Will a cephalic trim effectively reduce my bulbous nose? (Photo)

Question

A Doctor suggested a cephalic trim to refine my tip .Based on my photo, do you think this procedure will effectively reduce the bulbous appearance of my nose?

Oakley Smith, MD, FRCSC · Answer

Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination. Cephalic trim is effective technique to refine and rotate the tip.

Guler Gamze Eren, MD · Answer

Thank you for your question.This is right you have a bulbous tip and it can be corrected with cephalic trim with reshaping the tip with sutures.

Eric M. Joseph, MD · Answer

A cephalic trim may indeed reduce the bulk and width of somebody's tip, however, it may also lead to nasal tip rotation. If you have more nasal tip rotation, you may end up with excess nostril show. If you have severe dissatisfaction with the appearance of your nose, please consider meeting with several reputable rhinoplasty specialists so you can see what to expect after surgery. I hope this is helpful. Sincerely, Dr Joseph

William Portuese, MD · Answer

Cephalic trim accomplishes removal of some of the bulbus nasal tip cartilages. Suture techniques accomplish more significant narrowing of the lower lateral cartilages when there's a very square boxy and bulbus tip. A full set of facial photograph from All angles are required to make a determination about which techniques to use based on your current anatomy. The thickness of the skin in the tip of nose will also also also a factor

Gianfranco Frojo, MD · Answer

I would perform a full rhinoplasty including a cephalic trim to reduce the size of the lower lateral cartilages (the lateral crus specifically).

Gary M. Horndeski, MD · Answer

A cephalic trim is done to increase the vertical length of the lateral crura.  That may be required but may not be all you will need.  You may need the tip sutured closer together to be more refined.

Best Wishes,

Gary Horndeski, M.D.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. First, you are a beautiful lady. You are an excellent candidate for rhinoplasty. I think it is one of the most beautifying surgeries that we do as plastic surgeons. A cephalic trim is part of the overall rhinoplasty and is included in most rhinoplasty surgeries. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you.

Zeshaan Maan, MD · Answer

Tip refinement involves changing the size, shape, and position of the paired alar cartilages. A reduction in the vertical height of your alar cartilage would likely be an important piece of the puzzle based on your submitted photograph. A cephalic trim is a fairly common way to achieve that, though personally I favor preservation techniques for reducing the size.

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. Cartilage grafts may also be used to help improve tip refinement. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Alper Burak Uslu, MD, FEBOPRAS · Answer

Because bulbousity in tip is caused by thicker skin, largely sized and weak tip cartilages to some extent, yes. Because when packed into a tightly confined space, large cartilages warp and assume a round looking shape. Cephalic +/- caudal trim is effective in correcting bulbosity. Strengthening tip cartilages and providing good tip support will also help. In certain cases skin thinning surgically or medically (with isotretinoin) might be required.

Will a cephalic trim effectively reduce my bulbous nose? (Photo)

Answers (11)

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