Bulbous and droopy nose - am I a good fit for a Rhinoplasty? (photos)

Question

I have a bulbous nose and it droops when I smile. Would I be a good fit for rhinoplasty

Tanveer Janjua, MD · Answer

Yes, you are a good candidate for rhinoplasty. A tip plasty can reduce the projection of the tip and the droopiness as well. You will not need any other components of rhinoplasty which makes it easier. The recovery is a lot quicker and the risk of bruising is significantly reduced.

Regards
Dr. J

Regards
Dr. J

Yannis Alexandrides, MD, FACS · Answer

Hi, 
thank you for your question!
After reviewing your pictures and understanding that your main concern is the tip of your nose, which you are describing as bulbous and droopy, I can see that the tip is tilting especially while smiling. It is a common case with many patients and indeed, this can be improved with Rhinoplasty surgery. I would say most likely open technique must be performed in order to alter the shape of the tip and some type of Alar Base reduction would be recommended as well.

Jonathan Kulbersh, MD · Answer

Hello and thank you for your question. A bulbous tip or droopy nose is a common issue that can be addressed by rhinoplasty. From these images, I think you may benefit from the procedure. Refining the nasal bridge and tip can give you beautiful and natural-looking results. However, because of rhinoplasty’s complexity, I highly recommend an in-person consultation with a reputable board-certified facial plastic surgeon. A skilled and experienced surgeon should be able to perform an accurate assessment through a visual examination of your profile, determine your eligibility for the procedure, and provide the best outcome possible.

Lucian Ion, FRCS · Answer

Thank you for your question and sharing your photographs.

The nasal tip skin appears to be intermediate or thin in your case which means that reduction rhinoplasty intervention with increased nasal tip definition allows more flexibility.

A computer simulation can help you determine the degree of change that you would like to achieve but bearing in mind that simulations from the front view are considerably more limited in scope.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. You are an excellent candidate for rhinoplasty, I think it is one of the most beautifying surgeries that we do as plastic surgeons. 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. Most plastic surgeons like to perform lip lift procedures at a separate time. Best wishes to you.

Ronald J. Edelson, MD · Answer

The most common mistake I see in a case like yours is insufficient shortening of the nose. Make sure the surgeon has a plan to deal with that portion. It's actually very simple to do and doesn't require grafts. But I see it often that the tip is left dropping.

Daniel Barrett, MD · Answer

Dear bethany.clrk,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from rhinoplasty. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Behrad Elmiyeh, MBBS, MRCS, FRCS (ORL HNS) · Answer

Thank you for your questions and for sharing your photographs.
You are a good candidate for surgery. Rhinoplasty can improve and refine your nasal tip and address your droopy nasal tip on smiling.
There are however some limitations based on the individual's intricate nasal anatomy and nasal skin quality. For example, the thickness of your nasal skin is great in covering up minor irregularities but since it does not shrink well after surgery, it will not show fine underlying refinements to the same extent as in those with thinner skin.
I would suggest that you consult with an expert rhinoplasty surgeon.

You should expect a full detailed examination of your nose is required to assess your nasal skin, cartilage, bony structures, and your nasal airway/ breathing. This will allow the surgeon to evaluate your nasal appearance and its relation to your facial features.

The use of manipulated (morphed) digital clinical photography provides a platform for discussion as to your desires and expectations. Such images are not a guarantee of exact results, but a great tool to ensure that you and your surgeon are on the same wavelength.
Only then, you would be able to have a full discussion about the benefits vs risks of your surgery and to make an informed decision.
It is paramount that you have a realistic expectation before proceeding with this surgery.
Best wishes

Robert Ciardullo, MD · Answer

Are you a good candidate for Rhinoplasty? Your nose appear slightly long and over projecting, with a bulbous tip which droop slightly and probably more so when you smile. All these issues are standard in a primary Rhinoplasty. You would therefore be an excellent candidate for primary Rhinoplasty

Bulbous and droopy nose - am I a good fit for a Rhinoplasty? (photos)

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