Bulbous low nose when smiling - how to fix? (Photos)

Question

Randal Haworth, MD, FACS · Answer

Thanks for your question and photos. For refining the tip of the nose, either a closed or open (my preferred method to get maximum control of symmetry) tip rhinoplasty can be performed which refines the bulbous area with minimal scarring.   An open technique allows better visualization and control of the paired cartilages which act in conjunction to define your tip shape and symmetry.  The ability to see both cartilages simultaneously and work on them together allows the surgeon ultimate control over both the shape and symmetry and, of course, beauty of the nose. Make sure you see a board certified plastic surgeon and look very carefully at their before and after photos of other patients. Computer imaging can be a useful tool as well but don't solely rely on that when making your decision.

Robert Deeb, MD · Answer

Hello and thank you for the question.  It is difficult to fully assess your nose from the photos, however a bulbous tip is a common complaint.  There are a variety of techniques to address this issue.  The majority of these techniques involving re-shaping the cartilages that comprise the tip to give the tip a more narrowed, aesthetically-pleasing appearance.
Also, when the tip descends with smiling, this is known as the smile deformity.  This is also a correctable issue, that has to do with some of the muscles around the tip.
If these issues really bother you I would recommend seeking a consultation from a board certified plastic surgeon or facial plastic surgeon who has expertise in rhinoplasty. During your consultation be very specific as to your concerns and have an open and honest discussion regarding the best way to correct them.
Hope that helps and good luck!

Greg Chernoff, MD · Answer

Thank you for your question. All of us have features that can have a negative effect on our self-esteem. There is nothing offensive about your nose but it is out of proportion with the rest of your face. You should see a surgeon who can do computer imaging for you. That way, you can see what is realistic based upon your anatomy.Best wishes.

Bahman Guyuron, MD · Answer

Large tip cartilages, extra fat between the cartilages or excessive thickness of nose skin can make the nose tip to look bulbous. Regardless, it is correctable through limited rhinoplasty. You may consider consulting a plastic surgeon experienced in nose surgery.Good Luck.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. You may also benefit from a cephalic rotation of your tip to turn
up your tip slightly.  Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Bulbous low nose when smiling - how to fix? (Photos)

Answers (10)

Answer: Bulbous Tip

Answer: Bulbous Tip

Answer: Rhinoplasty

Answer: Rhinoplasty

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Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

Bulbous low nose when smiling - how to fix? (Photos)

Answers (10)

Answer: Bulbous Tip

Answer: Bulbous Tip

Answer: Rhinoplasty

Answer: Rhinoplasty

Browse related questions

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.