How to Correct a Upturned, Bulbous Tip, Slope Like Nose? (photo)

Question

I feel that from the side profile it looks too up-turned/pixie like and instead of a slope that I have I want it too look straight without it looking 'flicked up'. Looks quite bulbous from the tip and also one nostril looks unequal to the other. I want my nose to look straight from the side and also thinner from the front. My nostrils also look too large in my opinion. I have low self-esteem and confidence because of the way my nose looks.

Nima Shemirani, MD · Answer

Dear bohemelilz,

	
		The issue is that you need your nose lengthened so it does not look "flicked up"
	
		This can be accomplished with cartilage grafting
	
		In addition, we can bring the tip in a little bit to match the new bridge
	
		Finally, addressing the bulbous tip can be done with cartilage rearranging, instead of removing (which can cause long term breathing issues)
	
		When you are ready, see a rhinoplasty specialist who can answer all of your questions and address your concerns - this is not a run-of-the-mill nose, you should see an expert


	Best regards,

	Nima Shemirani

Michael A. Persky, MD · Answer

Hi Bo,

	De-projecting your nasal tip and possibly adding cartilage grafts to your nasal dorsum (profile) should correct the features that bother you about your nose.  Choose your rhinoplasty surgeon most carefully.  Good luck and be well.

	Dr. P

Kenneth Hughes, MD · Answer

The nose can be lengthened and the tip can be deprojected.  The bulbous tip can be reduced in size.  Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

William Portuese, MD · Answer

A closed rhinoplasty would address de-rotation and narrowing of the bulbous tip. In addition, cartilage grafts would be placed along the dorsum, to help buildup the bridge and de-rotate the nose.Digital computer imaging would be helpful to understand what can be accomplished with the procedure upon your facial features.  Rhinoplasty is a difficult endeavor, so choose your surgeon wisely based on extensive experience. Please see the link  and the video below for examples of how we have addressed the bulbous tip rhinoplasty in our practice

Steven Wallach, MD · Answer

Derotating the tip can improve the angle and narrowing the tip can imrpove the bulbous appearnance. There will bes ome limitations because of the thick skin.

How to Correct a Upturned, Bulbous Tip, Slope Like Nose? (photo)

Answers (8)

Answer: Rhinoplasty for an upturned and bulbous tip

Answer: Rhinoplasty for an upturned and bulbous tip

Answer: Derotate tip

Answer: Derotate tip

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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.

How to Correct a Upturned, Bulbous Tip, Slope Like Nose? (photo)

Answers (8)

Answer: Rhinoplasty for an upturned and bulbous tip

Answer: Rhinoplasty for an upturned and bulbous tip

Answer: Derotate tip

Answer: Derotate tip

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.