What Are My Options For Reducing The Width Of a Bulbous Nose Tip?

good afternoon. i'm curious to know the limitations of reducing the width and bulbousness of my nasal tip. my nose does not sit in proportion to my other features and completely lacks any definition. the way that it flares above the nostrils creating a bulbous cone shape is something i would like to address. and whether it is possible to create a dramatically thinner nose in this region and not merely a smaller version of it. thank you kindly for your time.

Doctor Answers 5

Reducing width of bulbous nose

Options for reducing the width of a bulbous tip is rhinoplasty with tip techniques, such as removal of tip cartilage.  In addition to removal of tip cartilage, tip suturing techniques such as film binding sutures are placed to narrow and refine the nasal tip to make sure it balances with the remainder of the nose.  This can be done through endonasal or closed approach and does not need open rhinoplasty. 

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Thick skin is not great for nose shape

Nose shape can be affected by multiple factors, among which the amount and thickness of skin of the tip and nostrils.  Sometimes, the only contributing element of the shape of the nasal tip is the skin itself.

Reduction of the nose tip is not necessarily the best options in these cases.  Creating an harmonic relationship between the other parts of the nose and the tip may improve the nose balance significantly.  Attempting to reduce the size of the nose by reducing its supporting structures and skeleton may lead to poor tip shape and non-predictable outcomes of the operated nose.

In these situation, increasing the strength and support of the nasal structure and also the tip will increase definition, improve symmetry, and lead to a more sculpted shape.  A more balanced nose automatically looks also smaller, because it is more "in sinc" with the rest of the face.

Mario Diana, MD
Plano Plastic Surgeon
4.5 out of 5 stars 28 reviews

Nasal Tip Reduction and Refinement

Thank you for your inquiry!

It seems that you are a good candidate for a rhinoplasty that will improve the way your nose looks to complement your facial features in a natural fashion. Addressing the tip cartilage is a good way to go about the issue. However, without a physical examination it is not possible to provide you with specific details. I highly recommend that you schedule a consultation with a well-experienced surgeon.

It is important to mention that the finest cosmetic results in any particular case are based on a variety of factors, including: the unique anatomy of the patient, realistic expectations, a well-informed and detailed discussion with your plastic surgeon concerning the best options for you especially covering a deep understanding of the pros and cons of any given choice you will adopt.

Please keep in mind that following the advice from a surgeon online who offers to tell you what to do without a physical examination covering the nature and the status of the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative solution would not be in your best interest. With that in mind, it is the safest and for your best interest to find a plastic surgeon with solid experience and certified by the American Board of Plastic Surgery who is ideally a member of the American Society of Plastic Surgeons that you will trust and be comfortable with. You should discuss your concerns with that surgeon in person.

Good luck!!!

Ali Sajjadian, MD FACS

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 195 reviews

Surgical Techniques for Refining Your Bulbous Nose Tip with Natural-looking Result

The excessive width in the tip and the supra-tip (area just above the tip) regions that you are concerned about is a very common reason for rhinoplasty surgery. It would be very straightforward to re-contour the cartilage inside this area of your nose to give you a much more refined but natural-looking nasal tip contour.

Because the cartilage has "spring" to it so that it tries to revert back to its original position, surgical correction of this problem would involve a combination of:

  • cartilage trimming,
  • scoring or shaving techniques, and
  • various suture techniques.

There may also be some soft tissue between the cartilage on either side of your nasal tip. Removal of any excessive soft tissue in this area would also help improve the final contour.

The fact that you have normal to relatively thick skin makes it a bit more difficult for any dramatic changes to be obvious. The advantage here though is that any changes made in this area for you will look very natural.

Michael R. Macdonald, MD
Bay Area Facial Plastic Surgeon
4.6 out of 5 stars 18 reviews

Reducing The Width Of a Bulbous Nose Tip

Utilizing an 'Open' Rhinoplasty technique the cartilage that is creating the bulbous or wide width can be trimmed and reshaped to a more defined and narrowed shape and size. It is a relatively easy procedure with minimal recovery time and the tiny incision (which is hidden under your nose) usually is unnoticeable after a few months. Consult with a Rhinoplasty Specialist who has performed this procedure often to discuss this technique and your ideal results.

Michael Salzhauer, MD
Miami Plastic Surgeon
4.8 out of 5 stars 972 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.