Can Tip Rhinoplasty Correct Asymmetrical Cartilage?

If all you need is correction of the tip, then a tip rhinoplasty is ideal. This would encompass evening out and suturing the tip cartilage until they look even. Just a couple of warnings: 1. Scar tissue and cartilage memory always conspire to reverse the surgical improvements. 2. The tip of youe nose may be the tip of the iceberg. The septum may be the twisted culprit that is causing the twist to your nose. So, find a reputable plastic surgeon to give you an honest opinion as to what you... more

Given the one picture you show, it is possible to improve tip appearance with both fillers or surgery. In my opinion, an open approach and sutures to improve your tip will be the best way to go. However, you do need to understand that most (if not all) of us are born with asymmetries and that is a natural thing. With surgery, we can try to correct theses asymmetries as much as possible, but there is always a chance that we can create new asymmetries that bother you. Nothing done surgically... more

A major goal of rhinoplasty is symmetry. Certainly your asymmetrical tip can be corrected and most likely without bone work. I would want to see the whole face including the profile before committing to only correcting the tip. Someone has already pointed out that a perfect nose is a rarity. It is best you accept improvement – not perfection.

First, everyone has a bit of asymmetry in their nose as they do in all parts of their body. It can never be made perfectly symmetric. On the other hand, tip asymmetry can be improved with a tip rhinoplasty using sutures to align the cartilages better and trimming any excess cartilage that one side may have over the other. I would not recommend filler material for tip asymmetry.

Dear Annalynn, If the assymetry of your nostrils is all you want fixed, consider having an injectable filler placed on the right side to lower that nostril to the same level as the left. This is an office procedure with topical anesthetic and no downtime. If this did not meet your expectations, surgery could be performed anytime. Although this could be improved with an operation, I would always favor a non-surgical approach whenever feasible. The picture you provided may indicate that... more

Although perfect symmetry is always difficult to achieve, a symmetrical nose (including the nasal tip) is certainly one of the many goals of rhinoplasty. Your lower lateral cartilages are asymmetrical in shape producing the tip appearance you dislike. During rhinoplasty, the shape of these cartilages is changed, usually using internal suture techniques. This can be done through an open or closed (endonasal) approach. There are many rhinoplasty surgeons who barely ever do closed... more

 A tip rhinoplasty would help improve the asymmetry.  However, you must understand that perfect symmetry is difficult to find in nature, let alone produce it.  Direct changes to the tip cartilages via an open approach would best serve your problem.

A revision tip rhinoplasty should be able to correct your asymmetry. But you need to go to a skilled surgeon in doing this kind of work. This can be one of the trickiest surgeries.

Hi!   Looking at the one photo, in New York we would probably do a tip rhinoplasty through an open approach with internal sutures.  I think your tip can become more symmetrical.

In rhinoplasty jargon, the term "Tip Rhinoplasty" or "Tip Refinement" simply means reshaping the nasal tip to improve its appearance. This can involve making the tip more symmetric, narrower, smaller, less bulbous, less boxy, more/less upturned, etc. -- depending on the goals of the surgery. "Tip rhinoplasty" can be performed via closed rhinoplasty or open rhinoplasty. In closed rhinoplasty, all the incision are placed on the inside of the nose. Open... more

It depends on the presenting problems with regards to tip rhinoplasty. A tip rhinoplasty can be performed as a standalone procedure without having to do the remainder of the nose, provided the nose is in excellent balance relative to the shape of your current nose. Asymmetries can be addressed through a tip plasty technique and if appropriately done, can fix the asymmetries without making it worse.