I like my nose shape but I have to much cartridge on the tip of my nose, I would like to remove it. Options? (photo)

Tip-plasty is a great procedure to address a bulbous tip only and leave the rest of the nose alone. It can be accomplished through an open or closed approach. The goal is to refine the tip and make it smaller and smoother.
In tips with strong cartilages but thin skin, all that is needed is removing some of the cartilage and softening the rest by gently crushing it (morselizing).
In tips with thick skin and lot of soft tissue or fat, the excess fat and soft tissue is removed along with removing some of the cartilage.
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Regards
Dr. J

Thanks for the question, but it is very difficult to comment on your case with only one photo. It does seem that you have a wide tip, which could be narrowed by excision and suture techniques.

It is very difficult to comment about on question based on this single photo that does not provide enough information. It is possible that your goal could be achieved with tip refinement only or with conservative rhinoplasty, to improve balance of all elements of external nose. In person consultation with a board certified plastic surgeon with good reputation in rhinoplasty is recommended. Good luck.

Improving the nasal tip to achieve an improved natural appearing cosmetic result is a frequent request of patients wanting nasal refinement. It is possible to improve the cosmetic appearance of the tip alone without altering the rest of the nose in some patients. Whether the optimal option in your particular situation would be a tip rhinoplasty alone or a full rhinoplasty would best be determined at a consultation. Either procedure can be performed with a closed or open approach.

Following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on limited photos without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of the operative procedure would not be in your best interest. I would suggest you find a plastic surgeon with extensive nasal surgery experience who is certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or a facial plastic surgeon (otolaryngologist) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla,California

The bulbous nasal tip can be reduced with a combination of cartilage removal and suture techniques when there is wide cartilage is present. Thick skin in the tip of the nose prevents refinement in that area, so is important to have realistic expectations.