What Would You Recommend for an Asian Bulbous Tip and Wide Alars? (photo)

asked 3 months ago by beba46 in Edison, NJ
Latest answer by Julio Garcia, MD
Question viewed 509 times
Tags: alar reduction, bulbous, recommendation, wide

I have a wide and bulbous nose and I'm thinking about an alarplasy but i also want to know if i can do anything to fix the tip

11 answers to What Would You Recommend for an Asian Bulbous Tip and Wide Alars? (photo)

Asian nose

I think the alarplasty is fine but the final results of the tip will be limited due to the thick skin there. In many cases the only way to achi ve the appearance of a more defined tip is to place cartilage grafts to push on the skin and give the illusion of the skin being thinner, but this will also make the tip longer.

Julio Garcia, MD
Las Vegas Plastic Surgeon

Asian noses with thick skin can be refined by rhinoplasty

The main principle for treating Asian noses with thick skin is the opposite of standard "Western" rhinoplasty techniques. Thick skin is usually associated with weak cartilages. The way we make the tip more refined is to use grafts of your own cartilage in the tip called strut and shield grafts to push into the thick skin and create definition. This is sometimes accompanied by narrowing the nostils (alarplasty) and also occasionally adding to the upper part of the nose just... more

Steven J. Pearlman, MD
New York Facial Plastic Surgeon

Rhinoplasty for the Asian nose.

Your bridge can be narrowed and your tip refined. Your profile is good unless you want a little more projection, but only slight. You do Not need nostril narrowing and the base of your nostril is vertical already.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Asian rhinoplasty might need tip support

Rhinoplasty for Asian skin type and features will often require support to improve teh tip projection and force tip definition. Visible tip cartilage grafts can narrow, support and refine your tip. Computer imaging can help you try out changes to see what will give a best look for you. Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon

Asian Rhinoplasty

You have a thick nasal tip and there is not enough projection of the tip. You would benefit from reduction of the fat in the nasal tip and reduction of the width of the lower lateral cartilages. In addition you would benefit from plication of the lower lateral cartilages to enhance projection in conjunction with a columellar strut graft.

Jay M. Pensler, MD
Chicago Plastic Surgeon

Bulbous tip in the Asian nose

Evening Beba, Given your age and what I think is a decent looking nasal bridge (not much if any need for augmentation) I would limit your rhinoplasty to nasal tip refinement without any tip projection and minimal if any superior rotation. Here's a break down of what and why: 1. Your projection is pretty good, and your tip is not terribly under rotated. Refine the tip by doing a concervative excision or your lower lateral cartilage. Your surgeon... more

Chase Lay, MD
Bay Area Facial Plastic Surgeon

Nasal tip surgery for an Asian nose

Your nasal skin appears to be thickened. This will definitely effect your final result. The nasal cartilages can be reshaped and the fibrofatty pad under the nasal tip skin can be thinned. You may require a columellar strut graft to give more projection to the nasal tip.

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon

Well-performed Rhinoplasty Surgery may be employed to narrow your tip and nostrils.

I read your concerns and reviewed your photos. Your tip is a bit underprojected which accentuates the flat broad appearance of the lower third of your nose. You may benefit from tip narrowing, nostril narrowing, and structural tip support (columella-strut and possible tip graft), for a pleasing aesthetic result. These grafts may improve the appearance of your retracted columella as well. Hope this is helpful for you. Dr. Joseph

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

Read This - no alar wedge!!!!

You need-1) columellar strut. 2) alar cinch 3) thinning of nasal skin 4) possible dorsal on-lay graft (single graft vs diced cartilage 5) - finally, infracturing. See cases of this approach at rhinoplastyboston.com alar wedges (weir excision) does nothing to narrow the lower third of the nose, and leaves a pinched "done" look. Best Regards, Dan Delvecchio

Daniel Del Vecchio, MD
Boston Plastic Surgeon

What Would You Recommend for an Asian Bulbous Tip and Wide Alars?

Hi, The thickness of your tip will require tip defatting and cartilage grafts. Once your tip is refined, the alar width will look less wide however still may require reduction. See link below to read about reduction of bulbous tips.

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

Refining the Bulbous Asian Nose Tip

The thickness and pliability of the nose tip skin makes a huge difference. While trimming and refining the lower lateral cartilages making up the tip is sufficient in thin skin ( as as seen in caucasian ness), the thick skin f Asian and black skin often requires placement of cartilage grafts on the tip to contour the overlying skin giving it a more refined appearance. You should see a surgeon who does ethnic rhinoplasties.