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

asked 5 months ago by shabby in Saint James, NY
Latest answer by William Portuese, MD
Question viewed 567 times
Tags: nose tip, bulbous, candidate, reduce

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!

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

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

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

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

Steven J. Pearlman, MD
New York Facial Plastic Surgeon

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

Michel Siegel, MD
Houston Facial Plastic Surgeon

houstonfaces.com

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

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

www.palmbeachface.com

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.

Louis W. Apostolakis, MD
Austin Facial Plastic Surgeon

www.dr-apo.com

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.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

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

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

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.

John M. Hilinski, MD
San Diego Facial Plastic Surgeon

www.drhilinski.com

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

Robert M. Jensen, MD
Medford Plastic Surgeon

What Could Be Done to Slim my Bulbous Nose? Tip?

I have performed Rhinoplasty on 60 year olds, so you're certainly not too old for a Rhinoplasty IMHO. Your nasal bones are a bit wide as is your nasal tip cartilages. Both can be thinned and refined using Rhinoplasty as long as the Rhinoplasty Surgeon understands and follows the proper aesthetics of facial (and nasal) beauty for the creation of a naturally, more attractive nose.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Rhinoplasty and bulbous tip

First, you are certainly not too old to have a rhinoplasty. A full exam is really in order to get a full appreciation of your nose the underlying anatomy and the soft tissue coverage. The photos are helpful but more views in different poses would be better as well, but from these few views it does look like you have a very bulbous tip that could be refined.

Steven Wallach, MD
Manhattan Plastic Surgeon

Rhinoplasty will Improve Bulbous Tip

From your photographs, you appear to be a good candidate for rhinoplasty. Most of the shape of the nasal tip is due to cartilage that can be removed or repositioned to improve the aesthetic appearance of your nose. Your age should not be a concern since your skin will accommodate any reasonable change in the tip contour. It is difficult to say without an examination, but you may not require anything more than a tip rhinoplasty. Seek out a board certified plastic surgeon... more