Exact Rhinoplasty Procedure for Bulbous Tip?

Usually I recommend the external approach for the bulbous tip. If there is no concern regarding the bridge of the nose or the width of the upper aspect of the nose then an isolated treatment of the tip can be performed although this is uncommon in most of our practices. Treatment of the tip can include removal of cartilage in a conservative fashion, shaping the exisiting cartilage, or even adding cartilage taken from the inside of the nose (tip grafting), Sometimes sutures placed... more

The technique necessary varies from patient to patient and can include: -removal of intraalar fat/fibrous tissue -interalar mattress sutures -reection of cephalic aspect of lower lateral cartilages -columellar strut grafting, tip definition grafting and thining of the subdermal tissue (closed rhinoplasty is very important for the safety of this maneuver All the best, Rian A. Maercks M.D.

There are many techniques that surgeons use to correct the appearance of bulbous tip. The techniques used will depend on the patient's specific nasal structure and characteristics. The lower lateral cartilages (tip cartilages) can be trimmed and reshaped either with sutures or with grafts to relieve the excess curvature. see video

There are many different techniques to address a bulbous tip. All surgeons will have differing opinions on which is the best approach to address your problem. The bulbous tip can be composed of both thick skin and wide cartilages. Thick skin is a very difficult problem to address that will require some cortisone injections in the postoperative phase. The wide cartilage is addressed through refinement and removal of a portion of the cartilage to refine the tip. Suturing techniques of... more

Hi Steban, Every nose is different, as is every rhinoplasty. There may be similiar steps to the procedure, but like snowflakes, noses are different. There are different methods to give definition to a round or bulbous nasal tip. An excellent rhinoplasty surgeon will have all of those methods available at the time of surgery, and use the best combination to achieve your desired nasal cosmetic and functional goals....exactly. Good luck and be well. Dr. P

The exact technique to narrow the tip of your nose will largely depend on the preference of your surgeon. The exact technique is not as important as your final result and your satisfaction after surgery. You should consult several qualified, experienced rhinoplasty surgeons with many favorable photos before moving forward with your rhinoplasty. I hope this helps you.

Dear Steban1990 , There is no ONE exact, carbon copy, template operation we all do the same way to reshape a bulbous nasal tip. Nose surgery is a large collection of surgical techniques - each used in concert with others as needed on an individual nose based on the judgment of the surgeon. GENERALLY speaking, a bulbous nasal tip is brought about by large, wide convex lower lateral cartilages making up the tip support. These cartilages are usually narrowed and shaped with sutures - some... more

There is no such thing as an "exact" rhinoplasty procedure for a bulbous nasal tip. Most surgeons use a combination of removal of excess cartilage and sutures to narrow the tip of the nose. However, grafts of your own cartilage may be necessary as well. Each individual needs to be evaluated for the size and strength of their cartilage as well as skin thickness. Cookie cutter noses should be avoided and hopefully discarded by all surgeons; performing the same exact procedure on... more

Hello, Many different options exist for experienced rhinoplasty surgeons to change the appearance of a bulbous tip. The exact technique chosen should take into effect your facial features and proportions ethnicity existing nasal dimensions (height of dorsum, projection and rotation of tip, width of base) your desires Different options to change the appearance of the tip include altering the existing tip cartilage (lower lateral cartilages), grafting your tip or altering other features... more

The rhinoplasty procedure for the bulbous tip involves the reshaping of the tip cartilages. This is done by placing sutures within the cartilages to change the curvature of the cartilages. This in turn changes a bulbous tip to a more defined one.  Stay well, Andres