What kind of procedure will give my bulbous nose a better more attractive look. (photos)
Doctor Answers 5
The dream nose
Thanks for the query and photos.
I can appreciate what you are saying about the tip and yes it is bulbous. The cause will be a combination of the skin and the cartilage.
You tend to have thicker skin which will add volume to the tip, and the cartilages appear larger than ideal. the cartilage can be addressed but the skin will be what will limit the final result.
The " ideal nose" you have posted does have a few more differences from your current nose that perhaps need to be appreciacted so as to avoid disappointment from a tip rhinoplasty.
To approach your ideal nose result you would need a full rhinoplasty as the bony base in narrower as is the alar width, and this in combination with a smaller tip achieves what you regard as a good.
The key will be a full assessment by a rhinoplasty surgeon and from there a plan
I hope that helps
Rhinoplasty; matching the dream with reality
Having said that, some significant refinement is possible via modifying the tip cartilages and alar bases through an open rhinoplasty approach. An expert rhinoplasty surgeon should be able to advise you on what is possible and if that is not enough then do not proceed. Going too far will lead to greater disappointment.
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There are a couple of issues of which you should be aware. Firstly in my practice the most important thing is that your expectations from surgery meets the desired outcome that I think is surgically possible. The desired nose that you show seems eminently achievable.
If I were to look at your facial side profile I would say that ideally you would have a tip rhinoplasty and also consider a chin implant. If you don't want a chin implant (which is completely fine and is your choice) then I would consider making your whole nose smaller and less projected and having a full rhinoplasty rather than just a tip rhinoplasty.
Proceedure for bulbous nose
Digital imaging with your rhinoplasty will further define your aesthetic goals and after internal and external evaluation possibly modify the technique .
These are outpatient procedures requiring about a week off work.
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.