Can I Elevate my Tip to Disguise my Hump Without Dorsal Rasping?

The nose can be improved by giving more tip projection. However, you'll need more than suturing in order to accomplish this. The cartilages at the tip are very soft and will need reinforcement with additional cartilage in order to get the tip projection and strength you need. Also, you can place a graft, usually temporalis fascia, in the area between your eyes (radix) in order to make the bridge more straight without rasping the hump. 

 

you absolutely can do this. I have a number of patients who have this procedure done where I placed a cartilage graft on their columella or under their tip to support the tip and hold it up. I get patients from China and other parts of Asia frequently for issues very similar to yours. Often times in China surgeons will recommend you use an implant but you should not do this. This appears to be medium thickness skin with a simple issue of what we call top ptosis. You need to elevation which is a surgery that requires a highly skilled and experienced surgeon but in general is not a very large surgery and you should heal within one to two weeks. Do not use an implant. As you raise the tip the hump on your nose will be less apparent. I can tell it was not always this way. I can tell that you are in your 30s or older and that your tip when you're younger was not as low as it is now and the hump on your nose was not as obvious as it is now.

Chase Lay, MD

double board certified facial plastic surgeon

Asian facial plastics specialist