Asian Revision Rhinoplasty: can the nose tip be more defined (and not narrowed) to distinguish the nostrils? (photo)

3 years ago I had a revision rhinoplasty to further refine the tip. The side profile is fine, but from the frontal view there is no definition of the tip of the nose and the nostrils, it looks like it's just one rectangle shape from the bridge to the tip. I don't want to narrow it anymore, I just want to be able to distinguish the tip from the sides of the nostrils. Also, one of my nostrils is longer than the other from the frontal view. Is it possible to fix these w/minimally invasive surgery?

Doctor Answers 3

Asian Rhinoplasty - Tip Refinement

Tip refinement and increased tip projection will help to create a more attractive frontal view and bring a better balance to your frontal and profile. When seeking maximal tip refinement during Asian rhinoplasty, sometimes additional structural support is needed to achieve the projection and definition necessary to get the most refinement. It would be possible to achieve further refinement with rib cartilage as opposed to the septal cartilage and ear cartilage.

Also, while nostril asymmetry is the most difficult area of asymmetry to correct, in most cases it can be improved during rhinoplasty. While perfect symmetry is not attainable, improved symmetry usually is.

During an in-person consultation with an Asian rhinoplasty specialist computer-morphing can be performed to give you a better sense of what these changes will have on your appearance. Obtaining your previous operative note and consulting with a rhinoplasty specialist would be helpful.

Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 57 reviews

Revision, some advices:

Thank you very much for sharing your concerns about your Rhinoplasty with us.

After having analyzed all the info and photos provided to us, i recommend to perform a Secondary Rhinoplasty (not a tip revision) this means (basically) treat the nasal bones and the nasal cartilages.
Therefore i would perform a narrowing of the nasal base (nose osteotomy) and alar and triangular cartilage shaping.

Dr. Emmanuel Mallol Cotes.-

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 252 reviews


Thank you for your question. A rhinoplasty that addresses the tip and nostrils is - by definition - less involved than a rhinoplasty that addresses function and a complete contouring of the nose. Your pictures are very helpful, but to complete a diagnosis an in-person examination is necessary. I suggest that you move forward and consult with a board certified facial plastic surgeon.

Best wishes,

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 116 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.