Can I change just the end of my nose without a full Rhinoplasty?

Question

I love the shape of my nose but at the end of it there is a little ball, its almost like cartilage. I can move it around very easily. I am wondering if this can be reduced without having to go under? I want a cute little nose that doesn't have as much cartilage down at the end and comes to more of a point instead of a round ball. How much would something like that cost? I will try to get a picture up later today.

Jose M. Soler-Baillo, MD, MS · Answer

Thanks for your question. It would be very helpful to see photos of your nose. Reduction of the bulbous tip and tip refinement are definitely some great plausible options. All the best!Dr. ResultsMiami, FL

W. John Bull, MD · Answer

Usually the whole nose is treated to maintain an overall symmetrical look and facial balance but it is possible to just make some changes to the tip only. I usually do this under general anesthesia though, for patient comfort. I would not want to try this under just local anesthesia but sometimes a deeper IV sedation could be the best of both worlds for comfort safety and recovery. The costs however are similar to general anesthesia. If you are interested, it is worth a consultation to see exactly what you want and what that would cost. It is hard to estimate this from a picture.

Gregory Turowski, MD, PhD, FACS · Answer

Great question.  this can be done with a tip rhinoplasty. It would be nice for you to see a board certified plastic surgeon to go over the details, and your expectations.Good luck

Robert Drielsma, MBBS, BSc, FRACS · Answer

Dealing with issues of the tip of the nose alone without touching the upper bony nose is not uncommon as is called a tip rhinoplasty.  This usually corrects a bulbous nose tip, a blunt tip or perhaps a low hanging tip as with a long nose. Without any photographs or a formal consultation, its impossible to determine whether you are a suitable candidate.  Rhinoplasty procedures are all about balance and proportion so its important that any changes to the tip of your nose balance the overall appearance of your nose.

Karol A. Gutowski, MD, FACS · Answer

In some cases, a "tip rhinoplasty" can be done under local anesthesia. An in person consultation would be best.

William Portuese, MD · Answer

The far majority of patients must undergo a full rhinoplasty, not a tip rhinoplasty only, to make sure that the entire nose features balance with themselves. Technically it is possible to perform tip rhinoplasty only.  A tip-plasty and a full rhinoplasty are both performed under a general anesthetic for patient safety and comfort. There are simply too many nerve endings in the nose  for patient's to be comfortable performing this under local anesthesia.

Julian W. Dixon, MD · Answer

Thanks for your question. You bring up a very common issue, which is how to address just one part of the nose. Generally speaking it is not quite that simple, one portion of the nose greatly affects how another part looks.  For the tip region this is especially true. That being said it is sometimes possible to make changes only to a small area and have a fantastic result. Tip rhinoplasty is very often under estimated in terms of its complexity. Very sophisticated grafts and techniques are often needed  to obtain definition but also camouflage the underlying framework. It is certainly not as simple as you would think.  In my opinion it is best to choose a surgeon whom you trust and who you feel understands your goals, as opposed to getting to caught up in the details of anesthesia, etc. Hope this helps.

Peter E. Johnson, MD · Answer

It is possible to consider just tip rhinoplasty, and just hump reduction, howver rhinoplasty is about balance and proportion and as one thing changes, another must be addressed. Still, tip rhinoplasty might be right for you. A consultation with computer simualtion can help you understand and see the differences.

Francis R. Palmer, III, MD (retired) · Answer

Yes, you can have surgery to just the tip of your nose without having a full rhinoplasty.  It is hard to give you any specific advice without seeing you or seeing photos of you.  If you do not want to post public photos, you can send them to our website for more individualized information.

Gregory Park, MD - Account Suspended · Answer

The tip of your nose can be modified through a rhinoplasty performed without general anesthesia. Consultation with your local plastic surgeons can help determine if you are a candidate for this surgery. Thank you for sharing your question. Best wishes.

Can I change just the end of my nose without a full Rhinoplasty?

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