I have a round bulbous nose tip. What type of rhinoplasty can I do? (Photos)

Question

Which type of procedure will suit me most? Alar reduction, tip rhinoplasty? Also is my nose kinda asymmetrical?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a rhinoplasty. A surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. Make sure you are going to a surgeon with hundreds of long-term before and after pictures on their website with standardized lighting and standardized backgrounds. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D. FACS
Harvard-trained board certified plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D. FACS
Harvard-trained board certified plastic surgeon

Zoran Potparic, MD · Answer

Your nose appears short and wide. Correction should address augmentation of the dorsum, narrowing of the nose and rotation and shaping of the tip. This is known as ethnic rhinoplasty. Although many Asian plastic surgeons consider reconstruction with a silicone implants safe and predictable, that technique is prone to infection, distortion and severe scaring. In person consultation with 2-3 plastic surgeons with expertise in ethnic rhinoplasty is recommended. Good luck.

Mert Demirel, MD · Answer

For a round or bulbous nasal tip, the most relevant procedure is usually tip rhinoplasty. This can refine the lower tip cartilages, improve definition, reduce excessive roundness, and create better tip support.
Alar reduction is different. It mainly narrows wide nostrils or a wide nasal base. If the main issue is the rounded tip, alar reduction alone will not correct it and can even look unnatural if done too aggressively.
Mild asymmetry is very common in noses and faces. From photos, asymmetry can also be exaggerated by lighting, camera angle, facial expression, or head position. A surgeon should assess whether the asymmetry comes from the septum, tip cartilages, nostrils, or nasal base.
If your bridge and side profile are acceptable and your concern is mostly the tip, a conservative tip rhinoplasty may be enough. If there is also a wide bridge, septal deviation, or base width issue, then a more complete rhinoplasty plan may be recommended.
My advice would be to avoid over-narrowing the nose. The goal should be a more defined, balanced tip while preserving breathing and keeping the result natural for your face. A consultation with standardized photos will help decide whether you need tip refinement alone or tip refinement combined with subtle alar/base work.

I have a round bulbous nose tip. What type of rhinoplasty can I do? (Photos)

Answers (3)

More Rhinoplasty Questions

What would improve the look of my wide-tipped nose? (Photos)

Can I Use A Vibration Plate After Alar & Columella Grafts?

Can keloid injections cause blindness?

Nose is wide and disproportionate to my face. Would I be a good candidate for alarplasty? (Photos)

BMI - 14.8. Will I be able to have a rhinoplasty if I’m underweight?

Nose Indented From Scar Revision - How Can I Fix This? (Photos)

WE SEND PRETTY
EMAILS