Nose growth, bulbous and weird shape Wondering who to speak to to check it out and why it is growing? Also looking at treatment.

Question

I’m a 35 yo mom of two young kids. I’ve noticed the lower cartilage of my nose has grown bigger since my first pregnancy and continue to grow, creating a noticeable divot/ V shape and bulbous tip. Completely changed my nose shape. Wondering who to speak to to check it out and why it is growing? Also looking at treatment options. Thanks

Steven M. Denenberg, MD · Answer

There are two cartilages that form the tip of the nose. Yours are so strong that they make the tip wide, and you can see the outlines of those cartilages underneath your thin-ish skin.
The woman in the short video that I posted with this answer had her strong tip cartilages reduced in her rhinoplasty. You can see the outlines of her cartilages, too.
When the tip cartilages are strong enough to make the tip wide, they are also usually strong enough to hold the tip down, too, making the tip look droopy. The woman in the posted video had that problem, too, and you can see that her nose is shorter, with the tip raised, after surgery. Your photos seem to show the same issue, although not as much as hers.
Usually, the cartilages don't actually grow. Possibly the thickness of your skin changed, making the outlines of the cartilages more obvious, and then it seems like they're growing, because they're getting more prominent.
Remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes I described above, especially handling those tip cartilages, require advanced techniques, requiring skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon.
Your nose is also a perfect example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. I always email morphs to my online rhinoplasty consultations. When you see the surgeon's goals in the morphs, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are large enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. How would you ever get that figured out without the morphs?! 
But remember, you're not the surgeon for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer.
In your case in particular, you need to find a surgeon who has the technical skills to handle a wide tip like yours, and elevation of the tip, and matching the height of the bridge to those other changes. Again, that's where the morphs can be very useful.

Matthew Richardson, MD · Answer

In many patients, the nasal cartilages continue to grow and change shape over time. In some cases, the skin may also thin out, and the combination of these two factors might lead to noticeable nasal shape changes over time. These issues can be improved with a cosmetic rhinoplasty procedure in many patients, but thin skin is not something that can be resolved. Instead, the underlying cartilages can be reshaped in order to create a more pleasing aesthetic appearance and shape.Be sure to see a rhinoplasty expert.All the best,

Suleyman Tas, MD, FEBOPRAS · Answer

Hello,Thank you for provided information,By a State-of-the-art Rhinoplasty your look can be improved significantly to a balanced, natural nose.Closed and Atraumatic Technique you will have maximal healing with minimal tissue damage.Best Regards,

Robert Singer, MD · Answer

Every nose is different and unique to that individual. If the appearance of your nose concerns you enough to do something about it, it can be improved with a natural artistically performed rhinoplasty. What would be the best option and exact procedure would depend on an in person examination (not just an online consultation) and discussion about desired outcome. Excellent results can be achieved with either a closed or open technique. 
 
 Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you exactly what to do and how technically to do it based on two dimensional photos without examining you, physically feeling your 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. Natural appearing results need to be individualized and what is appropriate for one patient is not necessarily the best for someone else. I would suggest that you find a surgeon with extensive rhinoplasty experience certified by the American Board of Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. 
 
 Robert Singer, M.D., FACS 
 
 La Jolla, California

Nose growth, bulbous and weird shape Wondering who to speak to to check it out and why it is growing? Also looking at treatment.

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Answer: Nose growth, bulbous and weird shape Wondering who to speak to to check it out and why it is growing?

Answer: Nose growth, bulbous and weird shape Wondering who to speak to to check it out and why it is growing?

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Nose growth, bulbous and weird shape Wondering who to speak to to check it out and why it is growing? Also looking at treatment.

Answers (4)

Answer: Nose growth, bulbous and weird shape Wondering who to speak to to check it out and why it is growing?

Answer: Nose growth, bulbous and weird shape Wondering who to speak to to check it out and why it is growing?

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Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.