Bulbous Tip No Cartilage?

I was wanting to know if there is any way to reduce the size of the tip of my nose without surgery. The tip of my nose has no cartilage. I realize this is might not be normal. The problem I see here is that there is excess skin at the tip of my nose, which looks like sagging. If there is no non surgical solution, could someone give me an estimate of how much surgery might cost? Thanks a lot.

Doctor Answers 6

Non-surgical rhinoplasty

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Dear coup_de_grace,

  • Non-surgical rhinoplasty does not remove or reduce the size of the nose
  • Filler is typically placed to tent up the skin giving the illusion of more definition, but a slightly larger nose
  • It is tough to advise you without an exam
  • Your best bet would be to go to a consultation where all of your questions and concerns can be addressed

Best regards,

Nima Shemirani

Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 85 reviews

Non-Surgical Solution for Nasal Tip

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If I'm hearing you right, it sounds like you're saying that a lack of "cartilage" in the tip of your nose is making it look like your nose droops downward. This problem can absolutely be fixed by injecting Radiesse into the tip, making it appear more symmetrical and straight. I suggest visiting my site for some before and afters of patients who had the issue it sounds like you have.

Cameron Rokhsar, MD, FAAD
New York Dermatologic Surgeon

Your options

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There is no way your tip "has no cartilage" unless a previous plastic surgeon did a nosejob on you and removed too much tip cartilage.  Your tip cartilages may just be too weak and/or your skin too thick making it hard for you to feel any cartilage in your tip.  Non surgically a little bit of Restylane can in some cases be injected into the tip to give it a better shape but a surgical nosejob is the true answer and cost depends on your nose and your surgeon and your location.  It can be $3k-$30K! Average would be about $8K.

Shervin Naderi, MD, FACS
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 119 reviews

The bulbous tip

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 the bullous nasal tip can come from thick cartilages or from thick tip skin. Without a picture or physical exam it is  difficult to tell what is creating a bulbous tip.  Rhinoplasty involves sculpting tip cartilages not reducing the thickness of the skin

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Large Skin Envelope No Cartilage

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   If the tip contains a paucity of cartilage from trauma or previous surgery, I would recommend cartilage grafting and tip reshaping rather than nonsurgical alternatives.  Kenneth Hughes, MD Los Angeles, CA

Bulbous tips can be improved with non-surgical rhinoplasty

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This is a great question, here is the two part answer, no your nose can not be made smaller with fillers, but yes it can be made to look better with fillers.

  • For bulbous tips with no cartilage, even with surgical procedures, the goal is not to make them smaller but to use cartilage grafts to achieve definition.
  • Often by augmenting the bridge and by selectively augmenting the tip defining point of the nose, the bulbous nose can be improved.
  • This is an advanced procedure and you should find someone who specializes in non-surgical rhinoplasty.

I've attached an example of a nose that looks more defined, even though technically, it's bigger after fillers were added, take a look!

David C. Mabrie, MD
Bay Area Facial Plastic Surgeon
4.7 out of 5 stars 159 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.