What to Do with This Bulbous Nose? (photo)

Excessive width of the nose and a bulbous nasal tip can be refined with #rhinoplasty. Seek an expert. Rhinoplasty is commonly performed but is the most challenging cosmetic procedure. Because of this, you want to find a rhinoplasty expert who has the best chance of giving you a pleasing result while maintaining your breathing the first time around. Seek a Facial Plastic Surgeon or Plastic Surgeon with board certification and alot of rhinoplasty skill. Look at photos of their patients' results. Ask them to "morph" your pre-operative images to ensure that you are both on the same page. This is not a guarantee of results but is a communication tool that ensures that you are both seeking to achieve the same result. Thank you for your question. Stephen Weber MD, FACS

Cartilage width and skin thickness typically add to a wide or bulbous nose.

A tip plasty including suture refinement as well as cartilage reduction in the area above the tip defining point will result in reduction of volume. This is a fairly standard operation for any surgeon that does a lot of nasal work. If your skin is too thick or the cartilages are soft, then cartilage grafting may be required to add structure and definition to the tip.

The volume in the nostrils can be slightly reduced. However, there is no specific structure that can be shaved or modified in that area. Some thinning of the fibrofatty soft tissue can be done. However, predictions about result are difficult in that region of the nose.

Best of luck