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Is It Possible to Re-sculpt Nose to Any Shape?

I have a very bulbous tip and want to know if my desired outcome from Rhinoplasty is unrealistic. I honestly don't know the exact part of my nose that I feel need to be changed; however, I do have ideas of what I would like the outcome to be. Can plastic surgeons pretty much create whatever shape they desire?

Asked 35 months ago by remeemartin08 in sacramento, ca
Sort 9 expert answers by:
+1

No, you cannot make any nose shape

I tell my patients who have an"ethnic nose" that we want to refine the nose - not make it into a caucasian nose. This usually means narrowing the base of the nostrils, narrowing the tip and the nasal bones. It may required the tip to be set forward. But the result no one wants is that "done" appearing nose. I have done famous actresses who still look black and have a more refined, undetectable nasal surgery result. Make sure you go to a rhinoplastic surgeon who has a... more
Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
+1

Computer Imaging Can Help Clarify Your Goals and Set Your Expectations

It is possible for correction of a bulbous tip to appear natural as long as the nose is proportional and in balance with the other facial features. 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. The goals for rhinoplasty should be agreed upon by both the surgeon and the patient. Every rhinoplasty patient is unique and so... more
C. Spencer Cochran, MD
Dallas Facial Plastic Surgeon
+1

Each nose has it own unique limitations.

The bulbous tip can be refined through our tip rhinoplasty technique but there are some limitations to the shape that can be achieved through surgery. Computer imaging would help in this area for communication purposes prior to undergoing a rhinoplasty surgery.
William Portuese, MD
Seattle Facial Plastic Surgeon
+1

Not everything is possible

There are definitely many changes that can be made to your nose. However, not everything is possible. You are limited by your anatomy. Also, we have to balance function and aesthetics. We could create you a very cute small nose, but then you would not be able to breathe. All of these factors go into consideration when planning rhinoplasty.
David Shafer, MD
New York Plastic Surgeon
+1

Several factors can affect perfect Rhinoplasty results

As a plastic surgeon who performs many secondary and revision rhinoplasties, I am often humbled by the difficulty in creating the perfect nose. Often, I feel as if the world is against me. Why? Because a small change in shape in the nose is quite obvious and disconcerting. Although, I may leave the OR with a perfect result in hand, scarring, minimal amounts of bleeding and post-operative sabotage (patients wake up with their nose smashed against their love ones arm, aggressive kissing at... more
Robert M. Freund, MD
New York Plastic Surgeon
+1

A nose is not made of clay

I use to have a professor that would tell me, "If patients were made of clay, I could guarantee them a perfect result!". Unfortunately, noses are not made of clay. What makes it worse, is that even if you sculpt it perfectly at the end of the operation, noses "settle" and heal. This is unpredictable unless you build the nose out of extremely strong cartilage such as rib cartilage. However, although this can be carved into a straight shape, it can warp unpredicatably... more
Otto Joseph Placik, MD
Chicago Plastic Surgeon
+1

Ethnic Rhinoplasty

Hi Remme, No, plastic surgeons cannot sculpt a nose to any shape that is desired. Ethnic noses such as yours are most difficult to reshape, although there are techniques that allow the experienced ethnic rhinoplastic surgeon to make the nose appear smaller, less bulbous in the tip with more definition of the tip, and less wide both at the nostrils and at the bridge. Rhinoplastic surgeons must work with the precious material (the human nose) and are limited in the degree of change by the... more
Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
+1

You can have a more refined tip.

Hi! We certainly cannot create any shape we want, but we have gotten quite good at sculpturing the tip with internal stitches and grafts. You do want a final nose that looks natural and that looks like it belongs to your face.
George J. Beraka, MD
Manhattan Plastic Surgeon
+1

We wish we could but often cannot

Each patient is like a unique canvas and each patient can only have certain degrees of change achieved. In other words, there is no way to be able to give a patient any result they want. The same is true in hairdressing and any other personal appearance enhancement. You have a difficult starting point given your ethnicity, broad nasal tip and thick nasal tip skin. All of these limit how much change you can achieve in a rhinoplasty. What you need to do is go to an expert in what is... more
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
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