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I'm Wondering About a Tip Rhinoplasty.

asked 11 months ago by Lupe_Weiss in Plymouth Meeting, PA
Latest answer by William Portuese, MD
Question viewed 495 times
Tags: nose tip, bump

My nose is large and I have a slight bump in the bridge, but none of that concerns me. What I'd really like to fix is the bump on the tip of my nose. One side of the tip is much fuller than the other. Would it be possible to remove this bump on the tip without messing with my other features? I know an effective rhinoplasty takes into account all of the nose's features,and that I will need a consultation, but is it possible to remove a bump from the tip without needing to change the entire nose?

13 answers to I'm Wondering About a Tip Rhinoplasty.

Tip-plasty or full rhinoplasty

There are few noses that require only a tip-rhinoplasty. Most patients require a full rhinoplasty to balance the features of the entire nose together in addition to the tip. When a tip-plasty is performed the remainder of the nose must be in proportion to the new tip. Any cartilaginous bumps in the tip can be addressed through suturing techniques and possible cartilage grafting techniques.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Tip rhinoplasty

Lupe, It is always possible to undergo an isolated "tip plasty" surgery to improve the asymmetry of the cartilages in your nasal tip. But you probably will also want your tip to be in harmony with the other parts of your nose, as well. It is important for you to discuss both options with your nasal surgeon, as there are pros and cons of each . DRC

Donn R. Chatham, MD
Louisville Facial Plastic Surgeon

Rhinoplasty for Nasal Tip

Absolutely! You can have a rhinoplasty to address only the tip if that's your area of concern. Please choose your surgeon wisely though, as both functionality of your nose along with the aesthetics are important following surgery.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon

Can a tip plasty be done by itself

Yes, of course the tip can be refined by itself if this is your desire. This is called a tip plasty and is part of a limited closed Rhinoplasty or most appropriately termed a closed tip plasty.

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

Tip rhinoplasty

Although tip rhinoplasty can be performed in isolation, some situations demand at least minor adjustments to lest of the nose so that all parts are in harmony

Sam Naficy, MD
Seattle Facial Plastic Surgeon

Tip rhinoplasty can be performed without adjusting the rest of the nose

Yes, you can address just the tip of the nose. This can even be done under local anesthesia alone. Changes to the tip may need to be less aggressive than if the rest of the nose were also refined, so as not to cause disproportion (to keep the tip in harmony with the rest of the nose). This approach may be particularly useful in your case, because you have tip assymmetry that (at least in the photograph shown) is not present in the upper two-thirds of the nose. Good luck.

Steven Goldman, MD
Cleveland Plastic Surgeon

www.drgoldman.com

Tip Rhinoplasty to Correct Tip Asymmetries

Just, tip rhinoplasty is a popular procedure to help individuals who seek refinement of tip asymmetries. I have reviewed your photos and appreciate your concerns. A tip rhinoplasty will help to create a more symmetric and refined appearance to your tip. As stated previously, the tip also lacks projection and will benefit from cartilage grafting to provide strength. I would suggest a careful in office consultation to better examine the nose and discuss your desires... more

Anthony Corrado, DO
Philadelphia Facial Plastic Surgeon

Rhinoplasty for the tip only

Absolutely yes, you can address a "bump" in the tip without operating on the upper nose. When one side of the nose appears more full than the other, there is usually a shape difference in the cartilage ( in your case the left side looks more full than the right). By exposing the tip cartilage during surgery, a rhinoplasty expert can evaluate what is causing the bump. Fixing it may require a small amount of cartilage removal, perhaps some cartilage sutures to... more

Michael Suzman, MD
New York Plastic Surgeon

www.westmedgroup.com

The bump on the tip of your nose may be improved after well-performed Rhinoplasty Surgery.

I read your concerns and reviewed the photo you posted. You appear to have a flat, underprojected, asymmetrical tip. You could see improved tip symmetry and projection after Rhinoplasty Surgery. You would almost certainly require a strong columella-strut to add projection, and you may also benefit from a tip graft. You should consult several reputable, certified rhinoplasty specialists to see what you might expect after nose job surgery. I hope this is helpful for you. Regards... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Tip only rhinoplasty can work for some

It is possible to alter the tip of the nose without 'messing' with the rest, just as it is possible to remove a hump without altering the tip. The key however is in your comment that an effective rhinoplasty must take into account all parts of the nose as very often changing one thing will affect the balance with another. If your goal is tip only see if your surgeon feels you are a candidate. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

Tip rhinoplasty

Yes, you can have a rhinoplasty to address only the tip if that's what you're interested in doing. It appears that your left lower lateral cartilage is more convex than your right causing the asymmetry you're noticing. There are a few methods to correct this convexity. In some cases sutures can be used. Often this won't fully correct the entire length of cartilage fullness in which case a cartilage graft (using septal cartilage) can be placed to flatten the entire length... more

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

The Tip of your nose is two distinct pieces of Cartilage!

If you push your finger on the tip of your nose,it will feel like there is a small space in the middle of the nose. That space is the separation of two pieces of cartilage that make up the tip of your nose. Each piece of cartilage is shaped like an upside down "u". One leg of the "u" is in the columella, the other leg is in the nostril. The bottom of each "u" meet at the nasal tip to create the shape. In your case the shape of the two cartilage is not the... more

Robert M. Freund, MD
New York Plastic Surgeon

Tip rhinoplasty

Yes, you can have a tip rhinoplasty only. From the picture you submitted, it appears that your right and left cartilages are asymmetric. Re-configuring these cartilages with suture may achieve what you are looking for without having to deal with the bridge. Seek a consultation with an experienced rhinoplasty specialist.