What are ways to fix nasal bossae?

Nasal tip bossae, a recognized complication of rhinoplasty, are irregular, knob like protuberances of the alar cartilages that create visible or palpable asymmetry of the nasal tip. If conspicuous, such a complication can tarnish an otherwise aesthetically pleasing result—an event that is equally distressing to both patient and surgeon alike in around 26% of Rhinoplasties in one study.

There is an anatomical structure called “dome.” that is a part of Lower lateral cartilage ( the cartilage that forms the tip of the nose ).Dome of right and left side meeting together in the midline with those who has normal well defined good looking tip.In others, with large bulbous tip, these domes are wide apart and are then reduced in size surgically and placed together.

The correction of this trouble is to directly address the lower lateral cartilage under vision by open tip plasty and reduce the size of dome surgically by weakening it or excising it and realign the dome at correct height and position.There are several dissolvable stitches are used to fix these cartilages in position.

The space here is not enough to describe endless surgical procedures that can be done on these cartilages to reach the goal.

I hope this answers your questions