I'm seeking Asian Rhinoplasty. Is it normal that you get bulbous tip from scar tissue? (photo)

I am seeking Asian rhinoplasty and found this diagram on someone's website. Is this a general concern when performing Asian rhinoplasty? I do not necessarily heal very well and have a history of minor keloids. Just wondering how many of you experienced this in your patients or agree with this school of thought. Thanks.

Doctor Answers 6

Asian rhinoplasty

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Your concern is valid given your history of keloid scarring. There may be more collagen deposition in the tip following asian rhinoplasty due to your history. Typically, scarring is not a concern in asian rhinoplasty. Rather, due to the thickness of the skin, swelling takes longer to resolve and healing time is longer. To improve definition in the tip we will use cartilage grafts to "tent" the cartilage structure into the overlying skin. Other techniques, like thinning the fat off the undersurface of the nasal skin during surgery can help as well. Steroid injections can be used as the last resort.

Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 44 reviews

Bulbous Tip Post Rhinoplasty

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There is no increased risk of tip scar tissue after an Asian rhinoplasty; this has never been my experience.  The contour if the tip cartilages should be changed and grafts placed to support the narrower, better defined tip achieved during surgery.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Asian Rhinoplasty

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The most important thing is to find someone who is experienced with asian rhinoplasty to help you achieve the results you seek.  Please consult with a board certified specialist who can assist you with achieving the results you desire.  3-dimensional computer imaging can also help you visualize what you may look like afterwards.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Asian rhinoplasty and scar does not make tip bulbous.

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Asian rhinoplasty and scar does not make tip bulbous in my 35 year experience of doing theses. The fatty fibrous tissue can be removed to lessen the thickness of the nose, etc. See an experienced rhinoplasty surgeon.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

Asian Rhinoplasty Tip Issues

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Thank you for the question and the diagram. The issue that you are describing is certainly possible. However, it is generally avoided by thinking the skin of the tip region from the inside during your rhinoplasty. In addition, after the surgery, there is some utility in placement of small steroid injections to the tip skin. Lastly, as shown in the diagram, I will often use a small cap graft to help with tip definition in Asian patients. Best of luck moving forward!


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Complications can occur with any procedure but in the hands of an experienced surgeon you should reliably get the desired result

Dr Corbin

Frederic H. Corbin, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 65 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.