Rhinoplasty: Q&A

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What Could Be Done to Slim my Bulbous Nose? Tip? (photo)

Thanks in advance for any insight. I am a 45 year old women who is seeking a primary rhinoplasty to mostly reduce the tip of my nose. Due to my age, I really don't want a drastic nose job. Does it look like I would only need tip work? Also, am I too old? Thanks again!

13 Doctor Answers | Asked by shabby in Saint James, NY
+2

Slimming bulbous nose

From your photos it looks like you have very broad, convex lower lateral cartilages. I prefer addressing this my reorienting the cartilages in a more flat configuration. Usually this involves lower lateral crural strut grafting using septal cartilage. The beauty of this approach is that it maintains very natural external tip contours and avoid long term problems such as tip pinching and breathing difficulty. Whether only your tip would need to be address depends on the the rest of your... more
+2

How we reduce a bulbous nasal tip

To reduce a wide, round nasal tip we utilize a number of techniques. Nasal tip cartilages are reshaped by removing some cartilage to weaken them. Further narrowing and shaping is obtained by using carefully placed sutures in the tip cartilages. Third, we sometimes actually use grafts of your own cartilage to support the nasal side-walls so they don't collapse from this narrowing. Nothing beats a personal consultation with a rhinoplasty expert. I also find that computer imaging... more
+2

Rhinoplasty for bolbous tip

It appears that besides your bolbous tip, your skin is thick. I would reshape the tip with lateral crural strut grafts. These would both,decrease the boulbosity and give your tip support to prevent pinching. Best of luck

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+2

Bulbous nose

You appear to be a great candidate. Your photo suggest that you have strong large convex tip cartilages which create a shape that is out of proportion with the rest of your nose. Since this is primarily cartilage and not thick skin you should be able to have nice reduction and shaping. How much change you would like is something for you to determine with your surgeon. It's too hard to say from these photos whether or not you would need other work on your nose. Your age will only make you... more
+2

Bulbous Tip

Yes, I think you would be a good candidate for a rhinoplasty. A tip only surgery might suffice, hard to say without directly examining your nose. It would appear from the photos that you have large, broad, stiff lower lateral cartilages that would need to be adjusted in both size and shape.
+2

Bulbous Nose in 45 Year Old Lady

First of all, your age will have no affect on the results of your rhinoplasty surgery. The tip can be reduced and the shape improved. Exactly how this will be done will be determined after physical examination to evaluate the strength of the tip cartilages and the size and position of the surrounding nasal structures that are not clearly seen in the pictures you sent.
+1

Refining a Bulbous Tip

Yes, it appears that you have very robust lower cartilages. These can be shaped along with your tip to give you a very natural but more refined nose. An in-person consultation is mandatory to determine the best surgery for you. Good luck!
+1

Slimming a bulbous nose tip

Nasal tip surgery is one of the most difficult procedures to perform in the field of rhinoplasty. Rhinoplasty is one of the most difficult procedures to perform in the entire field of cosmetic surgery. It is important to make sure that the tip is done well so that it balances with the rest of the nose and facial features. The nose should be narrowed in such a fashion, that it looks natural, un-operated upon, and yet still breathes well through the nose. The... more
+1

Bulbous Nasal Tip Reshaping at 45 Years Old

If you don't wish to have any drastic changes made to your nose, then tip rhinoplasty may be the only thing you want to have done. As far as your age is concerned, don't worry about it. I happen to do rhinoplasty surgery on women your age on a very consistent basis. I have attached a link below that provides more detailed information on management of the bulbous nasal tip. I hope this provides you some further insight.
+1

Indications for tip rhinoplasty

First of all, you are not to old for a rhinoplasty as long as you are in good health and have no risk factors for anesthesia. You appear to be a good candidate and may be able to get by with just the tip being done. If, however, there is a nasal hump or widening of the upper portion of your nose then a fully rhinoplasty might be needed to create a nice smooth transition along the full length of your nose. Norrowing the tip will give you a refined nasal tip... more
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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