may be difficult through a closed approach.
+1

Rhinoplasty

There are several techniques to perform rhinoplasty.  The most important thing for you is to see a board-certified plastic surgeon in consultation and discuss the options.  Without examining you or evaluating photos, it is impossible to give you specific advice.  Good luck.
+1

Accurate Diagnosis and Precision are required in addressing a Pointy Tip

Thanks for your question. Interestingly, I saw two "Pointy Tip" rhinoplasty consultations yesterday, but even though they shared similar tip appearances, the diagnosis was different. One patient had a clear case of the lower cartilages (tip cartilages) being overly long and therefore causing buckling and kinking, which showed through thin skin. The other also had fairly thin skin, but had only one "pointy" side, and this cartilage appeared kinked at the tip, but... more
+1

Pointy tip issues

If you are unhappy with the tip of your nose, I would recommend an open rhinoplasty to get precise treatment of the tip. 
+1

Pointy Tip Cartilage

Dr Mayer is right on "point"! Read his response a few times to understand this crush technique is not easy but will address all your tip issues. From MIAMI Dr. Darryl J. BLinski
+1

Pointy Nasal Tip

It would be helpful to have multiple views of your nose to give you specific advice related to your “pointy tip”.   That being said, it sounds like you have very thin nasal skin which can reveal the edges of the underlying tip cartilage.  Using the endonasal approach, crushed cartilage or temporal fascia can be used to "soften" a pointy tip.
+1

Correcting the Pointy Tip Nose

CCorrection of a pointy tip nose requires one or several tip rhinoplasty technique; the actual one(s) depend on a full examination of your entire nose. Without an examination, much less a photograph of your nose, it is impossible to be specific without risking misinforming you. See a qualified nose surgeon and understand your options before having anything done. Dr. Peter Aldea
+1

Correcting pointy cartilage in the tip of the nose

Tip shape is altered in rhinoplasty by directly adjusting the shape and form of the tip cartilages, or by the application of visible tip grafts over the cartilages to express the new shape. A closed rhinoplasty can work well, however if the tip shape is more 'complex' the open approach will allow the surgeon to see the cartilages clearly and help with the adjustments or in fixing a graft into place. Your pointy tip can be rounded, but by which technique; its hard to tell. Best of... more
+1

Pointy tip correction

The absolute correction of your problem is one that can only be determined with mor information as well as a consultation so that your nose can be examined. Is your nose a revision? Was there trauma to the nasal tip? If not, then it is probably just asymmetry of the cartilages. These are often easily fixed with standard tip-plasty techniques. I have seen many different reasons for a pointy edge in the nasal tip. If a revision, it can be a bossae, a graft that is too sharp, or scar... more
+1

Nasal revision

You need the tip re done by a well qualified rhinoplastic surgeon. They can soften the tip and remove the sharp edges.
+1

Pointy tip cartilage after rhinoplasty.

These noses I revise with crushed cartilage and soft tissue done thru the closed approach. This should give you the result you desire.
Doctors will not see your comments on their answers. If you'd like to follow up, please go here to ask another question.

Comments (0)

Ask a Question

Welcome Back

Sign in with Facebook

Your information remains private and will not be posted without your permission.

Forgot your password?

Don't have an account? Create one now.

Join RealSelf

Join with Facebook

Your information remains private and will not be posted without your permission.

Please enter a valid email address
 Did you mean ?

By creating an account, you are indicating that you have read and accept the RealSelf Terms of Use.

Already a member? Sign In.

Retrieve your password

Enter your username or email address and we will send you a link to login.

Check your email

Check your email. We've sent you a link to reset your password.

Ok