How are bulbous tip and upturned nose corrected?

The bulbosity of the nasal tip can be refined through dome suturing techniques whereby each lower lateral cartilages are sutured together with a dissolvable stitch that takes approximately four to six months to dissolve. The procedure, when done as an endonasal approach, will automatically decrease the... more

Stacey: I will play devil's advocate and question if your nose is really too short (over-rotated).  The columella (the strip between your nostrils) appears to be hanging, which could give the illusion of too much rotation. However, if de-rotation is necessary, it is best done by someone with experience... more

Hi Stacey: Taking care of a bulbous tip is easier than relocation the nasal tip lower.  As rhinoplasty specialists we all have lots of experience in scultping the tip but lowering the tip remains a challenge.  One technique I have used is to release all the attachments of the tip cartilages and bring... more

Most of the Rhinoplasty tip-modification techniques will lead to further rotation of your nose, or no rotation at all. You have an attractive appearance, and your nose-lip angle is appropriate. Your nose does not appear too upturned on the profile photo provided. It's not impossible to derotate a tip, but in... more

Modern rhinoplasty is customized to each nose with a specific repertoire of surgical techniques. To refine a nasal tip and then reposition it in a less prominent position the following surgical sequence is usually done. First the nasal tip is refined by thinning the widths of the lower lateral cartilages. Then... more

As a general rule a bulbous tip can usually be treated by performing tip surgery to refine the lower lateral cartilages. This can be done with some excision of the cartilages and tip sutures.  If the bulbous component is due to the thick skin, then it is very difficult to improve it.  If the tip is... more

Hi. On the one view that you posted, your nose looks great, and I recommend leaving it strictly alone.  It is easy to make a nose such as yours  worse with surgery.  If your tip really is bulbous (in front view), then that can be reliably corrected.

 hello Thanks for including your picture. Usually, the cartilage at the tip of your nose is re-shaped to the desired width and location.  I prefer to do this through an incision at the columella that extends into the nose.  In rare cases, if the person had previous nasal procedures, implants may... more

My first impression in looking at the photo you posted, is that you have an attractive nose already.  There may be a strong argument for leaving it alone. However, if after examining you it appears to indeed be "bulbous" as you described, the tip can be remodeled and rotated down as you wish.

Rhinoplasty can effectively correct problems such as a bulbous tip and a nose that is upturned -- these can be a complex combination of problems that a surgeon who specializes in rhinoplasty should address. The appearance of a "bulbous tip" most commonly arises from the shape of the underlying... more