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What Suggestions Would You Make to Refine the Nose Tip? (photo)

asked 8 months ago by dnoir in NJ
Latest answer by William Portuese, MD
Question viewed 209 times
Tags: nose tip, options, refine pores

I've been considering rhinoplasty for many years to refine my bulbous tip and asymmetrical nostrils. I hope to start consulting various doctors after the new year, but would like to be as prepared as possible. What are your suggestions in refining the tip, and creating a more narrow (yet natural) appearance? Thank you in advance! I appreciate your advice!

12 answers to What Suggestions Would You Make to Refine the Nose Tip? (photo)

Suggestions to refine nose tip

Tip refinement in the bulbous nose is accomplished with suturing techniques in the nasal tip cartilages, which narrows, refines and feminizes the nasal tip. A small amount of cartilage is sometimes also removed to reduce the bulk of the nasal tip as well. The width of the nasal bridge can be narrowed through osteotomies. It is important that the new tip balances well with the remainder of the nose and facial features. Patients should anticipate mild asymmetries of the... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Rhinoplasty Techniques Work Fine to Narrow Your Tip

Hi there in New Jersey; You appear to be a very good candidate. It seems that your skin is not overly thick or oily, and the cartilages seem to be quite apparent. Therefore, sculpting the tip cartilages is appropriate. The entire nose needs to be narrowed. But I feel it would be unwise to only narrow the tip. (I am sure you have been told that in consultations.) Each surgeon has his or her own technique of refining the tip, but remember it really hinges... more

Robert Kotler, MD
Beverly Hills Facial Plastic Surgeon

Tip rhinoplasty

Thank you for posting your photos . Very helpful to asses. In my opinion you would benefit from a full rhinoplasty rather than tip rhinoplasty. It appears that you have a sebaceous and mildly thick skin which reduces your chance of getting ideal results.However significant improvement can be achieved by skin preparation ( skin care ), being followed by reduction of your tip cartilages along with their repositioning closing together. The cartilaginous portion of septum need to be freed... more

Fereydoon S. Mahjouri, MD
Minneapolis Plastic Surgeon

Tip rhinoplasty

Your posted photos show a 90 degree angle between the nose and upper lip, thick nasal skin, a wide bridge, deviation or tilt of the tip and strip of skin between the nostrils toward the left and a parantheses "()" appearance of the dome of the tip. An infracture of the nasal sidewalls can narrow the bridge. The parentheses appearance can be corrected by trimming the upper edge of the tip cartilages and then suturing them together to rotate them away from the midline. Correction... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Your tip can be narrowed

A well done rhinoplasty can give you a smaller, narrower tip. See a board certified plastic surgeon, they will tell you what is involved.

William B. Rosenblatt, MD
New York Plastic Surgeon

What would refine my tip?

You have a nice strong profile and good projection but are wide and boxy at the tip and in the middle and upper nose as well. You need tip reshaping and narrowing of the midlle and upper nose. You don't need large amounts of cartilage removal. If your columella deviation is from your septum then this needs to be fixed. If it is from your tip cartilages then it can be addressed with the tip work.

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

www.palmbeachface.com

Rhinoplasty results are usually very good when you have good tip projection.

Hi. 1) From your pictures, I would say that you are lucky in your anatomy, because it makes for an "easy" operation. The two key points are the root and the height of the tip. The root of your nose (between your eyes, called the nasion) looks fine. And your tip has good projection, so it is simple to refine. 2) I do the think the nose as a whole needs subtle narrowing. And you should get a natural result. That is... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Rhinoplasty

Seeing your pictures is helpful but in order to give you the most accurate opinion a complete examination including the airway is necessary. Refining the tip and narrowing the nose can achieve the appearance you are looking for but one needs to be careful not to narrow the airway to much. A cosmetic improvement that leaves you with a functional problem would not make you a happy patient. Good luck

David L. Abramson, MD
New York Plastic Surgeon

What Suggestions Would You Make to Refine the Nose Tip?

The photos show a boxy nasal tip but also wide mid cartilage and bone secttions of the nose. The tip can be thinned with eiother a closed or open Rhinoplasty but IMHO, the rest of the nose should be thinned as well to make the nose aesthetically balanced.

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

Refining the TIp

Hi, The bulbous nature of your tip is due to wide and boxy lower lateral cartilages. They cartilages can be easily reshaped to give you a more narrow refined look. I would also narrow your nasal bones as well. Your nostrils could also be narrowed very slightly from a horizontal perspective. Computer imaging would also help you see what your nose would look like after surgery. Best, Dr.S.

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

www.facechange.org

Well-performed Rhinoplasty Surgery may be employed to narrow your nose.

I read your concerns and reviewed your photos: You may expect to achieve narrowing of your entire nose on front view after Rhinoplasty Surgery. You may benefit from slight tip rotation as well. If your nostril asymmetry is due to a deviated nasal septum, this may be improved as well. You may want to consult several reputable rhinoplasty specialists to see what you might expect to achieve after Rhinoplasty Surgery. Computer-imaging may be helpful for you as well. Dr. Joseph more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Options to Refine Nasal Tip

Your tip is wide with poor definition. This can be improved with minimal removal of excess cartilage and changing the contour and position of those tip cartilages. The columella is crooked, probably secondary to septal deviation. The upper 2/3rds of the nose also appears wide. An experienced surgeon will address all of these issues so you achieve a natural result.