Will Fixing Bulbous Tip Make the Nose Look Thinner?

Question

I have a bulbous tip nose. I want to get my nose to have a normal tip but also want it to look thinner. If I get the bulbous tip fixed, will my nose automatically look skinnier?

Steven M. Denenberg, MD · Answer

Hi,The work done during surgery to narrow the tip of the nose won't change the appearance of the upper part of the nose -- that part can also be narrowed, as a different part of the operation.Careful, though, because narrowing a nasal tip is an advanced technique, and you should see before and after photos, before selecting your doctor, of other patients who specifically had their nasal tips narrowed. A profile view won't show that to you; it's the angled views, like the one you posted, that show the width of the tip.

Richard J. Bruneteau, MD · Answer

It’s not unusual for patients who undergo rhinoplasty surgery to have multiple aesthetic goals. Under these circumstances, they often want their nasal bridge narrowed and their nasal tip refined. These maneuvers are often performed together when patients undergo rhinoplasty surgery.
                It’s important to realize that an aesthetically attractive nose has harmony, balance, and proportion. Isolated tip rhinoplasty can definitely narrow the nasal tip area. Unfortunately this might adversely impact the balance and proportion of the nasal structures. When this situation arises more extensive procedures may be necessary to maintain balance and harmony. 
  
                For these reasons, patients considering rhinoplasty surgery should consult a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses anatomic findings and achieves aesthetic goals.

Evan Ransom, MD, FACS · Answer

In short, yes. Reducing the bulbous tip (wide, lacking in definition) will make the nose look thinner and more refined. In some cases, however, the bridge needs to be narrowed as well. This helps to keep the upper and lower parts of the nose in harmony. Preoperative imaging can be very helpful in considering different aesthetic goals during your consultations.

Michael Kulick, MD, DDS · Answer

Hello,
Yes, your nose would look thinner BUT from looking at your picture, there maybe other issues for you to have facial balance.
 
Look at the pictures on my web site regarding the nasal tip.  Then see if you can find a doctor in your area to be upfront with you.  You have beautiful facial features and getting all of the parts to balance out could be the right thing for you.

Philip S. Schoenfeld, MD, FACS · Answer

Thank you for the picture. The hollowed out appearance can be filled with a hyraluronic acid. In the area the skin is very thin and more out to have lumps. Make sure you go to an experienced plastic surgeon. When I fill this area I under correct and have the patient come back 2 weeks later to help avoid lumps. Sometimes the filler will draw water into it and as i said the skin is very thin.

Jeffrey E. Schreiber, MD, FACS · Answer

It appears as though you are a great candidate for reducing the size of the tip of your nose. Your nose may look thinner right away, but swelling may take up to a year to resolve for the final look. To accomplish a reduction in the tip, you'll need a rhinoplasty done under twilight anesthesia or general anesthesia. Your recovery should take about 1-2 weeks with minimal bruising. Good luck!

David Shafer, MD, FACS · Answer

Narrowing your tip will have a nice overall effect on your nose.  However, I would have to see your nose from different views to give you advice on any other changes.  Good luck with your surgery.

Tanveer Janjua, MD · Answer

Your bulbous tip narrowing will help make the lower third look narrow. However, for the upper 2/3 of the nose the nasal bones need to be narrowed by osteotomies.
Regards

William Bruno, MD · Answer

A bulbous tip refers to a rounded, full tip of the nose.  By removing cartilage and suturing the cartilages together, the nose can certainly become more refined.  The nose will also appear "thinner" and not as wide or rounded.  This can be done without fracturing your nose and may even be done under local anesthesia with mild sedation.
Please consult with a board certified plastic surgeon prior to scheduling your rhinoplasty surgery.
Best wishes,
Dr. Bruno

Otto Joseph Placik, MD · Answer

There appears to be some "fish-eye" distortion with this photo which is typical of compact cameras. However, reducing the appearance of a bulbous tip will commonly make the nose appear smaller. Other procedures may be required such as an alar base reduction or hump reductions with lateral osteotomy an infracture. Discuss these options with your surgeon.

Will Fixing Bulbous Tip Make the Nose Look Thinner?

Answers (20)

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