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Surgery for Thinner Nose with a Non-bulbous Tip?

asked 2 years ago by nosejobplease in Philadelphia
Latest answer by William Portuese, MD
Question viewed 1,298 times
Tags: nose, bulbous, tip

I have always wanted a nose job but am afraid to come out looking fake. Truth is I am happy with my profile and the length of my nose. I am not happy with the width (too wide for most glasses to fit comfortably), or the bulbous tip. I am of middle eastern descent and want to keep my look (no ski-jumps), but also want it to be visably more refined. I am also getting dental work (invisalign) done and was wondering if I need to wait for that to be completed before I would be a candidate for surgery?

13 answers to Surgery for Thinner Nose with a Non-bulbous Tip?

Rhinoplasty can thin nose and refine bulbous tip

The nose can certainly be made thinner along the bridge and the tip. There are some tip-defining techniques that will feminize and refine the tip and the bridge. It is acceptable to have any dental work done such as Invisalign before, during, or after the rhinoplasty procedure. It is important to find a surgeon who has performed thousands of rhinoplasties so that the nose will look very natural and not fake or have the look of being “done”.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Finesse in Rhinoplasty

Rhinoplasty surgery is always individualized. The patient and surgeon should decide what will and what will not be changed. Your nose can be narrowed without changing the profile. The dental work will not interfer with your nasal surgery. Procede confidently with a good, experienced rhinoplasty surgeon.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Rhinoplasty

Hello, It is definitely possible for you to improve your nose while keeping your natural middle eastern look. The invisalign should not be an issue. You just want to avoid doing it right after surgery, as you will need to first recover from your rhinoplasty. A good surgeon will be able to tailor your rhinoplasty to your facial structure independent of any correction your teeth may need. I am a facial plastic and reconstructive surgeon who specializes in ethnic rhinoplasty. Please take... more

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon

Rhinoplasty should be an individualized procedure

There is no reason that you can not accomplish narrowing of the upper part of the nose and the tip without reducing the profile. Profile reduction is a distinct surgical maneuver that can be omitted in cases like yours. In all my surgeries, there are variations on the patients' areas of concern which translate into subtle differences in how I do a particular case. These subtleties are the reason that patients should seek surgeons with am emphasis on their procedure of choice. Experience... more

Richard W. Westreich, MD
Manhattan Facial Plastic Surgeon

Rhinoplasty Surgery can narrow your bulbous tip without lowering your bridge.

I think you're an excellent candidate for Rhinoplasty Surgery. Your tip cartilage needs to be reconstructed into a narrower less bulbous unit. I would also like to see a bit less nostril-show. You should find a board-certified, Rhinoplasty specialist with many natural, tip-plasty photos for your perusal. I hope this is helpful for you.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Rhinoplasty

You certainly are a good candidate for rhinoplasty and could benefit from seeing a good surgeon to provide youwith a natural "non-plastic" looking result. It certainly can be performed around the same times as the invisaligns.

Steven Wallach, MD
Manhattan Plastic Surgeon

It looks like you would be a very good candidate for rhinoplasty

From the photos you sent, I think you could have a very nice result and still not look "fixed." If glasses don't fit well, more than the tip of your nose needs to be refined. It is difficult to give specific details since a personal exam by a rhinoplasty specialist is really important. The doctor needs to touch your nose to feel the length of your nasal bones as well as the position and strength of your nasal cartilages. I suggest you seek out a rhinoplasty specialist to discuss... more

Steven J. Pearlman, MD
New York Facial Plastic Surgeon

Rhinoplasty should help you achieve your goals and should be safe with Invisalign

In order to achieve your goals of a more narrowed nose and refined tip, I believe that you would do best with a full rhinoplasty. This would involve reshaping the tip with removal of some cartilage and shaping with sutures. It might be appropriate to slightly thin the tissues of the nasal tip to provide more definition. To narrow the bridge of your nose, osteotomies (breaking the bones) would be necessary, and this could be done while still preserving your profile. Done well, the results... more

Michael D. Yates, MD
Huntsville Plastic Surgeon

Reducing a wide nose with bulbous tip while undergoing Invisalign (dental) correction

If you want your nose narrowed where your eye glasses sit, you will have to have a full rhinoplasty with lateral osteotomies. There is no way around that, In regards to the nasal tip, contouring of the lower lateral cartilages with reduction and reshaping using stitches or grafts should achieve an excellent result. The invisalign question depends on what is being done to your upper teeth which can later the appearance of the rotation of the nasal tip. I would discuss this with your surgeon.... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Tip Rhinoplasty

Looking at your photos, you have what I would define as a boxy,bulbous tip. This needs to be refined. The tip can be done without touching the dorsum. The first rhinoplasty is the most important and hopefully the last one also. Good luck.

Farbod Esmailian, MD
Orange County Plastic Surgeon

Bulbous Nose Tip

Hi, To refine your tip you will need some cartilage grafts from the septum and possible removal of fibro-fatty tissue below the skin surface of the nose. The dorsum can be narrowed by narrowing the upper lateral cartilages and narrowing the nasal bones. The profile should be relatively unchanged. Best, Dr.S.

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

www.facechange.org

Proper rhinoplasty is your answer

As Dr. Aldea has said, you do have a boxy, bulbous tip from excess cartilage. This could be nicely refined with a rhinoplasty focused on the tip. Please understand that it is critical to go to the best rhinoplasty surgeon in Philadelphia as you only really get one good chance for an excellent result and no rhinoplasties are "easy."

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Tip Rhinoplasty (Nose Job)

Your appear to have a bulbous nasal tip with poor definition. This can be nicely corrected with a tip rhinoplasty which would decrease the width of the lower lateral cartilages (making up the tip)and further refine them with stitches and possibly a small cartilage graft.The overall result would be a nice, feminine refined tip. Dr. P. Aldea