8 years post-op rhinoplasty for dorsal hump - is shrinking bulbous tip possible? (Photos)

That said, the feasibility of undergoing rhinoplasty surgery again would require an examination. And our experience, you would need to have cartilage grafting to support the position of a deep projected and rotated nasal tip appearance. The best place to harvest cartilage is from your nasal septum. If you had previous septal surgery performed, cartilage grafting utilizing rib cartilage might need to be considered. Hope this is helpful and I wish you well moving forward. Sincerely, Dr Joseph

Currently, besides the residual bump high on the bridge, the tip of the nose sits too low (needs to be elevated), and it's too projecting, which means it comes out forward strongly away from your face. On the morph, I would do more of a job bringing the tip back closer to the face, and elevate the tip more (but of course, to keep it looking attractive, not artificial). When that's done, the dent just above the tip would almost all be gone, or mostly, and we wouldn't have to consider putting material in there, something that begs for another complication or irregularity.

Also, lowering the bump higher on the bridge would make the "dent" just above the tip look even less like a dent. I don't think it's a dent.

You might have a "bulbous" tip, but what I think about when I think "bulbous" is a *wide* tip, when seen from the frontal or 3/4 views, like the patient whose before and after I posted with this answer. From the direct profile view, it's hard to tell how *wide* the tip is. What we can see here is that the tip is prominent.

How *much* to elevate the tip, or deproject the tip, or lower the bump up higher, or make other changes? And how to tell if I'm right and the dent isn't really a dent? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, 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 that your nose needs require seriously advanced techniques, and skill that most plastic surgeons don't possess with expertise. 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. And it also discusses how to take photos that are best for online evaluations.

And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision.