Rhinoplasty for bulbous very round nose? (Photo)

Hi,I see the width of the tip, and indeed it's possible to improve your nasal tip (see the Web link below). My suggestion would be to make a couple other changes at the same time, such as elevating the tip a small amount and taking down the small bump along the bridge of your nose. The video link below shows a simulation of those changes.Be careful to see the before and after photos of any doctor you are considering for this operation. Work on a tip like yours is extremely difficult, and most plastic surgeons wouldn't be able to handle it expertly. Before and after profile pictures where a hump was removed don't tell you if the surgeon can work on the tip of the nose.

Rhinoplasty for the very large bulbous tip and depressed radix.The tip cartilages are very wide and can be near road as well as narrowing the base of your notes. A conservative hump removal in the lower portion of your nose and augmentation of your radix would be needed. See a very experienced 

After reviewing your photos, although a tip rhinoplasty will improve the appearance of your nose, a traditional rhinoplasty would give you the best aesthetic result.  Not only would I build up the area of the nose called the radix, but I would refine the tip and narrow the alar base as well.  I recommend seeking out a Board-Certified plastic surgeon who will examine your nose, create a simulation based on what your nose COULD look like after surgery, and create a plan tailored to your needs and wishes.  Good luck!

 The rhinoplasty procedure can address narrowing the bulbous tip. This accomplished with suture techniques applied to the lower lateral cartilages of the nasal tip ,along with conservative cartilage removal as well. Thick skin will be a significant impediment to seeing a very refined result of the tip of the nose

Thank you for the question and photos.  I agree that refining the shape and appearance of the tip of your nose would be where most of your rhinoplasty procedure would be focused on.  Although your skin may be thick, I am fairly certain that the cartilages (lower lateral cartilages) are still the main cause of the bulbous tip for you.  The before and after photo link below may be an indication of what your nose may look like.  I think some refinement of the rest of the rhinoplasty would also be beneficial since changing the tip would automatically change the appearance of the other parts in relation to the tip.All the best,Dr. Remus Repta

You do have thick skin but your tip can be narrowed to make a significant difference. I also recommend that you reduce the hump and augment the depressed radix (the top of the bridge) which will improve your profile and make your nose more proportional to the surrounding facial features. Consult with an experienced surgeon who can show you examples of results in noses like yours.