Bulbous nose tip refinement

Hi P,Your lower lateral nasal cartilages are large.  They can be refined through an endonasal approach, I would prefer a delivery technique.  Once this is accomplished, hopefully the rest of your nose is in harmony with your tip.  If not, then some very conservative maneuvers can be done to give you a great natural looking nose.  The cost of rhinoplasty varies depending on the surgeon.   It is mouch more expensive to correct a poorly performed rhinoplasty.  Choose your rhinoplasty surgeon most carefully.  Good luck and be well.Dr. P

Hello phirey0ne,Thanks for your question.Your bulbous tip is due to malposition of your lower lateral cartilages.  In other words they are in the wrong position giving them a taller appearance.An open tip rhinoplasty, in my opinion, is the more appropriate operation for you to safely and strategically reposition your tip cartilages while refining your tip elements.This is a procedure I perform routinely in the office using local anesthesia and oral sedation.  The patients tolerate the process well and are universally satisfied with the cosmetic outcome in my hands.An in-office tip rhinoplasty starts at around $3500.If you'd like more information, please contact us at my office in Cherry Creek.Have a nice day,Dr. Shah

Improving the a bulbous
tip to achieve an improved natural appearing cosmetic result is a frequent
request of patients wanting nasal refinement. It is possible to improve the
cosmetic appearance of the tip alone without altering the rest of the nose in
some patients. Whether the optimal option in your particular situation would be
a tip rhinoplasty alone or a full rhinoplasty would best be determined at a
consultation. Either procedure can be performed with a closed or open approach.
Following the advice from a surgeon on this or
any other website who proposes to tell you exactly what to do based on limited
2 dimensional photos without examining you, physically feeling the tissue,
assessing your desired outcome, taking a full medical history, and discussing
the pros and cons of the operative procedure would not be in your best
interest. I would suggest you find a plastic surgeon with extensive nasal
surgery experience who is certified by the American Board of Plastic Surgery
and ideally a member of the American Society for Aesthetic Plastic Surgery
(ASAPS) or a facial plastic surgeon (ENT) that you trust and are comfortable
with. You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla,California