What is Easier to Fix in Rhinoplasty, A Wide Bridge or a Bulbous Tip?

A wide bridge or a bulbous tip? I understand both can be done, but I am wondering which is easier to improve upon. Thank you so much!

Doctor Answers 14

What is Easier to Fix in Rhinoplasty, A Wide Bridge or a Bulbous Tip?

I have performed Rhinoplasty for over 20 years and IMHO, reducing a wide bridge is easier both technically and aesthetically than decreasing a bulbous tip.  Be sure select a Rhinoplasty Surgeon that understands and follows the proper aesthetics of facial (and nasal) beauty.

Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Fixing a wide bridge or bulbous tip

Both a wide bridge and bulbous tip can be treated using modern rhinoplasty techniques. Tip work is generally more complex than narrowing a wide bridge. Tip bulbosity can be caused by several factors including cartilage size and orientation and skin thickness. Many methods are available to address the cartilage aspect. Skin thickness is harder to address, though in some people the skin can be thinned somewhat to help with improving the appearance.

A wide bridge can be improved by performing controlled bone fractures to narrow the nasal bones. Of course, you can certainly treat both a wide bridge and bulbous tip at the same time during rhinoplasty.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 21 reviews


The margin of error in tip rhinoplasty is a millimeter or 2 while for the bridge being a millimeter off does not show so much. Also thick nasal skin can decrease the visibility of tip surgery more than bridge surgery. Therefore tip surgery is more difficult than bridge surgery although both require sufficient surgical skill.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Aaron Stone, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 1 review

What's easier, fixing wide bridge or bulbous tip

Technically a wide bridge is easier to narrow than the bulbous tip.  Narrowing a wide bridge or a bulbous tip are both routine procedures to perform during the rhinoplasty procedure.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Wide Bridge or Bulbous Tip

Both of these concerns are commonly and frequently addressed during a rhinoplasty.  Maybe another way of asking your question is to say, what are possible complications in each of these areas after surgery.

Wide Bridge

  • inverted V deformity from high lateral osteotomy
  • lumps and irregularity on the bridge
  • removing too much or too little of the bridge

Bulbous Tip

  • Pinched appearance
  • Bossae formation (migration of the tip cartilages to the side)
  • twisting of the tip cartilages

Rhinoplasty is a very difficult surgery.  However, in the right hands, complication rates are rare and you can get very nice results that would correct the problems you report.

John Bitner, MD
Salt Lake City Facial Plastic Surgeon
4.9 out of 5 stars 86 reviews

Wide Bridge Versus Bulbous Tip and Rhinoplasty Surgery

My opinion is that correcting a wide bridge is generally easier than reshaping a bulbous nasal tip. The former involves a more predictable surgical technique in a good majority of cases. There are certainly going to be exceptions to every rule, but in general narrowing a wide bridge is more readily done than defining a bulbous nasal tip.

John M. Hilinski, MD
San Diego Facial Plastic Surgeon
4.7 out of 5 stars 40 reviews

Difficulty of Rhinoplasty Tip or Bridge Surgery

Hi legallyblonde502,

Easy may be a relative term for plastic surgery. Rhinoplasty generally is a difficult operation due to many factors, including some unpredictably in the healing period after surgery. Both bridge and tip surgery may be easier than another when comparing the two different areas, but nothing is necessarily easy in rhinoplasty. After a comprehensive evaluation by a rhinoplasty surgeon can he/she help determine the degree of difficulty for your potential surgery. Best of luck.

Dr. Chaboki


Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 85 reviews

The easier fix in rhinoplasty, wide bridge, or full tip?

Given our understanding of rhinoplasty today, the wide bridge and bulbous tip are both correctable with ease, if your surgeon has the experience. Of course, there are limitations as to what your tissue will do and a careful consultation can help you sort out the proper plan.

Best of luck,


Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 42 reviews

Wide bridge or bulbous tip

Both a wide bridge and a bulbous tip can be repaired but if the skin is very thick it may be difficult to narrow the tip enough to your satisfaction.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

Wide bridge or tip rhinoplasty.

Wide bridge or tip rhinoplasty are both easy to perform if the surgeon knows how to do this. Find an experienced rhinoplasty surgeon and go over these things with him.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.