Rhinoplasty candidate for bulbous tip refinement
A closed rhinoplasty procedure can accomplish making the overall nose smaller with all of the incisions placed on the inside of the nose. To accomplish reduction of the bulbous tip require suture techniques and sometimes a conservative cartilage removal applied to the nasal tip cartilages. The dorsal hump is composed of both bone and cartilage and it can be shaved down. Osteotomies are placed in the nasal bones to narrow the bridge line. It's important not to over-rotate the tip upwards, since that will look unnatural. For more information and many examples, please see the video and the link below
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. Cartilage grafts may also be used to help improve tip refinement.
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
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon