How much would it cost to lift the tip of my nose and make it less bulbous? (photo)

Tip and columella improvement are reasonable requests.Find a plastic surgeon with ELITE credentials who performs hundreds
of rhinoplasties and rhinoplasty revisions 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

Revision rhinoplasty is always more difficult than a primary rhinoplasty. The bulbous tip is best addressed with a combination of tip suturing techniques to the lower lateral cartilages and a conservative cartilage removal. The dorsal hump is shaved down and the depressor septi ligament is released to prevent the tip from drooping upon animation. Osteotomies will also be required to prevent an open roof deformity, once the hump has been removed. For many examples of noses similar to your own and our price list, see the link below

A 4th rhinoplasty is a serious matter. The surgery could be much more complex than you think. Form the photos you provided, I can see what you do not like; but your nasal tip also sticks out too far, and the overall size of your nose is a bit large for your face. We see many noses like your's with similar stories in our offices in Worcester and Stoneham. You need a complete, in-depth evaluation of your nose. You should bring copies of all your operative notes to the consultation. They are readily available from Children's Hospital. The consultation should include evaluation of your nose with a morphing program and a open conversation with the surgeon of what is possible and what you want. Fees vary. In New England, where fees tend to be lower than New York, Chicago or LA, revision rhinoplasty surgeons' fees seem to vary from $8000-10,000 when done by a surgeon who specializes in rhinoplasty. Anesthesia and facility fees could be about $2000. I have attached a link.