Can I refine my bulbous tip with rhinoplasty? (Photo)

Question

I'm 19 and considering getting rhinoplasty. I have come to accept my "hump" but I'm hoping to refine my bulbous nose. From certain angles it looks like I don't even have a nose tip and that it is just a box. Also what might be the price point for tip rhinoplasty in Massachusetts? One of the photos included is my rhinoplasty goal.

Steven M. Denenberg, MD · Answer

See the "Web reference" link, just below my response. I made a computer morph, and an animation of the morph, to show the changes that are possible for your nose in truly expert hands.
I narrowed the tip of your nose, elevated that columella that droops somewhat, and adjusted the bridge of the nose, too.You did a very good job on your morph of the profile view -- elevating the columella and adding a little projection to the tip.I took a look at some of your other posts, too. *Absolutely, absolutely do not let someone do a "columellaplasty," whatever in the world that is. Your columella is the same cartilage as the tip of your nose, and an attempt to only work on the columella would do great damage to your tip, and you'd hate it. You dont' have a nose that can tolerate just a little tweak, or a limited operation.You should understand that the changes I demonstrated in the morph, and the changes you would need if you have surgery, involve modification of the tip cartilages, the hardest part of working on a nose. Those changes require advanced techniques, techniques that most plastic surgeons cannot handle.  Be sure to read the section in the "Web reference" link on how to stay out of trouble while searching for a rhinoplasty surgeon.

Raymond Goh, MBBS (Hons), FRACS (Plast) · Answer

Hi, and thank you for posting your questions and photos. You have an asymmetrical and boxy tip. This can be refined by re-shaping the lower (tip) cartilages of your nose - make them smaller and bring them closer together. If the hump is an issue for you, then this can be easily improved at the same time.I wish you all the very best.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  Based on your photograph, you may benefit from a tip narrowing and refining rhinoplasty.  Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose.  Cartilage grafts may also be used to help improve tip refinement.  The most important aspect is to find a surgeon you are comfortable with.  With good surgical technique, you could have an outstanding result.  I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D.Harvard-trained plastic surgeon

Emmanuel Mallol Cotes, MD · Answer

Thank you very much for sharing your concerns with us.The harmony between facial parts makes us instinctively recognize the beauty... without knowing it, without defining it, just a perception that surprises and captivates us.In this regard, I suggest perform a Closed Rhinoplasty (without visible scars) to treat the tip, base and nasal bridge.With this procedure you get a delicate nose, better harmonize with your other facial features.Respectfully,Dr. Emmanuel Mallol Cotes.-

William Portuese, MD · Answer

The cost of the rhinoplasty is directly determined by the amount of time it takes to perform the procedure in an operating room, time under anesthesia, and the surgeon's professional fee for performing the procedure. When patient's have a dorsal hump, it is not possible to only perform  tip surgery. A bulbous nasal tip is addressed with suture techniques and a conservative cartilage removal applied to the lower lateral cartilages of the nasal tip. It's important that all the components of the nose balance with themselves, and the new nose balances with the patient's facial features. For more information, many examples, and our current price list, please see  the link and the video below

Steven Wallach, MD · Answer

Yes, it does look like a tip rhinoplasty may be enough for you.  Of course, evaluating you in person is key to properly assess your tissues.

Aric K. Park, MD · Answer

Your goals are very reasonable. The price point for tip rhinoplasty varies incredibly from location to location and depends on whether you have any functional issues that can help defray the cost of surgery. I would highly recommend you see Dr Arnold Lee in the area for an opinion.

Bryan Correa, MD · Answer

Thank you for your question and photos - you appear to be a good candidate for rhinoplasty given your concerns and expectations. However, it is worth noting that in rhinoplasty, in order to obtain a natural and
balanced result, it is very common to make very small changes to many different
parts of the nose - if you treat only one area, often (but not always) this can
lead to an unnatural result. Rhinoplasty is a complex operation and
requires a nuanced in-person discussion of your goals, as well as a physical
exam. I would suggest a formal consultation with a board-certified plastic
surgeon so your specific concerns can be gone over in detail, a physical exam
be performed, and individualized recommendations be made. Good luck!

Fred J. Bressler, MD, FACS · Answer

Thanks for your post and photos. If you are considering getting a rhinoplasty, there is no reason to accept existing appearance of your hump or nasal tip. In fact, the most attractive and natural rhinoplasty results include addressing all aspects of a person's nose and balancing your goals with an appreciation for overall facial harmony. I believe that you would benefit from rhinoplasty and that you appear to have excellent goals. Your profile can be softened to an attractive, feminine shape which should compliment your facial feature. Tip refinement for the boxy tip may include cartilage reduction and suture modification to improve tip definition and symmetry. Some softening of the columellar and nasal bones could also be considered. I recommend you search for a reputable, experienced Facial Plastic Surgeon with special interest in rhinoplasty and schedule a consultation. Select someone with whom you feel comfortable and willing to listen to your concerns. Computer imaging studies, along with your examination, viewing of patient results and discuss of fees will point you in the right direction for your rhinoplasty. I hope this answer helps in your research.

Stuart H. Bentkover, MD (retired) · Answer

The last thing you want is to have your tip and the rest of your nose look like they belong to different noses.  Yes, the tip is boxy.  it needs to be narrowed.  However, you want to make sure that the tip and the rest of the profile is balanced properly. You need to have a consultation.  I have attached a link.

Can I refine my bulbous tip with rhinoplasty? (Photo)

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