The tip needs reduction

Joseph Perlman, MD answers: Procedures to make nose symmetrical and proportionate to the face?

As you can see my nostrils are very big, and my tip is very bulbous, and although you may not see it, my nose is a little crooked (pictures reverse). Also, you can see that my nose overprojects far from my face due to the bulbous tip.

What procedures would you suggest? I know alar base reduction would be one of them. My nose is already pointy though, so I don't know how one can make it less bulbous from the front view. Please help.


Joseph Perlman, MD
17 days ago

In looking at your photos, it is obvious that the bulbous tip is the main problem and needs to be addressed. Your skin looks thick and ,with thick skin, tip refining is a more difficult problem.in addition, the tip is slightly elongated ,so you would need sculpting of the cartilage, narrowing of the tip using sutures to reshape the cartilage, possibly removing some of the fat between the cartilage and the skin, and shortening the septal cartilage. I don't think that the nostrils are too large, but the base of your nose is wide ,and this could be narrowed by removing tissue between the nostrils at the base of the strut (collumela) which runs from the base of the nose to the tip of the nose

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